Form 990 for tax year 2022
Filed by ANNE CARLSEN CENTER FOUNDATION.
Totals
- Total revenue
- $7,170,897
- Total expenses
- $1,236,157
- Contributions and grants received
- $4,749,982
- Grants paid
- $75,970
- Program service revenue
- $0
- Investment income
- $2,329,485
- Other revenue
- $91,430
- Total assets, end of year
- $77,145,040
- Total liabilities, end of year
- $31,385
- Net assets or fund balances, end of year
- $77,113,655
- Program services expenses (Part IX)
- $75,970
- Management and general expenses
- $0
- Fundraising expenses
- $1,160,187
- Program service expenses (Part III)
- $75,970
Program services were 6.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
NICOLE POOLMAN
CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
DR TAMARA MATHISON
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
DR POLLY PETERSON
TREASURER
- Total calculated
- $0
- Hours/week
- 1.5 + 1.5 related
-
CAROL NITSCHKE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1.5 + 1.5 related
-
CASEY STOUDT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
RUTH BERGSTROM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
PATRICIA DWYER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ERIC MONSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
LAUREL NELSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
LORI NORDBY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
THOMAS ROLFSTAD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRUCE FURNESS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ALEX SCHWEITZER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
PETER JOHNSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
TAMMY VALVO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
TIMOTHY EISSINGER
CEO
- Total calculated
- $331,131
- From this org
- $0
- From related orgs
- $303,762
- Other
- $27,369
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $276,000 related
- Bonus
- $0 + $27,762 related
- Other
- $0
- Deferred
- $0 + $12,144 related
- Nontaxable benefits
- $0 + $15,225 related
- Filer's total
- $0 + $331,131 related
-
STEPHANIE NELSON
COO
- Total calculated
- $224,983
- From this org
- $0
- From related orgs
- $214,381
- Other
- $10,602
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $196,048 related
- Bonus
- $0 + $18,333 related
- Other
- $0
- Deferred
- $0 + $8,575 related
- Nontaxable benefits
- $0 + $2,027 related
- Filer's total
- $0 + $224,983 related
-
KRISTIN SYVERSON
CFO (END 2/2023)
- Total calculated
- $190,743
- From this org
- $0
- From related orgs
- $181,513
- Other
- $9,230
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $165,253 related
- Bonus
- $0 + $16,260 related
- Other
- $0
- Deferred
- $0 + $7,254 related
- Nontaxable benefits
- $0 + $1,976 related
- Filer's total
- $0 + $190,743 related
-
MYRA QUANRUD
CHIEF MEDICAL OFFICER
- Total calculated
- $215,929
- From this org
- $0
- From related orgs
- $203,258
- Other
- $12,671
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $185,096 related
- Bonus
- $0 + $18,162 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $12,671 related
- Filer's total
- $0 + $215,929 related
-
TIFFANY HUNT
CHIEF DEVELOPMENT OFFICER
- Total calculated
- $95,594
- From this org
- $0
- From related orgs
- $91,196
- Other
- $4,398
- Hours/week
- 10 + 40 related
-
MICHAEL MEYER
FORMER CHIEF DEVELOPMENT OFFICER
- Total calculated
- $158,808
- From this org
- $0
- From related orgs
- $141,786
- Other
- $17,022
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $126,785 related
- Bonus
- $0 + $15,001 related
- Other
- $0
- Deferred
- $0 + $5,671 related
- Nontaxable benefits
- $0 + $11,351 related
- Filer's total
- $0 + $158,808 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE FOUNDATION RELIED ON A RELATED ORGANIZATION, ANNE CARLSEN CENTER, TO DETERMINE COMPENSATION FOR THE CEO WHICH INCLUDED THE FOLLOWING PRACTICES: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF THE COMPENSATION COMMITTEE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$75,970
OPERATIONAL SUPPORTOPERATIONAL SUPPORT
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · EDUCATIONAL, RESIDENTIAL, MEDICAL AND THERAPY SERVICES FOR CHILDREN · ND
-
NIERLING ANNE CARLSEN CENTER TRUST
501(C)(3) · PRIVATE FOUNDATION · ND · controlled entity
Directly controlled by ANN CARLSEN CENTER
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 18 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202331459349300708
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