Civic Intelligence

Iowa Hospice Foundation

EIN 59-3812604 • 501(c)3 • Atlanta, GA

Profile

The purpose of the foundation is to educate medical professionals and the general public in bereavement and end of life matters, to raise public awareness of the importance of hospice care, and provide medical services to those unable to pay for care.

3350 Riverwood Pkwy No 1400Atlanta, GA 30339

www.iowa-hospice.com

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

61st percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

4th percentile

-403%

Higher net margin than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

12th percentile

-66%

Faster revenue growth than 12% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $147,110 (-100%) from 2013

Liabilities

Flat

$0

Flat from 2013

Net Assets

Down

$0

Down $147,110 (-100%) from 2013

Operations
Liabilities / Revenue61st percentileNet Margin4th percentile

Revenue

Down

$36,502

Down $69,319 (-66%) from 2013

Expenses

Up

$183,612

Up $121,004 (+193%) from 2013

Net Income

Down

-$147,110

Down $190,323 (-440%) from 2013

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

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

$150K$100K$50K$0Assets 2011: $94,487Liabilities 2011: $0Net Assets 2011: $94,4872011Assets 2012: $103,897Liabilities 2012: $0Net Assets 2012: $103,8972012Assets 2013: $147,110Liabilities 2013: $0Net Assets 2013: $147,1102013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue Growth12th percentile

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

$200K$100K$0-$100K-$200KRevenue 2011: $131,770Expenses 2011: $91,554Net Income 2011: $40,2162011Revenue 2012: $121,681Expenses 2012: $112,271Net Income 2012: $9,4102012Revenue 2013: $105,821Expenses 2013: $62,608Net Income 2013: $43,2132013Revenue 2014: $36,502Expenses 2014: $183,612Net Income 2014: -$147,1102014

Highlighted filing

2014

Revenue$36,502
Expenses$183,612
Net Income-$147,110
Open 2014 Filing

Filings

Most recent year

2014 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$36,502
Expenses
$183,612
Net income
-$147,110
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.37$1.84$1.47
2013Detailed filing. Detailed filing data is available for this year.$1.47$0.00$1.47$1.06$0.63$0.43
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.04$0.00$1.04$1.22$1.12$0.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.94$0.00$0.94$1.32$0.92$0.40
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2013 to May 31, 2014
Signed
Jan 23, 2015
Return Version
2014v5.0
Gross Receipts
$36,502
Mission and Program Overview

Mission

The purpose of the foundation is to educate medical professionals and the general public in bereavement and end of life matters, to raise public awareness of the importance of hospice care, and provide medical services to those unable to pay for care.

Program Services

DescriptionGrantsExpenses
IOWA HOSPICE FOUNDATION PROVIDED ASSISTANCE TO SPECIFIC INDIVIDUALS AND THEIR FAMILIES UNABLE TO PAY FOR CARE AND END OF LIFE EXPENSES. ADDITIONALLY, THE FOUNDATION SUPPORTED ORGANIZATIONS AND CARE CENTERS BY DONATING FUNDS TO IMPROVE END OF LIFE ROOMS AND THE ENVIRONMENT IN WHICH INDIVIDUALS PASS AWAY.$0$1,340
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
MARY GRIFFINManagement-$0--
TONI BURGESSDirector-$0--
JOHN CAMPERLENGODirector-$0--
Filing and Contact Details

Filer

Filer Name
Iowa Hospice Foundation
EIN
59-3812604
Phone
7709516450
Address
3350 RIVERWOOD PKWY NO 1400, ATLANTA, GA 30339

Signing Officer

Name
John Camperlengo
Title
Director
Phone
7709516208
Signed
2015-01-23
Discuss with paid preparer
Yes

Preparer

Firm
Mcgowen Hurst Clark & Smith Pc
Address
1601 WEST LAKES PARKWAY SUITE 300, WEST DES MOINES, IA 50266
Preparer
Kathleen a Koenig CPA
Phone
5152883279
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 8 - Other Revenue

“Description: other income. Amount: 183.”

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

“Activity classification: . Grantee name: gentiva hospice foundation. Grantee address: 3350 riverwood pkwy, ste 1400 atlanta, ga 30339. Method used to determine book value: cost. Method used to determine fmv: cost. Amount given: 182,236.”

Form 990-ez, Part I, Line 16 - Other Expenses

“Description: bank fees. Amount: 36. Description: bereavement activities. Amount: 1,340. Total to form 990-ez, line 16: 1,376.”

