2022-11-04T14:09:24-05:00 2021-12-31 340677006 MALONEY NOVOTNY LLC 4774 MUNSON STREET NW SUITE 402 CANTON OH 447183634 990 2021-01-01 311760702 LICKING COUNTY FOUNDATION INC LICK 7403493863 30 N 2ND STREET NEWARK OH 430584212 CONSTANCE J HAWK EXECUTIVE DIRECTOR 7403493863 2022-11-04 1 CONSTANCE HAWK 999009999 CHRISTOPHER B ANDERSON P00226559 3309669400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CONSTANCE J HAWK 30 N 2ND STREET NEWARK OH 430584212 15473539 0 X WWW.THELCFOUNDATION.ORG X 1956 OH TO IMPROVE THE QUALITY OF LIFE FOR ALL CITIZENS OF LICKING COUNTY 14 14 7 156 2223139 1948863 3472602 5004634 39148 32073 1635814 7393485 34259 29592 5181823 12459784 3843246 4178921 0 0 497954 520759 0 0 227194 769129 1159452 5110329 5859132 71494 6600652 128269065 148770755 11706579 14439351 116562486 134331404 THE MISSION OF LICKING COUNTY FOUNDATION IS TO IMPROVE THE QUALITY OF LIFE FOR ALL CITIZENS OF LICKING COUNTY AND TO DISTRIBUTE EARNINGS FROM PERMANENT CHARITABLE ASSETS TO BENEFIT THE ENTIRE COMMUNITY. 0 0 4587570 4178921 61665 LICKING COUNTY FOUNDATION IS A PUBLIC CHARITABLE ORGANIZATION MADE UP OF A DIVERSE COLLECTION OF FUNDS GIVEN BY CARING INDIVIDUALS, BUSINESSES, AND ORGANIZATIONS THAT HAVE A COMMON CONCERN FOR THE WELL-BEING OF THE PEOPLE OF LICKING COUNTY. DISTRIBUTIONS FROM THESE FUNDS MAINTAIN AND ENHANCE THE EDUCATIONAL, SOCIAL, CULTURAL, HEALTH AND CIVIC RESOURCES OF THE COMMUNITY THROUGH SUPPORT OF QUALIFIED CHARITABLE ORGANIZATIONS. 4587570 1 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 1 7 0 1 7 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X DEAN BUSACK 7403493863 30 N 2ND STREET NEWARK OH 430584212 NOBLE SNOW CHAIR 2.00 X X 0 0 0 MOLLY INGOLD VICE CHAIR 2.00 X X 0 0 0 CYNTHIA MENZER IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 TIMOTHY LEHMAN SECRETARY & TREASURER 1.00 X X 0 0 0 KIM COPLIN DIRECTOR 1.00 X 0 0 0 JOAN FRANKS DIRECTOR 1.00 X 0 0 0 CHASE GHILONI DIRECTOR 1.00 X 0 0 0 DEBORAH KOHMAN DIRECTOR 1.00 X 0 0 0 RYAN MILLS DIRECTOR 1.00 X 0 0 0 JANINE MORTELLARO DIRECTOR 1.00 X 0 0 0 ROBERT O'NEILL DIRECTOR 1.00 X 0 0 0 JEANETTA PYLE DIRECTOR 1.00 X 0 0 0 WARREN WEBER DIRECTOR 1.00 X 0 0 0 MICHAEL WHITEHEAD DIRECTOR 1.00 X 0 0 0 CONSTANCE J HAWK EXECUTIVE DIRECTOR 40.00 X 138625 0 16814 DEAN BUSACK FINANCIAL OFFICER 40.00 X 78652 0 4817 217277 0 21631 1 0 1 0 PARK NATIONAL BANK 50 N THIRD ST PO BOX 3500 NEWARK OH 43058 INV MGMT & OTHER BANKING SVCS 291584 1 900000 4104634 1874690 5004634 REAL ESTATE REVENUE 531120 32073 32073 32073 2239135 2223139 15996 8168105 3013755 5154350 5154350 5154350 MISCELLANEOUS 900099 29592 29592 29592 12459784 61665 2223139 5170346 2948466 2948466 1230455 1230455 238908 85947 86023 66938 199394 70537 72158 56699 9792 3498 3533 2761 41715 14902 15048 11765 30950 11056 11165 8729 99260 49728 49532 16250 16250 291583 291583 17472 2904 13836 732 43772 10943 32829 20160 6315 6993 6852 62370 22279 22501 17590 44115 29668 8108 6339 90950 54574 20416 15960 35698 23392 12306 INCOME TAXES 385086 385086 52736 22906 29830 5859132 4587570 1044368 227194 705335 383005 425178 282204 827449 14553 18421 8351306 721965 7898990 7629341 112506300 134163411 6435338 5211163 283371 255761 128269065 148770755 61023 441014 252697 316600 107724 0 11285135 13681737 11706579 14439351 X 112804644 130483448 3757842 3847956 116562486 134331404 128269065 148770755 X 6600652 13564868 -2396602 X 0 1 X 1 0 X 3052575 1996007 3698877 3472602 5004634 17224695 3052575 1996007 3698877 3472602 5004634 17224695 872561 16352134 1416725 1768090 2249694 2153720 15984 7604213 214357 84034 2223151 2521542 60280 58835 29131 34259 29592 212097 27562547 1299113 0.59330 0.53660 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 60,280. 2018 AMOUNT: $ 58,835. 