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Governance Register
US nonprofit · EIN 208145158 · Elgin, NDiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 208145158) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990EZ for the year to 30 June 2023: assets, liabilities, staff, website, telephone, pay.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Jacobson Memorial Hospitalfoundation's network

5 people1 organisationi5 people and 1 organisation on this map.The large node is the subject of this page. Solid lines are what the register itself records (5). Violet dotted lines (1) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

5 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record.
NameRole as filedSinceOn the board
Dennis RiviniusDirector2023
3 yrs
Gail SchatzDirector2023
3 yrs
Kaci UlrichDirector/Secretary2022
4 yrs
Marcy HaasePresident thru Jan. 20232022
4 yrs
Peggy ImhoffDirector2023
3 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

2 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Scott BrooksCoordinator as of Jan. 20232023
Theo StollerCoordinator thru June 2023since 2022

Pay and hours

year to 30 June 2023iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Marcy HaasePresident thru Jan. 20231$0
Robert Larson - Vice Presthru Jan. '23/Pres. as of Feb '231$0
Kaci UlrichDirector/Secretary1$0
Peggy ImhoffDirector1$0
Dennis RiviniusDirector1$0
Gail SchatzDirector1$0
Theo StollerCoordinator thru June 20232$0
Scott BrooksCoordinator as of Jan. 20232$0

No pay was reported for anyone in Part VII on this return.

About

Legal name
Jacobson Memorial Hospitalfoundation
EIN
208145158
Address
Po Box 367, Elgin, ND, 58533-0367
State
North Dakota
Activity (NTEE)
E122 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
4 (IRS master file code)
IRS ruling date
1 June 2008
Status
Code 01 (unconditional exemption)
Form 990 filings on record
2, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥4years on the filingsKaci Ulrich
≥4years on the filingsMarcy Haase
≥3years on the filingsDennis Rivinius
≥3years on the filingsGail Schatz

Latest return

year to 30 June 2023iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 June 2023. US dollars, as filed.
Total assets
$389k
Total liabilities
$5k
Net assets or fund balances
$384k

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2022$96k$6k$89k

As filed on the IRS Form 990. US dollars.