Civic Intelligence

Poverello Foundation

990 • Fiscal year 2013 • EIN 41-1494881

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 30, 2014

200 First Street SWRochester, MN 55905

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

2nd percentile

0.00x

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

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

3rd percentile

0.00x

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

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Net Margin

96th percentile

75%

Higher net margin than 96% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Top Officer Pay

84th percentile

$542,379

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 10.2% of source-year revenue.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Asset Growth

87th percentile

22%

Faster asset growth than 87% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$36,547,044

Up $6,540,944 (+22%) from 2012

Net Assets

Up

$36,547,044

Up $6,540,944 (+22%) from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue

$5,309,583

No earlier filing loaded for comparison.

Expenses

Up

$1,332,985

Up $110,400 (+9.0%) from 2012

Net Income

$3,976,598

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2010: $26,229,906Liabilities 2010: $0Net Assets 2010: $26,229,9062010Assets 2011: $26,932,391Liabilities 2011: $0Net Assets 2011: $26,932,3912011Assets 2012: $30,006,100Liabilities 2012: $0Net Assets 2012: $30,006,1002012Assets 2013: $36,547,044Liabilities 2013: $0Net Assets 2013: $36,547,0442013Assets 2014: $38,467,547Liabilities 2014: $0Net Assets 2014: $38,467,5472014

Highlighted filing

2013

Assets$36,547,044
Liabilities$0
Net Assets$36,547,044

Operations Trend

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

$6.0M$4.0M$2.0M$0Expenses 2010: $1,167,7452010Expenses 2011: $1,178,3052011Expenses 2012: $1,222,5852012Revenue 2013: $5,309,583Expenses 2013: $1,332,985Net Income 2013: $3,976,5982013Revenue 2014: $2,545,538Expenses 2014: $1,475,194Net Income 2014: $1,070,3442014

Highlighted filing

2013

Revenue$5,309,583
Expenses$1,332,985
Net Income$3,976,598
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 30, 2014
Return Version
2013v3.0
Gross Receipts
$5,309,583
Mission and Program Overview

Mission

To benefit, perform the functions of, or to carry out the charitable, educational, and scientific purposes of mayo clinic hospital-- rochester.

Help patients in need who are unable to afford medical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$29,995,479$36,500,161▲ $6,504,682
Pledges and Grants Receivable$10,621$46,883▲ $36,262
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Total Assets$30,006,100$36,547,044▲ $6,540,944
Other Assets Total$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Temporarily Rstr Net Assets$30,006,100$36,547,044▲ $6,540,944
Unrestricted Net Assets$0$0→ $0
Total Net Assets Fund Balance$30,006,100$36,547,044▲ $6,540,944
Total Liabilities and Net Assets / Fund Balance$30,006,100$36,547,044▲ $6,540,944

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$36,500,161--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Gervais Sister GeneroseDirector/president$47,029$47,029

Board Members and Trustees

NameTitle
Tighe Sister MoiraDirector/vice President
Benike JohnDirector
Frederick Barbara LDirector
Powers JoeDirector
Zahasky Paul EDirector
Shannon WendyDirector (4/25 - 12/31)
Keniry Sister Margaret JDirector/treas. (4/25-12/31)/secy.
Mcneil MichaelDirector/treasurer (1/1-4/25)
Haeflinger Ricky JTop Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$3,675,759
Program Service Revenue
$0
Investment Income
$1,633,824
Other Revenue
$0
Change in Net Assets
$3,976,598
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,332,960
Other Expenses$25
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,332,960--$1,332,960
Fees for Services Other-$25-$25
Total Functional Expenses$1,332,960$25$0$1,332,985
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
41-0944601-501(c)(3)To Assist in the Financial Needs of Patients.$1,332,960
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
Audit committee
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

The following individual is employed by a related organization: zahasky, paul e. Resulting in a business relationship with the following individual who is associated with the related organization as an officer, director, or trustee: haeflinger, ricky j. The following individual is employed by a related organization: gervais, sister generose resulting in a business relationship with the following individual who is associated with the related organization as an officer, director, or trustee: frederick, barbara l.

Form 990, Part VI, Section A, Line 3

Mayo clinic, mayo foundation for medical education and research, and other related companies provide management services to the entire system of entities. Since the entities are related organizations, compensation for the officers, directors, key employees, and highest compensated employees has been disclosed in part vii and schedule j as required.

Form 990, Part VI, Section A, Line 6

The members of the corporation are the same as the members of the saint mary's hospital board of directors (now known as the mayo clinic hospital--rochester board of governors).

Form 990, Part VI, Section A, Line 7A

The board of directors are elected by the members of the corporation.

Form 990, Part VI, Section A, Line 7B

The members must approve proposed amendments to bylaws or may delegate that function to the board of directors.

Form 990, Part VI, Section B, Line 11

The form 990 is prepared by mayo corporate tax with assistance from site accounting staff. The tax return goes through two levels of review within the corporate tax unit. It is then reviewed by the board president. A copy of the form 990 is then provided to each member of poverello foundation's governing body via us mail, e-mail, or distribution at a board meeting. All questions are addressed prior to filing the form 990.