2019 AMOUNT: $ 29,131. 2020 AMOUNT: $ 34,259. 2021 AMOUNT: $ 29,592. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 53 2174529 712615 17796504 1 1 138448 138448 692091 284038 408053 296430 96523 199907 7224337 341404 6882933 7629341 AGENCY FUND LIABILITIES 13681737 13681737 X 23049574 13564868 13564868 9484706 291583 2683495 2975078 12459784 5280656 0 5280656 291583 286893 578476 5859132 PART V, LINE 4: LCF HAS DETERMINED THAT THE MAJORITY OF LCF'S NET ASSETS DO NOT MEET THE DEFINITION OF AN ENDOWMENT UNDER THE OHIO UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UPMIFA"). CONTRIBUTIONS TO LCF ARE SUBJECT TO THE GOVERNING DOCUMENTS WHICH INCLUDE VARIANCE POWER AND THE SPECIFIED GIFT INSTRUMENTS. LCF, HOWEVER, MANAGES MOST FUNDS HELD AT THE FOUNDATION IN A MANNER THAT IS SIMILAR TO AN ENDOWMENT FUND. PART X, LINE 2: LCF IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. LCF IS THE SOLE MEMBER OF THE SUBSIDIARY LLCS WHICH ARE TREATED AS DISREGARDED ENTITIES FOR TAX PURPOSES. AS OF DECEMBER 31, 2021 AND 2020, A PROVISION FOR UNRELATED BUSINESS INCOME TAX HAS BEEN RECORDED FOR $405,086 AND $20,000, RESPECTIVELY. THERE WERE NO UNRECOGNIZED TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020. LCF'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, AS WELL AS VARIOUS STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR THREE YEARS. PART XI, LINE 4B - OTHER ADJUSTMENTS: AGENCY ENDOWMENT TRANSACTIONS 2,683,495. PART XII, LINE 4B - OTHER ADJUSTMENTS: AGENCY ENDOWMENT TRANSACTIONS 286,893. 1 A CALL TO COLLEGE 314 GRANVILLE ST NEWARK OH 43055 311333812 501(C)(3) 85549 0 FOR THE ANNUAL SPRING TRIP TO WASHINGTON DC FOR ALL NCS 8TH GRADE STUDENTS A CALL TO COLLEGE 314 GRANVILLE ST NEWARK OH 43055 311333812 501(C)(3) 61952 0 FOR LAST DOLLAR GRANTS A CALL TO COLLEGE 314 GRANVILLE ST NEWARK OH 43055 311333812 501(C)(3) 5908 0 FOR GENERAL PURPOSES AMERICAN RED CROSS 143 S 30TH STREET NEWARK OH 43055 530196605 501(C)(3) 25000 0 FOR GENERAL OPERATING SUPPORT AMERICAN RED CROSS 143 S 30TH STREET NEWARK OH 43055 530196605 501(C)(3) 30157 0 LC CARES ACT NONPROFIT RELIEF GRANT BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC 65 MESSIMER DRIVE NEWARK OH 43055 316402630 501(C)(3) 20000 0 FOR GENERAL OPERATING SUPPORT, WITH THE SPECIFIC INTENTION TO SUPPORT THE CREATION OF A HOMELESS OUTREACH SPECIALIST POSITION BIG BROTHERS BIG SISTERS OF LICKING & PERRY COUNTIES 62 WEST LOCUST STREET NEWARK OH 43055 310860010 501(C)(3) 20000 0 TO SUPPORT PHYSICAL, EDUCATIONAL, CULTURAL, AND RECREATIONAL OPPORTUNITIES AND ASSISTANCE TO BENEFIT AND SUPPORT CHILDREN THROUGH YOUR MENTORING PROGRAMS IN LICKING COUNTY BOYS & GIRLS CLUB OF CENTRAL OHIO INC 1108 CITY PARK AVENUE SUITE 301 COLUMBUS OH 43206 314387575 501(C)(3) 15000 0 $12,905.00 FOR GENERAL OPERATING SUPPORT, AND $2,095.00 TO SUPPORT RECREATIONAL AND EDUCATIONAL ACTIVITIES FOR YOUTH (WITH PREFERENCE GIVEN TO ECONOMICALLY DISADVANTAGED CHILDREN) THROUGH, THE NEWARK CLUBHOUSES PROGRAM IN LICKING COUNTY BOYS & GIRLS CLUB OF NEWARK PO BOX 271 NEWARK OH 430580271 314387575 501(C)(3) 18288 0 FOR THE PURPOSE OF GENERAL OPERATIONS BRYN DU COMMISSION 537 JONES RD GRANVILLE OH 43023 203103807 501(C)(3) 14500 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT BUCKEYE VALLEY FAMILY YMCA 470 W CHURCH ST NEWARK OH 43055 316053101 501(C)(3) 7622 0 TO THE YMCA ENDOWMENT FUND TO SUPPORT YOUTH PROGRAMS BUCKEYE VALLEY FAMILY YMCA 470 W CHURCH ST NEWARK OH 43055 316053101 501(C)(3) 25000 0 MULTI-YEAR GRANT, YEAR THREE BUCKEYE VALLEY FAMILY YMCA 470 W CHURCH ST NEWARK OH 43055 316053101 501(C)(3) 180244 0 FOR THE ANNUAL MORTGAGE PAYMENT FOR THE CHRISTINE WARNER CHILD CARE CENTER CAMP O'BANNON OF LICKING COUNTY INC 9688 BUTLER ROAD NE NEWARK OH 43055 316401440 