J E FEHSENFELD FAMILY FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
J E FEHSENFELD FAMILY FOUNDATION INC (EIN 35-2091086)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-12
IRS object ID
202211329349100211
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-12T07:37:46-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350865680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PILE CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE INDIANA SQ SUITE 1200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352091086EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE J E FEHSENFELD FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJEFEBusinessNameControlTxt
Phone3176958659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15400 WEST 86TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46268ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA BAKERPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone3176958659PhoneNum
Signature2022-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBRAPersonFirstNm
Person LastBAKERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E PECK CPAPreparerPersonNm
PTINP00263149PTIN
Phone3172693454PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,700,058FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$674,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$8,854InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8,854InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$8,854InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$72,200DividendsRevAndExpnssAmt
Dividends Net Invst Incm$72,200DividendsNetInvstIncmAmt
Dividends Adj Net Incm$72,200DividendsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$755,054TotalRevAndExpnssAmt
Total Net Invst Incm$81,054TotalNetInvstIncmAmt
Total Adj Net Incm$81,054TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,049AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,049AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$21,771OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$21,771OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$795TaxesRevAndExpnssAmt
Taxes Net Invst Incm$139TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$656TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$40,397TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,000OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,000OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$65,012TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$139TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$24,476TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$594,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$594,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$659,512TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$139TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$618,976TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$95,542ExcessRevenueOverExpensesAmt
Net Investment Income$80,915NetInvestmentIncomeAmt
Adjusted Net Income$81,054AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$837SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$28,565SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$28,565SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$308,523CorporateStockBOYAmt
Corporate Stock EOY$308,523CorporateStockEOYAmt
Corporate Stock EOYFMV$745,973CorporateStockEOYFMVAmt
Corporate Bonds BOY$230,114CorporateBondsBOYAmt
Corporate Bonds EOY$230,114CorporateBondsEOYAmt
Corporate Bonds EOYFMV$250,015CorporateBondsEOYFMVAmt
Other Investments BOY$607,691OtherInvestmentsBOYAmt