Raw XML Appendix189 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.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0GENTIVA HOSPICE FOUNDATION
IRS990EZ/BooksInCareOfDetail/PhoneNum07709516450
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt03350 RIVERWOOD PKWY SUITE 1400
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0ATLANTA
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0GA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd030339
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0147110
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt00
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt036319
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-147110
IRS990EZ/FiledScheduleAInd01
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
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IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt0182236
IRS990EZ/GrossReceiptsAmt036502
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0147110
IRS990EZ/NetAssetsOrFundBalancesEOYAmt00
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0147110
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt02.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10.20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt20.20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0MARY GRIFFIN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1TONI BURGESS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JOHN CAMPERLENGO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0MANAGEMENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd01
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt01376
IRS990EZ/OtherRevenueTotalAmt0183
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0THE PURPOSE OF THE FOUNDATION IS TO EDUCATE MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC IN BEREAVEMENT AND END OF LIFE MATTERS, TO RAISE PUBLIC AWARENESS OF THE IMPORTANCE OF HOSPICE CARE, AND PROVIDE MEDICAL SERVICES TO THOSE UNABLE TO PAY FOR CARE.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0IOWA HOSPICE FOUNDATION PROVIDED ASSISTANCE TO SPECIFIC INDIVIDUALS AND THEIR FAMILIES UNABLE TO PAY FOR CARE AND END OF LIFE EXPENSES. ADDITIONALLY, THE FOUNDATION SUPPORTED ORGANIZATIONS AND CARE CENTERS BY DONATING FUNDS TO IMPROVE END OF LIFE ROOMS AND THE ENVIRONMENT IN WHICH INDIVIDUALS PASS AWAY.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt01340
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt0183612
IRS990EZ/TotalProgramServiceExpensesAmt01340
IRS990EZ/TotalRevenueAmt036502
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.IOWA-HOSPICE.COM
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THIS FINAL 990-EZ TAX RETURN FILING REPRESENTS THE SHORT TAX YEAR FOR THE TIME PERIOD JANUARY 1, 2014 TO MAY 31, 2014. THE ORGANIZATION MERGED WITH THE GENTIVA HOSPICE FOUNDATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0FORM 990-EZ, PAGE 1, PART I:
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt036319
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0105821
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0121052
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0130172
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0130546
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0523910
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt08
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt04
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt04
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt08
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0523910
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt036319
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0105821
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0121052
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0130172
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0130546
IRS990ScheduleA/Total509Grp/TotalAmt0523910
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt036319
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0105821
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0121052
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0130176
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0130550
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0523918
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0GENTIVA HOSPICE FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1GENTIVA HOSPICE FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-05-28
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-06-06
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0752851746
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1752851746
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0177034
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt15202
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt03350 RIVERWOOD PKWY STE 1400
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt13350 RIVERWOOD PKWY STE 1400
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0ATLANTA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1ATLANTA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0GA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1GA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd030339
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd130339
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: MARY GRIFFIN, TONI BURGESS, JOHN CAMPERLENGO
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: THE IOWA HOSPICE FOUNDATION (THE FOUNDATION) MERGED INTO THE GENTIVA HOSPICE FOUNDATION. MARY WAS PART OF THE FOUNDATION'S MANAGEMENT. TONI AND JOHN SERVED AS DIRECTORS FOR THE FOUNDATION. UPON MERGING WITH THE GENTIVA HOSPICE FOUNDATION, MARY WAS ELECTED TO SERVE AS THE EXECUTIVE DIRECTOR, TONI WAS ELECTED TO SERVE AS A BOARD MEMBER, JOHN WAS ELECTED TO SERVE AS THE PRESIDENT, SECRETARY AND TREASURER.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: OTHER INCOME. AMOUNT: 183.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACTIVITY CLASSIFICATION: . GRANTEE NAME: GENTIVA HOSPICE FOUNDATION. GRANTEE ADDRESS: 3350 RIVERWOOD PKWY, STE 1400 ATLANTA, GA 30339. METHOD USED TO DETERMINE BOOK VALUE: COST. METHOD USED TO DETERMINE FMV: COST. AMOUNT GIVEN: 182,236.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: BANK FEES. AMOUNT: 36. DESCRIPTION: BEREAVEMENT ACTIVITIES. AMOUNT: 1,340. TOTAL TO FORM 990-EZ, LINE 16: 1,376.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE 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.
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN CAMPERLENGO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum07709516208
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-01-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0IOWA HOSPICE FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0IOWA
ReturnHeader/Filer/EIN0593812604
ReturnHeader/Filer/PhoneNum07709516450
ReturnHeader/Filer/USAddress/AddressLine1Txt03350 RIVERWOOD PKWY NO 1400
ReturnHeader/Filer/USAddress/CityNm0ATLANTA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030339
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0421104473
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MCGOWEN HURST CLARK & SMITH PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01601 WEST LAKES PARKWAY SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WEST DES MOINES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd050266
ReturnHeader/PreparerPersonGrp/PhoneNum05152883279
ReturnHeader/PreparerPersonGrp/PreparationDt02015-01-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KATHLEEN A KOENIG CPA
ReturnHeader/ReturnTs02015-01-23T10:43:41-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-05-31
ReturnHeader/TaxYr02014

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