501(C)(3) 7760 0 $5,030.00 FOR GENERAL OPERATING SUPPORT OF, AND $9,970.00 TO SUPPORT PHYSICAL, EDUCATIONAL, CULTURAL, AND RECREATIONAL OPPORTUNITIES AND ASSISTANCE TO BENEFIT AND SUPPORT CHILDREN (WITH PREFERENCE GIVEN TO ECONOMICALLY DISADVANTAGED CHILDREN) THROUGH, CA CAMP O'BANNON OF LICKING COUNTY INC 9688 BUTLER ROAD NE NEWARK OH 43055 316401440 501(C)(3) 10000 0 TO SUPPORT 2021 CAMP OPERATIONS CANAL MARKET DISTRICT AND ENTERPRISE HUB PO BOX 4217 NEWARK OH 430584217 473293365 501(C)(3) 10000 0 FOR GENERAL OPERATING SUPPORT CAROL STRAWN CENTER PO BOX 398 NEWARK OH 430580398 311776581 501(C)(3) 6496 0 LC CARES ACT NONPROFIT RELIEF GRANT CATHOLIC SOCIAL SERVICES 197 E GAY ST COLUMBUS OH 43215 314379437 501(C)(3) 40000 0 LC CARES ACT NONPROFIT RELIEF GRANT CATHOLIC SOCIAL SERVICES 197 E GAY ST COLUMBUS OH 43215 314379437 501(C)(3) 15000 0 LC CARES ACT NONPROFIT RELIEF GRANT CDF FREEDOM SCHOOLS OF LICKING COUNTY 734 SHERWICK ROAD NEWARK OH 43055 320515948 501(C)(3) 25000 0 MULTI-YEAR GRANT YEAR THREE CENTRAL OHIO TECHNICAL COLLEGE OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501(C)(3) 20375 0 INVOICE #913714, SPRING SEMESTER 2020-21SY FEIL SCHOLARSHIPS CENTRAL OHIO TECHNICAL COLLEGE OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501(C)(3) 19525 0 FOR GENERAL PURPOSES CENTRAL OHIO TECHNICAL COLLEGE 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501(C)(3) 16109 0 TO BE USED FOR SCHOLARSHIPS AND OTHER COLLEGE USES CENTRAL OHIO TECHNICAL COLLEGE OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501(C)(3) 9073 0 TO PROVIDE SCHOLARSHIPS FOR WORTHY HIGH SCHOOL GRADUATES, WHO NEED HELP TO ATTEND CENTRAL OHIO TECHNICAL COLLEGE OR THE NEWARK CAMPUS OF THE OHIO STATE UNIVERSITY CENTRAL OHIO YOUTH BALLET PO BOX 735 NEWARK OH 430580735 311598802 501(C)(3) 23000 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT CITY OF NEWARK 40 W MAIN ST 2ND FLOOR NEWARK OH 43055 316400237 115 16192 0 SUPPORT COSTS OF LABOR AND MATERIALS RELATED TO BUILDING BIKING TRAILS AT HORNS HILL PARK CITY OF NEWARK 40 W MAIN ST 2ND FLOOR NEWARK OH 43055 316400237 115 10000 0 TO SUPPORT PARK IMPROVEMENT PROJECTS WITHIN THE CITY, INCLUDING BEAUTIFICATION, IMPROVED ACCESS, AND ADA-COMPLIANCE CITY OF NEWARK 40 W MAIN ST 2ND FLOOR NEWARK OH 43055 316400237 115 24198 0 LABOR AND MATERIALS FOR CONTINUED IMPROVEMENT OF THE MOUNTAIN BIKING TRAILS CITY OF NEWARK DIVISION OF FIRE EMS 75 S 4TH ST NEWARK OH 43055 115 10500 0 TO SUPPORT PURCHASE OF NEW UTV FOR BIKE TRAIL EMERGENCIES. CROTON CHURCH OF CHRIST PO BOX 206 40 S MAIN ST CROTON OH 43013 311185855 501(C)(3) 8105 0 FOR GENERAL PURPOSES CROTON UNITED METHODIST CHURCH PO BOX 127 CROTON OH 43013 362167731 501(C)(3) 8105 0 FOR GENERAL PURPOSES FIRST UNITED METHODIST CHURCH PO BOX 729 NEWARK OH 430580729 362167731 501(C)(3) 8000 0 GENERAL SUPPORT AND PARKING LOT REPAIR FIRST UNITED METHODIST CHURCH PO BOX 729 NEWARK OH 430580729 362167731 501(C)(3) 7622 0 FOR (1) FLOWERS FOR ALTAR; (2) SUPPORT FOR THE MUSIC DEPARTMENT; AND (3) SUPPORT FOR THE YOUTH DEPARTMENT FOSTERING FURTHER PO BOX 365 PATASKALA OH 43062 474412979 501(C)(3) 5500 0 $4,500 FOR GRANT-A-WISH REQUESTS, AND $1,000 FOR INCENTIVES FOR YOUTH. FOSTERING FURTHER PO BOX 365 PATASKALA OH 43062 474412979 501(C)(3) 10000 0 SUPPORT OF FIRST-YEAR OPERATING EXPENSES OF THE FOSTERING FURTHER/STARTING STRONG PROJECT FOSTERING FURTHER PO BOX 365 PATASKALA OH 43062 474412979 501(C)(3) 10000 0 FOR GENERAL OPERATING SUPPORT FOUNDATION FOR HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY RD NEWARK OH 43055 550855205 501(C)(3) 17513 0 FOR GENERAL PURPOSES FRIENDS OF BUCKEYE LAKE LIBRARY INC PO BOX 708 41 WEST FIRST STREET BUCKEYE LAKE OH 43008 611457902 501(C)(3) 9600 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT FRIENDS OF THE LICKING COUNTY LIBRARY INC 101 W MAIN ST NEWARK OH 43055 465177930 501(C)(3) 10000 0 TO SUPPORT PHYSICAL, EDUCATIONAL, CULTURAL, AND RECREATIONAL OPPORTUNITIES AND ASSISTANCE TO BENEFIT AND SUPPORT CHILDREN THROUGH THE DOLLY PARTON IMAGINATION LIBRARY IN LICKING COUNTY GRANVILLE PUBLIC LIBRARY 217 E BROADWAY GRANVILLE OH 43023 316401361 115 23808 0 DISBURSEMENT OF 2021 SPENDABLE AMOUNT HABITAT FOR HUMANITY MIDOHIO 6665 BUSCH BOULEVARD COLUMBUS OH 43229 311217994 501(C)(3) 10000 0 TO SUPPORT PROGRAMS IN LICKING COUNTY, INCLUDING BUT NOT LIMITED TO ESTABLISHING A RESTORE IN LICKING CO. HARTFORD LIBRARY ASSOCIATION PO BOX 313 11 S PARK CROTON OH 43013 237295550 501(C)(3) 8107 0 FOR GENERAL PURPOSES HEARTBEATS FOR LIFE 336 E MAIN ST NEWARK OH 43055 237316671 501(C)(3) 15000 0 FOR CAPITAL CAMPAIGN HEARTBEATS FOR LIFE 336 E MAIN ST NEWARK OH 43055 237316671 501(C)(3) 10000 0 FOR GENERAL PURPOSES HEATH COMMUNITY ARTS COUNCIL 301 CENTRAL PARKWAY HEATH OH 43056 311734017 501(C)(3) 19137 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT HEBRON NEW LIFE UNITED METHODIST CHURCH 925 W MAIN ST HEBRON OH 43025 HEBRON OH 43025 454519196 501(C)(3) 7500 0 TO SUPPORT THE NEW LIFE BABY PANTRY HULLABALOO PERFORMING ARTS THEATRE 151 GLYN CARIN LANE GRANVILLE OH 43023 450489167 501(C)(3) 20000 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT I AM BOUNDLESS INC 445 E DUBLIN GRANVILLE RD BLDG G WORTHINGTON OH 43085 900817260 501(C)(3) 10000 0 CREATING AN INDOOR RECREATION SPACE FOR STUDENTS IN THE NEWARK PROGRAM I AM BOUNDLESS INC 445 E DUBLIN GRANVILLE RD BLDG G WORTHINGTON OH 43085 900817260 501(C)(3) 10000 0 TO SUPPORT YOUTH PROGRAMMING LOCATED IN LICKING COUNTY, INCLUDING PARENT DIRECTED PROGRAM AND MULTI-SYSTEM YOUTH PROGRAMS I AM BOUNDLESS INC 445 E DUBLIN GRANVILLE RD BLDG G WORTHINGTON OH 43085 900817260 501(C)(3) 10000 0 TO SUPPORT YOUTH PROGRAMMING LOCATED IN LICKING COUNTY, INCLUDING PARENT DIRECTED PROGRAM AND MULTI-SYSTEM YOUTH PROGRAMS KINGDOM PILLARS PO BOX 108 NEWARK OH 430580108 823676465 501(C)(3) 7500 0 FOR GENERAL OPERATING SUPPORT AS YOU DEVELOP YOUR PROJECT HOME FACILITY KIRKERSVILLE UNITED METHODIST CHURCH 180 E MAIN ST KIRKERSVILLE OH 43033 310798388 501(C)(3) 5500 0 SUPPORT OF THE CHARITABLE NEEDS OF HARRISON TOWNSHIP RESIDENTS LICKING COUNTY AGING PROGRAM 1058 E MAIN ST NEWARK OH 43055 310787851 501(C)(3) 30000 0 MULTI-YEAR GRANT, YEAR THREE LICKING COUNTY AGING PROGRAM 1058 E MAIN ST NEWARK OH 43055 310787851 501(C)(3) 5500 0 SUPPORT OF LCAP PROGRAMS ASSISTING RESIDENTS OF HARRISON TWP LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM 62 E STEVENS ST NEWARK OH 43055 310805576 501(C)(3) 7500 0 FOR GENERAL OPERATING SUPPORT LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES 116 N 22ND ST NEWARK OH 43055 316400074 501(C)(3) 12500 0 TO SERVE THE UNMET NEEDS OF LICKING COUNTY CHILDREN WITH DEVELOPMENTAL DISABILITIES LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES 116 N 22ND ST NEWARK OH 43055 316400074 501(C)(3) 12500 0 TO SERVE THE UNMET NEEDS OF DEVELOPMENTALLY DISABLED CHILDREN IN LICKING COUNTY. LICKING COUNTY COALITION FOR HOUSING PO BOX 613 23 S PARK PLACE SUITE 200 NEWARK OH 430580613 311369756 501(C)(3) 7500 0 TO SUPPORT LCCHS HOUSING ASSISTANCE PROGRAMS SERVING LICKING COUNTY RESIDENTS LICKING COUNTY COALITION FOR HOUSING PO BOX 613 23 S PARK PLACE SUITE 200 NEWARK OH 430580613 311369756 501(C)(3) 5896 0 FULL DISTRIBUTION OF LCCH FUND LICKING COUNTY COALITION OF CARE PO BOX 8663 105 JEFFERSON ST NEWARK OH 430588663 510522123 501(C)(3) 5500 0 ASSISTANCE WITH THE CHARITABLE NEEDS OF HARRISON TOWNSHIP RESIDENTS LICKING COUNTY COALITION OF CARE PO BOX 8663 105 JEFFERSON ST NEWARK OH 430588663 510522123 501(C)(3) 7500 0 FOR GENERAL OPERATING