Other Investments EOY$675,505OtherInvestmentsEOYAmt
Other Investments EOYFMV$675,505OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,147,165TotalAssetsBOYAmt
Total Assets EOY$1,242,707TotalAssetsEOYAmt
Total Assets EOYFMV$1,700,058TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$380,000CapitalStockBOYAmt
Capital Stock EOY$380,000CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$767,165RetainedEarningBOYAmt
Retained Earning EOY$862,707RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,147,165TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,242,707TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,147,165TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,242,707TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,147,165TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$95,542ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,242,707SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,242,707TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,125InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,125SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,125TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$15EsPenaltyAmt
Tax Due$1,140TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateINOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksDEBRA BAKER SECRETARYIndividualWithBooksNm
Phone3176958659PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15400 WEST 86TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46268ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SHANNON BURNS
5400 WEST 86TH STREETINDIANAPOLISIN46268PRESIDENT0.00$0$0$0
NANCY SMITH
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
DEBRA ANN BAKER
5400 WEST 86TH STREETINDIANAPOLISIN46268SECRETARY0.00$0$0$0
ROBIN FEHSENFELD
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
JUDEE FEHSENFELD
5400 WEST 86TH STREETINDIANAPOLISIN46268VICE PRESIDENT0.00$0$0$0
STEVE STUK
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
ASHLEE FEHSENFELD
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
SARAH IMMEKUS
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
JASON IMMEKUS
5400 WEST 86TH STREETINDIANAPOLISIN46268DIRECTOR0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION DOES NOT DIRECTLY PARTICIPATE IN CHARITABLE ACTIVITIES. THE ACTIVITIES OF THE DIRECTORS ARE LIMITED TO THE ADMINISTRATION OF GRANTS TO QUALIFIED UNRELATED 501(C)(3) ORGANIZATIONS.Description1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,023,253AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$61,905AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,085,158TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,085,158AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$16,277CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,068,881NetVlNoncharitableAssetsAmt
Minimum Investment Return$53,444MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$53,444MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,125TaxBasedOnInvestmentIncomeAmt
Total Tax$1,125TotalTaxAmt
Distributable Before Adj$52,319DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$52,319DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$52,319DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$618,976ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$618,976QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$52,319DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$660,566ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$561,421ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$487,098ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$469,243ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$609,191ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,787,519TotalExcessDistributionCyovAmt