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

Mayo clinic and its affiliates have a comprehensive conflict of interest policy applicable to all of the affiliated entities and to all directors, officers, and employees of those entities. All current and former officers, directors, trustees, key employees and highest compensated employees who we anticipate will be listed on a form 990 are asked to complete an "annual tax and compliance disclosure" form. This information is reviewed by both the corporate tax department and the office of conflict of interest review. All disclosures of current or proposed activity that require action under the policy are the subject of ongoing review and action through the office of conflict of interest review and the conflict of interest review board. Involved individuals are informed of all required action. Many types of relationships that could create conflicts of interest are prohibited. Other types of relationships are permitted subject to compliance with the management plan established by the conflict of interest review board. A common management strategy for permitted activities is to require bilateral recusal and appropriate documentation in the minutes of mayo clinic (and/or affiliate) and the outside entity. Additional conflict of interest policies and procedures exist for certain entities concerning research contracts and other types of potential conflicts.

Form 990, Part VI, Section C, Line 19

Poverello foundation's audited financial statements and governing documents are available upon request. In addition, the conflict of interest policy is available upon request and also on the mayoclinic.org website.

Filing and Contact Details

Filer

EIN
41-1494881
Phone
5075381297

Signing Officer

Name
Sister Generose Gervais
Title
President
Phone
5075381297
Signed
2014-10-30

Organization Details

Principal Officer
Sister Generose Gervais
Formed
1984
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
5
Employees
0
Volunteers
5
Supplemental Narrative

Additional Explanations

Filing of Certain Foreign Forms

Disclosure statement related to forms 5713: form 5713 has been filed by the following members of the controlled group: mayo clinic (ein: 41-6011702) mayo foundation for medical education and research (ein: 41-1506440) mayo clinic arizona (ein: 86-0800150) mayo clinic jacksonville (ein: 59-3337028) disclosure statement related to forms 5471: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 5471, information return of u.s. Persons with respect to certain foreign corporations, as a category 4 and 5 filer with respect to certain controlled foreign corporations (cfcs). These filing requirements are or will be satisfied through the filing of forms 5471 for these cfcs by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed taxpayer name: mayo foundation for medical education and research address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-1506440 irs service center where u.s. Tax return was or will be filed: e-filed disclosure statement related to forms 8865: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 8865, information return of u.s. Persons with respect to certain foreign partnerships, as a category 2 and 3 filer. These filing requirements are or will be satisfied through the filing of forms 8865 for these partnerships by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 8865 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed

Financial Statement Notes

PART X, LINE 2:

At december 31, 2013 and 2012, the reserve for unrecognized tax benefits was not significant, and as a result, there is no longer a reserve for unrecognized tax benefits recorded for the filing organization.

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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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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0AT DECEMBER 31, 2013 AND 2012, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleI/RecipientTable/CashGrantAmt01332960
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO ASSIST IN THE FINANCIAL NEEDS OF PATIENTS.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10MAYO CLINIC HOSPITAL-- ROCHESTER
IRS990ScheduleI/RecipientTable/RecipientEIN0410944601
IRS990ScheduleI/RecipientTable/USAddress/AddressLine101216 SECOND STREET SW
IRS990ScheduleI/RecipientTable/USAddress/City0ROCHESTER
IRS990ScheduleI/RecipientTable/USAddress/State0MN
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode055902
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0POVERELLO FOUNDATION MAKES GRANTS TO MAYO CLINIC HOSPITAL-- ROCHESTER (MCH-R) FOR THE SOLE PURPOSE OF PROVIDING FINANCIAL RELIEF TO PATIENTS WHO ARE UNABLE TO AFFORD MEDICAL CARE. MCH-R DETERMINES ELIGIBILITY BASED ON THE POLICIES AND GUIDELINES AS SET FORTH BY THE POVERELLO FOUNDATION BOARD OF DIRECTORS. MCH-R ALSO PROVIDES REPORTS TO THE POVERELLO FOUNDATION BOARD ON THE PATIENTS WHO RECEIVED ASSISTANCE AND THE AMOUNT OF ASSISTANCE RECEIVED.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0FREDERICK BARBARA L
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ZAHASKY PAUL E
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2HAEFLINGER RICKY J
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TOP FINANCIAL OFFICER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2542379
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUAL PARTICIPATED BUT DID NOT RECEIVE A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. RICKY J. HAEFLINGER
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE RELATED ORGANIZATION.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: ZAHASKY, PAUL E. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL WHO IS ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: HAEFLINGER, RICKY J. THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: GERVAIS, SISTER GENEROSE RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL WHO IS ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: FREDERICK, BARBARA L.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE MEMBERS OF THE CORPORATION ARE THE SAME AS THE MEMBERS OF THE SAINT MARY'S HOSPITAL BOARD OF DIRECTORS (NOW KNOWN AS THE MAYO CLINIC HOSPITAL--ROCHESTER BOARD OF GOVERNORS).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS ARE ELECTED BY THE MEMBERS OF THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE MEMBERS MUST APPROVE PROPOSED AMENDMENTS TO BYLAWS OR MAY DELEGATE THAT FUNCTION TO THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE BOARD PRESIDENT. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF POVERELLO FOUNDATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7POVERELLO FOUNDATION'S AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FILING OF CERTAIN FOREIGN FORMS
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