SUPPORT LICKING COUNTY COMMISSIONERS 20 S 2ND STREET NEWARK OH 43055 115 30000 0 UNUSED CARES ACT FUNDS; MOU 20-035(A)(B)(C) LICKING COUNTY COMMUNITY CENTER FOR 60 ADULTS PO BOX 257 537 JONES ROAD GRANVILLE OH 43023 310914592 501(C)(3) 7500 0 FOR GENERAL OPERATING SUPPORT LICKING COUNTY COMMUNITY HEALTH CARE 144 W MAIN ST NEWARK OH 43055 311340169 501(C)(3) 7500 0 TO SUPPORT THE PURCHASE OF MEDICINE AND SUPPLIES NEEDED FOR LICKING COUNTY RESIDENTS WITHOUT HEALTH INSURANCE OR LIMITED ACCESS TO THESE RESOURCES LICKING COUNTY HISTORICAL SOCIETY PO BOX 785 NEWARK OH 430580785 310713996 501(C)(3) 9151 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT LICKING COUNTY HISTORICAL SOCIETY PO BOX 785 NEWARK OH 430580785 310713996 501(C)(3) 5081 0 FOR MAINTAINING THE BUCKINGHAM HOUSE & SHERWOOD-DAVIDSON HOUSE LICKING COUNTY HISTORICAL SOCIETY PO BOX 785 NEWARK OH 430580785 310713996 501(C)(3) 7556 0 FOR GENERAL SUPPORT LICKING COUNTY HISTORICAL SOCIETY PO BOX 785 NEWARK OH 430580785 310713996 501(C)(3) 10293 0 FOR GENERAL PURPOSES LICKING COUNTY HUMANE SOCIETY 825 THORNWOOD DR HEATH OH 430569320 316062704 501(C)(3) 40000 0 LC CARES ACT NONPROFIT RELIEF GRANT LICKING COUNTY HUMANE SOCIETY 825 THORNWOOD DR HEATH OH 430569320 316062704 501(C)(3) 5081 0 FOR GENERAL PURPOSES LICKING COUNTY JAIL MINISTRIES PO BOX 535 503 HULL ST NEWARK OH 430580535 311302289 501(C)(3) 10000 0 FOR GENERAL OPERATING SUPPORT OF THE VERTICAL 196 PROGRAM LICKING COUNTY PLAYERS 131 WEST MAIN STREET NEWARK OH 43055 310739013 501(C)(3) 15000 0 FOR GENERAL OPERATING SUPPORT LICKINGKNOX GOODWILL INDUSTRIES PO BOX 828 55 S 5TH ST NEWARK OH 430580828 310921782 501(C)(3) 16600 0 FOR 2021 SESSION 2 SCHOLARSHIPS LICKINGKNOX GOODWILL INDUSTRIES PO BOX 828 55 S 5TH ST NEWARK OH 430580828 310921782 501(C)(3) 18785 0 FOR 2021 SCHOLARSHIP SESSION 1 LICKINGKNOX GOODWILL INDUSTRIES PO BOX 828 55 S 5TH ST NEWARK OH 430580828 310921782 501(C)(3) 12000 0 SCHOLARSHIP PROGRAM - SESSION 2, 2020 LICKING MEMORIAL HEALTH FOUNDATION 1320 WEST MAIN STREET NEWARK OH 43055 311096217 501(C)(3) 25000 0 MULTI-YEAR GRANT, YEAR THREE LICKING MEMORIAL HEALTH FOUNDATION 1320 WEST MAIN STREET NEWARK OH 43055 311096217 501(C)(3) 25000 0 MULTI-YEAR GRANT YEAR THREE LOOK UP MINISTRIES 50 OBANNON AVENUE NEWARK OH 43055 200408127 501(C)(3) 75000 0 TO SUPPORT CURRENT CAPITAL NEEDS, PARTICULARLY AS THEY RELATE TO THE NECESSARY HVAC UPDATES AND BUILDING EXPANSION FOR THE TRADES PROGRAM. MADISON HEALTH FOUNDATION 210 N MAIN ST LONDON OH 43140 237423524 501(C)(3) 10000 0 TO HONOR THE SERVICE OF TOM COX MARSHALL UNIVERSITY FOUNDATION INC 519 JOHN MARSHALL DRIVE HUNTINGTON WV 25703 556011111 501(C)(3) 7169 0 FOR GRADUATE SCHOLARSHIPS IN THE PSYCHOLOGY DEPARTMENT AS A MEMORIAL TO DR. MADELEINE HOFFMAN FEIL MENTAL HEALTH AMERICA OF LICKING COUNTY INC 65 MESSIMER DR NEWARK OH 43055 314421855 501(C)(3) 30000 0 MULTI-YEAR GRANT, YEAR THREE MENTAL HEALTH AMERICA OF LICKING COUNTY INC 65 MESSIMER DR NEWARK OH 43055 314421855 501(C)(3) 10000 0 FOR GENERAL OPERATING SUPPORT MENTAL HEALTH AMERICA OF LICKING COUNTY INC 65 MESSIMER DR NEWARK OH 43055 314421855 501(C)(3) 20000 0 MULTI-YEAR GRANT, YEAR THREE MY PLACE TO BE 1621 N 21ST STREET NEWARK OH 43055 205187025 501(C)(3) 18378 0 LC CARES ACT NONPROFIT RELIEF GRANT NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION 525 EAST MOUND STREET COLUMBUS OH 43215 311036370 501(C)(3) 77167 0 GENERAL SUPPORT NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION 525 EAST MOUND STREET COLUMBUS OH 43215 311036370 501(C)(3) 19567 0 FOR GENERAL PURPOSES NEWARK CENTRAL CHRISTIAN CHURCH 587 MT VERNON RD NEWARK OH 43055 314381374 501(C)(3) 12090 0 SEE SPECIAL CONDITIONS NEWARK CITY SCHOOLS 621 MOUNT VERNON ROAD NEWARK OH 430554615 316400796 115 