Qualifying Distributions$618,976QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$52,319AppliedToCurrentYearAmt
Remaining Distri From Corpus$566,657RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,354,176TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$660,566ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,693,610ExcessDistriCyovToNextYrAmt
Excess From Year4$561,421ExcessFromYear4Amt
Excess From Year3$487,098ExcessFromYear3Amt
Excess From Year2$469,243ExcessFromYear2Amt
Excess From Year1$609,191ExcessFromYear1Amt
Excess From Current Year$566,657ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTHE JE FEHSENFELD FAMILY FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15400 W 86TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46268ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3176958659RecipientPhoneNum
Form And Info And MaterialsNONEFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (87 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
AGAPE THERAP RIDING CENTER
24790 MT PLEASANT ROADCICEROIN24950NONE501(C)(3)UNRESTRICTED$5,000
ANTHONY MUNOZ FOUNDATION
8919 ROSSASH ROADCINCINNATIOH45236NONE501(C)(3)UNRESTRICTED$15,000
ATD FOURTH WORLD MOVEMENT
PO BOX 1787GALLUPNM87305501(C)(3)UNRESTRICTED$7,500
BAXTER COMMUNITY CENTER
935 BAXTER STREET SEGRAND RAPIDSMI59607NONE501(C)(3)UNRESTRICTED$7,500
BROADWAY YOUTH CENTER
PO BOX 13500CHICAGOIL60613NONE501(C)(3)UNRESTRICTED$6,500
BROOKE'S PLACE
8935 N MERIDIAN STREETINDIANAPOLISIN46260NONE501(C)(3)UNRESTRICTED$7,500
BYRD BARR PLACE
7222 18TH AVENUESEATTLEWA98122NONE501(C)(3)UNRESTRICTED$11,000
CASA OF ADAMS & BROOMFIELD COUNTIES
11860 PECOS STREET STE 2700WESTMINSTERCO80234NONE501(C)(3)UNRESTRICTED$1,000
CASA OF LANE COUNTY
174 DEADMOND FERRY RDEUGENEOR97401NONE501(C)(3)UNRESTRICTED$5,000
CAT ADOPTION TEAM
14175 SW GALBREATH DRSHERWOODOR97140NONE501(C)(3)UNRESTRICTED$500
CHICAGO COALITION FOR THE HOMELESS
70 EAST LAKE STREET STE 720CHICAGOIL60601NONE501(C)(3)UNRESTRICTED$6,500
CHILDREN'S BUREAU
1575 DR MARTIN LUTHER KING JRINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$25,000STREET
CHILDREN'S HOME OF NORTHERN KENTUCKY
200 HOME ROAD DEVOU PARKCOVINGTONKY41011NONE501(C)(3)UNRESTRICTED$7,500
CLAKAMAS
365 WARNER MILNE ROAD STE 202OREGON CITYOR97210NONE501(C)(3)UNRESTRICTED$7,500
CYSTIC FIBROSIS FOUNDATION
2701 NW VAUGHN STREET 203PORTLANDOR97210NONE501(C)(3)UNRESTRICTED$7,500
DAYSPRING CENTER
PO BOX 44105INDIANAPOLISIN46244NONE501(C)(3)UNRESTRICTED$23,750
DESC FUND DEVELOPMENT
515 THIRD AVENUESEATTLEWA98104NONE501(C)(3)UNRESTRICTED$7,500
DUCKS UNLIMITED
ONE WATERFOWL WAYMEMPHISTN38120NONE501(C)(3)UNRESTRICTED$8,500
FAIR FIGHT
1270 CAROLINE STREET NEATLANTAGA30307NONE501(C)(3)UNRESTRICTED$2,000
FEEDING NORTHLAND KIDS
8105 N COSBY AVENUEKANSAS CITYMO64151NONE501(C)(3)UNRESTRICTED$7,500
FIRST PLACE FAMILY CENTERST VINCENT DEPAUL
1995 AMAZON PARKWAY COURTEUGENEOR97405NONE501(C)(3)UNRESTRICTED$2,000
FLAT ROCK RIVER CAMP
6981 W COUNTY ROAD 650 NST PAULIN47272NONE501(C)(3)UNRESTRICTED$1,000
FREE STORE FOODBANK
112 E LIBERTY STREETCINCINNATIOH45202NONE501(C)(3)UNRESTRICTED$10,000
FRIENDS OF PARKVILLE ANIMAL SHELTER
1356 N STATE ROUTE 9KANSAS CITYMO64152NONENONEUNRESTRICTED$4,500
GLEANERS FOOD BANK
3737 WALDEMERE AVENUEINDIANAPOLISIN46241NONE501(C)(3)UNRESTRICTED$8,500
GREATER CHICAGO FOOD DEPOSITORY
4100 W ANN LURIE PLACECHICAGOIL60632NONE501(C)(3)UNRESTRICTED$10,000
GREEN URBAN LUNCH BOX