8426 0 FOR SCHOLARSHIPS FOR ANY TYPE OF ADVANCED EDUCATION BEYOND HIGH SCHOOL FOR ANY GRADUATE(S) OF THE NEWARK, OHIO PUBLIC SCHOOL SYSTEM NEWARK DEVELOPMENT PARTNERS PO BOX 4532 NEWARK OH 430584532 461551173 501(C)(3) 24370 0 TO SUPPORT THE ARCADE RENOVATION PROJECT IN NEWARK NEWARK DEVELOPMENT PARTNERS PO BOX 4532 NEWARK OH 430584532 461551173 501(C)(3) 150000 0 THE NEWARK ARCADE CAPITAL CAMPAIGN NEWARK-GRANVILLE SYMPHONY ORCHESTRA PO BOX 566 GRANVILLE OH 43023 202823408 501(C)(3) 20000 0 MULTI-YEAR GRANT, YEAR THREE NEWARK-GRANVILLE SYMPHONY ORCHESTRA PO BOX 566 GRANVILLE OH 43023 202823408 501(C)(3) 8863 0 FOR GENERAL PURPOSES NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501(C)(3) 12550 0 THE MIDLAND THEATRES ITS SHOWTIME COMPREHENSIVE CAMPAIGN FOR CAPITAL IMPROVEMENTS NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501(C)(3) 40000 0 LC CARES ACT NONPROFIT RELIEF GRANT NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501(C)(3) 30000 0 MULTI-YEAR GRANT, YEAR THREE NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501(C)(3) 40000 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT NEWARK ORGANIZATION FOR THE CREATIVE ARTS 33 W CHURCH STREET NEWARK OH 43055 842964781 501(C)(3) 8460 0 TO SUPPORT THE PROMOTION OF THE ARTS IN LICKING COUNTY THROUGH THE DEVELOPMENT OF NEWARK ORGANIZATION FOR THE CREATIVE ARTS' (NOCA) SPACE IN NEWARK NEW LEXINGTON UNITED METHODIST CHURCH 126 SOUTH HIGH STREET NEW LEXINGTON OH 43764 501(C)(3) 5081 0 FOR FLOWERS FOR ALTAR & SUPPORT MUSIC DEPARTMENT & BUILDING FUND FOR CAPITAL IMPROV. NEWTON FIRE DEPARTMENT 1 FIRE HOUSE DRIVE PO BOX 182 ST LOUISVILLE OH 43071 501(C)(3) 10000 0 TO SUPPORT RTHE DEPARTMENT'S EMS OHIO CAMPUS COMPACT 631 NORTH PEARL ST GRANVILLE OH 43023 311577478 501(C)(3) 19803 0 LC CARES ACT NONPROFIT RELIEF GRANT OHIO STATE LEGAL SERVICES ASSOCIATION 1108 CITY PARK AVENUE SUITE 200 COLUMBUS OH 43206 310718185 501(C)(3) 10000 0 MULTI-YEAR GRANT, YEAR THREE OHIO STATE LEGAL SERVICES ASSOCIATION 1108 CITY PARK AVENUE SUITE 200 COLUMBUS OH 43206 310718185 501(C)(3) 15000 0 MULTI-YEAR GRANT, YEAR THREE OHIO STATE UNIVERSITY FOUNDATION 1480 WEST LANE AVENUE COLUMBUS OH 43221 311145986 501(C)(3) 10000 0 THE OPHTHLAMOLOGY EXCELLENCE FUND TO SUPPORT PURCHASE OF NOVEL IMAGING TECHNOLOGY OHIO UNIVERSITY SOUTHERN 1804 LIBERTY AVENUE IRONTON OH 45638 316402269 501(C)(3) 21518 0 FOR GENERAL PURPOSES PATHWAYS OF CENTRAL OHIO 1627 BRYN MAWR DRIVE NEWARK OH 43055 310836725 501(C)(3) 40000 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF GRANT PATHWAYS OF CENTRAL OHIO 1627 BRYN MAWR DRIVE NEWARK OH 43055 310836725 501(C)(3) 10000 0 CAPACITY BUILDING SUPPORT (SUCCESSION AND STRATEGIC PLANNING) PATHWAYS OF CENTRAL OHIO 1627 BRYN MAWR DRIVE NEWARK OH 43055 310836725 501(C)(3) 6273 0 LC CARES ACT NONPROFIT RELIEF GRANT PHI DELTA THETA FOUNDATION GENERAL HEADQUARTERS 2 SOUTH CAMPUS AVENUE OXFORD OH 45056 501(C)(3) 5081 0 FOR A $2,000 SCHOLARSHIP AWARDED TO MEMBER OF OHIO ALPHA CHAPTER FOR UNDERGRADUATE STUDY PLAN OF CENTRAL OHIO 2201 RIVERSIDE DRIVE COLUMBUS OH 432214035 311666430 501(C)(3) 10000 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF CENTRAL OHIO 711 E LIVINGSTON AVE COLUMBUS OH 43205 310890152 501(C)(3) 5410 0 MULTI-YEAR GRANT, YEAR THREE SAFE KIDS WORLDWIDE 1255 23RD ST NW STE 400 WASHINGTON DC 200371151 521627574 501(C)(3) 8000 0 OHIO SMOKE ALARM / CO2 DETECTORS SAFE KIDS WORLDWIDE 1255 23RD ST NW STE 400 WASHINGTON DC 200371151 521627574 501(C)(3) 40000 0 OHIO SMOKE ALARM AND CO2 DETECTORS FOR FIRST PART OF 2022 SECOND PRESBYTERIAN CHURCH FINANCIAL OFFICE PO BOX 428 NEWARK OH 430580428 314444526 501(C)(3) 9073 0 TO PROVIDE HELP IN DEFRAYING THE COST OF ANY GREAT NEED SECOND PRESBYTERIAN CHURCH FINANCIAL OFFICE PO BOX 428 NEWARK OH 430580428 314444526 501(C)(3) 71722 0 FOR SCHOLARSHIPS FOR PRESBYTERIAN STUDENTS IN PRESBYTERIAN COLLEGES & THEOLOGICAL SEMINARIES. SIMON KENTON COUNCIL BOY SCOUTS OF AMERICA 807 KINNEAR RD COLUMBUS OH 43212 314388520 501(C)(3) 9067 0 FOR THE HERMAN S. BAUMAN SCOUTING ACHIEVEMENT AWARD ST FRANCIS DE SALES CHURCH 66 GRANVILLE ST NEWARK OH 43055 314379546 501(C)(3) 6106 0 GENERAL SUPPORT ST FRANCIS DE SALES CHURCH 66 GRANVILLE ST NEWARK OH 43055 314379546 501(C)(3) 20000 0 FOR GENERAL PURPOSES ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 501 ST JUDE PLACE MEMPHIS TN 38105 620646012 501(C)(3) 6106 0 GENERAL SUPPORT ST VINCENT DE PAUL HOUSING FACILITIES INC 115 WILSON STREET NEWARK OH 43055 800191758 501(C)(3) 7500 0 GENERAL OPERATING SUPPORT THE DAWES ARBORETUM 7770 JACKSONTOWN RD SE NEWARK OH 43056 314379601 501(C)(3) 10000 0 FOR GENERAL OPERATING SUPPORT, OR TO SUPPORT A SPECIFIC ART INSTALLATION THE OHIO STATE UNIVERSITY AT NEWARK OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 311145986 501(C)(3) 30700 0 ALTHEA & NORMAN SLEIGHT SCHOLARSHIPS, SY 2020-21 AUTUMN THE OHIO STATE UNIVERSITY AT NEWARK OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 311145986 501(C)(3) 33508 0 PASTORIUS BATTAT SCHOLARSHIPS THE OHIO STATE UNIVERSITY AT NEWARK 1179 UNIVERSITY DRIVE NEWARK OH 43055 311145986 501(C)(3) 16109 0 TO BE USED FOR SCHOLARSHIPS AND OTHER COLLEGE USES THE SALVATION ARMY PO BOX 774 250 E MAIN ST NEWARK OH 430580774 340714378 501(C)(3) 7500 0 $1,440.00 TO SUPPORT THE UPCOMING SCHOOL SUPPLY DRIVE FOR LICKING COUNTY STUDENTS, AND $7,500.00 FOR GENERAL OPERATING SUPPORT OF THE SHELTER IN NEWARK THE SALVATION ARMY PO BOX 774 250 E MAIN ST NEWARK OH 430580774 340714378 501(C)(3) 12090 0 FOR GENERAL SUPPORT THE SALVATION ARMY PO BOX 774 250 E MAIN ST NEWARK OH 430580774 340714378 501(C)(3) 6106 0 GENERAL SUPPORT THE WOODLANDS SERVING CENTRAL OHIO INC 195 UNION ST STE B 1 NEWARK OH 43055 310711374 501(C)(3) 7500 0 GENERAL OPERATING SUPPORT THE WORKS OHIO CENTER FOR HISTORY ART & TECHNOLOGY 55 S FIRST ST NEWARK OH 43055 311395941 501(C)(3) 32673 0 FOR GENERAL PURPOSES TOGETHER WE GROW INC 777 EAST MAIN STREET NEWARK OH 43055 464936087 501(C)(3) 10000 0 GENERAL OPERATING SUPPORT TRINITY EPISCOPAL CHURCH 76 E MAIN ST NEWARK OH 43055 310537481 501(C)(3) 21077 0 FOR GENERAL PURPOSES TRI-VILLAGE CHRISTIAN CHURCH 7509 E BROAD STREET SW PATASKALA OH 43062 311019310 501(C)(3) 5500 0 SUPPORT OF CHARITABLE NEEDS OF HARRISON TOWNSHIP RESIDENTS UNITED WAY OF LEE COUNTY 7273 CONCOURSE DR FORT MYERS FL 33908 591005169 501(C)(3) 10000 0 FOR GENERAL PURPOSES UNITED WAY OF LICKING COUNTY PO BOX 4490 NEWARK OH 430584490 314379455 501(C)(3) 7556 0 FOR GENERAL SUPPORT UTICA VOLUNTEER FIRE DEPARTMENT - DIVISION OF EMS 39 SPRING STREET UTICA OH 43080 310947678 501(C)(3) 10000 0 SUPPORT OF UTICA VOLUNTEER EMS WEATHERVANE PLAYHOUSE PO BOX 607 NEWARK OH 430580607 237420666 501(C)(3) 40000 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT WEST LICKING COUNTY FAMILY YMCA PO BOX 1495 PATASKALA OH 43062 316053101 501(C)(3) 5500 0 SUPPORTING CHARITABLE NEEDS OF HARRISON TOWNSHIP RESIDENTS WEST LICKING FIREFIGHTERS ASSOCIATION PO BOX 1120 428 JEFFERSON STREET PATASKALA OH 43062 316038264 501(C)(3) 6548 0 LC CARES ACT NONPROFIT RELIEF GRANT WEST LICKING SPECIAL OLYMPICS 371 MEADOW WAY SW PATASKALA OH 43062 510183468 501(C)(3) 6764 0 LICKING COUNTY CARES ACT NONPROFIT RELIEF FUND GRANT WHOLE LIVING RECOVERY 4167 NORTHRIDGE ROAD ALEXANDRIA OH 43001 815456083 501(C)(3) 10000 0 GENERAL OPERATING SUPPORT WYATT ADKINS HEART ORGANIZATION 103 FLOWERS DR NEWARK OH 43055 352374702 501(C)(3) 19322 0 TO SUPPORT THE ESTABLISHMENT AND MAINTENANCE OF COMMUNITY RECREATIONAL FACILITIES; SPECIFICALLY, CAPITAL IMPROVEMENTS