PO BOX 651098SALT LAKE CITYUT84165NONE501(C)(3)UNRESTRICTED$18,500
GREENHILL HUMANE SOCIETY
88530 GREEN HILL DRIVEEUGENEOR97402NONE501(C)(3)UNRESTRICTED$1,000
GREGORY S FEHRIBACH CENTER
720 ESKENAZI AVENUEINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$7,500
HANDS AGAINST HUNGER
2430 KEMPERER ROADSHARONVILLEOH45240NONE501(C)(3)UNRESTRICTED$10,000
HERRON SCHOOL OF ART AND DESIGN
735 W NEW YORK STINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$7,500
HIGHLAND LATIN SCHOOL INDY
PO BOX 4462CARMELIN46802NONE501(C)(3)UNRESTRICTED$1,000
HOMEWARD BOUND OF WNC
PO BOX 1166ASHEVILLENC28802NONE501(C)(3)UNRESTRICTED$16,250
HUNTINGTON HARBOUR PHILHARMONIC
16889 ALGONQUIN STHUNTINGTON BEACHCA96249NONE501(C)(3)UNRESTRICTED$1,000
INDIANAPOLIS ART CENTER
820 E 67TH STINDIANAPOLISIN46220NONE501(C)(3)UNRESTRICTED$7,500
INDY HUB FOUNDATION
705 E WALNUT STREET STE AINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$1,000
JAMES ERWIN MIDDLE SCHOOL
5525 ASTROZON BLVDCOLORADO SPRINGSCO80916NONE501(C)(3)UNRESTRICTED$7,500
JOSHUA'S PLACE
83 NORTH SECTION STREETSOUTH LEBANONOH45065NONE501(C)(3)UNRESTRICTED$10,000
JOY'S HOUSE
2028 BROAD RIPPLE AVENUEINDIANAPOLISIN46220NONE501(C)(3)UNRESTRICTED$15,000
JUSTDONE
2115 S PARK STREETMADISONWI53713NONE501(C)(3)UNRESTRICTED$1,000
KANSAS CITY ZOO
6800 ZOO DRIVEKANSAS CITYMO64132NONE501(C)(3)UNRESTRICTED$7,500
K-LOVE
PO BOX 2098OMAHANE68103NONE501(C)(3)UNRESTRICTED$250
LIFE INTERNATIONAL SHEEP CARE
527 WING POINTCOLDWATERMI49306NONE501(C)(3)UNRESTRICTED$1,000
LIFE INTERNATIONAL WATER PROJECT
527 WING POINTCOLDWATERMI49036NONE501(C)(3)UNRESTRICTED$1,000
LIGHTHOUSE MINISTRIES
401 E MCMILLAN STREETCINCINNATIOH45206NONE501(C)(3)UNRESTRICTED$10,000
MARA
4000 W 106TH STREETCARMELIN46032NONE501(C)(3)UNRESTRICTED$7,500
MATTHEW 25 MINISTRIES
11060 KENWOOD ROADCINCINNATIOH45242NONE501(C)(3)UNRESTRICTED$1,000
MIKADO TOWNSHIP FIRE DEPARTMENT
2226 S F-41 PO BOX 55MIKADOMI48745NONE501(C)(3)UNRESTRICTED$1,000
MISSION AVIATION FELLOWSHIP
112 N PILATUS LANENAMPAID83687NONE501(C)(3)UNRESTRICTED$1,000
MOODY BIBLE INSTITUTE
820 N LASALLE BLVDCHICAGOIL60610NONENONEUNRESTRICTED$250
MOODY CENTER
206 MAIN STNORTHFIELDMA01360NONE501(C)(3)UNRESTRICTED$250
MOSES
PO BOX 7031MADISONWI53707NONE501(C)(3)UNRESTRICTED$1,000
MOUNTAIN COMMUNITY HOSPITAL
29101 HOSPITAL ROADLAKE ARROWHEADCA92352NONE501(C)(3)UNRESTRICTED$1,000
NO RAIN NO RAINBOWS
2340 EAST CROSBY ROADMOORESVILLEIN46158NONE501(C)(3)UNRESTRICTED$17,500
OHIO WILDERNESS BOYS CAMP
44641 ZERGER QUARRY ROADSUMMERFIELDOH43788NONE501(C)(3)UNRESTRICTED$500
OPHELIA'S PLACE
1577 PEARL ST STE 100EUGENEOR97401NONE501(C)(3)UNRESTRICTED$10,000
ORCHARD SCHOOL
615 W 64TH STREETINDIANAPOLISIN46260NONE501(C)(3)UNRESTRICTED$7,500
OUTSIDE IN
1132 S W 13TH AVENUEPORTLANDOR97205NONE501(C)(3)UNRESTRICTED$9,500
PATACHOU FOUNDATION
4565 MARCY LANEINDIANAPOLISIN46205NONE501(C)(3)UNRESTRICTED$8,500
PATHWAY TO RECOVERY
2135 N ALABAMA STREETINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$20,000
PAWS & THINK
1346 DELAWARE STREETINDIANAPOLISIN46202NONE501(C)(3)UNRESTRICTED$20,000
PORCHLIGHT INC
306 NORTH BROOKS STREETMADISONWI53715NONE501(C)(3)UNRESTRICTED$6,500
PROVIDENCE WILDLIFE REHABILITATION
PO BOX 40491INDIANAPOLISIN46240NONE501(C)(3)UNRESTRICTED$4,000
PURDUE FOUNDATION
403 WEST WOOD STREETLAFAYETTEIN47907NONE501(C)(3)UNRESTRICTED$1,000
RAINER SCHOLARS
2100 24TH AVENUE S SUITE 200SEATTLEWA98144NONE501(C)(3)UNRESTRICTED$7,500
REMOTE AREA MEDICAL
2200 STOCK CREEK BOULEVARDROCKFORDTN37853NONE501(C)(3)UNRESTRICTED$2,000
SAME AS U
14685 N 10TH STREETINDIANAPOLISIN46060NONE501(C)(3)UNRESTRICTED$7,500
SECOND HARVEST FOOD BANK
2802 DAIRY DRIVEMADISONWI53718NONE501(C)(3)UNRESTRICTED$5,000
SECOND HELPINGS
1121 SOUTHEASTERN AVENUEINDIANAPOLISIN46205NONE501(C)(3)UNRESTRICTED$7,500
SHELTERING WINGS CENTER FOR WOMEN
PO BOX 92DANVILLEIN46122NONE501(C)(3)UNRESTRICTED$7,500
SIDEKICK FOUNDATION
40000 W 106TH STREET SUITE 125-238CARMELIN46032NONE501(C)(3)UNRESTRICTED$8,500
STRIDES FOR SUCCESS
1350 TERRY DRIVEPLAINFIELDIN46168NONE501(C)(3)UNRESTRICTED$22,500
SYNERGY SERVICES
1350 TERRY DRIVEPLAINFIELDIN46168NONE501(C)(3)UNRESTRICTED$7,500
TEAM WORLD VISION
PO BOX 9716FEDERAL WAYWA98063NONE501(C)(3)UNRESTRICTED$1,000
THE NIGHT MINISTRY
17358 NORTH ASHLAND AVENUE STE 2000CHICAGOIL60622NONE501(C)(3)UNRESTRICTED$6,500
THE SQUAREUPRISING MINISTRY
981 POWDER SPRINGS STREET SESMYRNAGA30080NONE501(C)(3)UNRESTRICTED$2,000
THE VILLAGES
3833 NORTH MERIDIAN STREETINDIANAPOLISIN46208NONE501(C)(3)UNRESTRICTED$8,500
TIKKUN INTERNATIONAL
206 E 4TH STREETFREDRICKMD21701NONE501(C)(3)UNRESTRICTED$250
TREEHOUSE
2100 24TH AVENUE S SUITE 200SEATTLEWA98144NONE501(C)(3)UNRESTRICTED$7,500
WAGS INN
3190 CORTSVILLE ROADSOUTH CHARLESTONOH45368NONE501(C)(3)UNRESTRICTED$1,000
WAVE FOUNDATION
ONE AQUARIUM WAYNEWPORTKY41701NONE501(C)(3)UNRESTRICTED$20,000
WHITE BIRD CLINIC
341 E 13TH AVENUEEUGENEOR97401NONE501(C)(3)UNRESTRICTED$10,000
WHITE OAK CONSERVATION FOUNDATION
581705 WHITE OAK ROADYULEEFL32097NONE501(C)(3)UNRESTRICTED$1,000
WITH INC
122 W GLENWOOD AVENUEKNOXVILLETN37917NONE501(C)(3)UNRESTRICTED$1,000
WITNESS FOR INNOCENCE
1501 CHERRY STREETPHILADELPHIAPA19102NONE501(C)(3)UNRESTRICTED$1,000
YEPP
835 W ADDISON STREETCHICAGOIL60613NONE501(C)(3)UNRESTRICTED$7,500
YOUNG LIFE
136 S 9TH STREETNOBLESVILLEIN46060NONE501(C)(3)UNRESTRICTED$3,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$594,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,854ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$72,200ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$81,054ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$81,054TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HERITAGE GROUPBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 68123AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46268ZIPCd
FieldValueIRS element (for citing)
Total Contributions$674,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,049Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$1,049DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VANGUARD HIGH YIELD CORPORATE FUND$38,557$36,117
VANGUARD LONG-TERM BOND INDEX FUND$36,185$51,660
VANGUARD SHORT-TERM CORPORATE FUND$41,765$42,591
INTER-TERM INVEST-GR ADM$77,486$80,934
SHORT-TERM BOND INDEX FUND ADM$36,121$38,713

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VANGUARD STRATEGIC EQUITY FUND$35,430$82,022
TOTAL INTL STOCK IX ADMIRAL$44,280$77,033
TOTAL STOCK MKT IDX ADM$57,062$227,610
WINDSOR II FUND ADM$86,678$149,261
VANGUARD US GROWTH FUND ADMIRAL$57,655$155,730
EXPLORER FUND ADMIRAL$27,418$54,317

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
THE HERITAGE GROUP INVESTMENT CO., LLCAT COST$600,443$600,443
FEDERAL MONEY MARKET FUNDAT COST$75,062$75,062

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOFFICE EXPENSEDesc
Revenue And Expenses Per Books$1,000RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$1,000DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCONSULTING FEESCategoryTxt
Amt$21,771Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$21,771DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$139$139$0$0
FEDERAL TAX$656$0$0$656

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