AT LEGACY PARK IN LICKING COUNTY 129 12 SCHOLARSHIPS 328 1230455 PART I, LINE 2: MONITORING USE OF GRANT FUNDS - THE FOUNDATION REQUIRES AN INTERIM REPORT AND FINAL GRANT REPORT FROM GRANT RECIPIENTS TO DOCUMENT THE USE OF THE FUNDS AND TO ASSESS COMMUNITY IMPACT AND VALUE. ANY FUNDS NOT USED FOR THE APPROVED PROJECT MUST BE RETURNED. FOR SCHOLARSHIPS, THE FOUNDATION MAKES PAYMENTS DIRECTLY TO THE COLLEGE OR UNIVERSITY AND THUS ENSURES THAT ITS FUNDS ARE USED FOR EDUCATIONAL PURPOSES. X X 0 0 0 0 0 0 0 0 0 CONSTANCE J HAWK EXECUTIVE DIRECTOR 135125 0 3500 0 0 0 7034 0 9780 0 155439 0 0 0 DAVID TRAUTMAN TIM LEHMAN SEE PART V 291583 INVESTMENT MANAGEMENT FEES 0 PART IV, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID TRAUTMAN WAS THE PAST CHAIRMAN OF THE FOUNDATION AND ALSO AN OFFICER OF PARK NATIONAL BANK. TIM LEHMAN IS A BOARD MEMBER OF THE FOUNDATION AND A FORMER OFFICER OF PARK NATIONAL BANK. PARK NATIONAL BANK'S TRUST DEPARTMENT MANAGED A MAJORITY OF THE FOUNDATION'S INVESTMENT PORTFOLIO. X 39 1874690 FMV 0 1 1 PART I, LINE 32B: USE OF THIRD PARTIES - THE FOUNDATION USES ITS BANK OR OTHER INVESTMENT BROKERS TO SELL DONATED SECURITIES. THE FEES CHARGED FOR SUCH SERVICES ARE AT OR BELOW FAIR MARKET VALUE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW - FORM 990 IS REVIEWED BY THE GOVERNING COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - ANNUALLY, THE DIRECTOR PROVIDES THE FOUNDATION'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST STATEMENT AND DISCLOSURE TO EACH GOVERNING COMMITTEE MEMBER, STAFF MEMBER, AND COMMITTEE MEMBER (WHO IS NOT A BOARD MEMBER) TO READ AND COMPLETE THE CONFLICT OF INTEREST STATEMENT. DISCLOSURE DOCUMENTS ARE REVIEWED BY THE DIRECTOR. ANY POTENTIAL CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE GOVERNING COMMITTEE FOR ENFORCEMENT. A NOTEBOOK IS COMPILED OF ALL STATEMENTS AND DISCLOSURES FOR READY ACCESS AND REFERENCE. AT THE BEGINNING OF EACH BOARD MEETING, GOVERNING COMMITTEE MEMBERS ARE ASKED TO DISCLOSE ANY NEW INTERESTS OR AFFILIATIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL - THE HUMAN RESOURCES COMMITTEE REVIEWED THE ANNUAL SALARY SURVEY PROVIDED BY THE COUNCIL ON FOUNDATIONS FOR RECOMMENDING THE COMPENSATION OF THE DIRECTOR, FINANCIAL OFFICER, PROGRAM OFFICER, DONOR SERVICES OFFICER, PROGRAM ASSOCIATE, DONOR SERVICES ASSOCIATE, AND OFFICE ADMINISTRATOR. THE GOVERNING COMMITTEE ALSO REVIEWED THIS COMPARABILITY DATA FOR APPROVING THE COMPENSATION FOR THESE POSITIONS. ALL OF THESE DELIBERATIONS WERE DOCUMENTED IN THE COMMITTEE AND BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AS STATED ON THE FOUNDATION'S WEBSITE. FORM 990, PART XI, LINE 9: AGENCY ENDOWMENT TRANSACTIONS -2,396,602. FORM 990, PART VI, LINE 11A: PROVIDING FORM 990 TO BOARD MEMBERS - THE FOUNDATION BELIEVES THAT DONOR INFORMATION IS CONFIDENTIAL AND HAS CHOSEN TO REDACT THE NAMES AND ADDRESSES OF DONORS FROM SCHEDULE B FOR THE VERSION OF FORM 990 THAT IS GIVEN TO THE BOARD. AS SUCH, WE ARE REQUIRED TO RESPOND "NO" TO THE QUESTION ON LINE 11A OF PART VI EVEN THOUGH FORM 990 WAS DISTRIBUTED TO THE BOARD MEMBERS WITH INFORMATION REDACTED FROM SCHEDULE B. LICKING COUNTY FOUNDATION PARKS LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 0 252000 LCF LICKING COUNTY FOUNDATION INVEST I LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 0 2201236 LCF LICKING COUNTY FND INVEST II LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 334750 183640 LCF LICKING COUNTY FOUNDATION PROGRAMS LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 0 633119 LCF LICKING COUNTY FOUNDATION PRESERVATION 30 N SECOND ST NEWARK OH 43058 815058611 REAL ESTATE OH 0 3796577 LCF LCF FOUNDATION LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 4 756894 LCF