COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES (EIN 20-8070870)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-05-17
- IRS object ID
- 202101379349102215
- Schema version
- 2020v4.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T14:42:16-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 300031703 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAVANAUGH DAVIES BLACKMAN & CRAMBLET | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 N MAIN ST PO BOX 318 | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 614620318 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208070870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH FOUNDATION OF | BusinessNameLine1Txt |
| Business Name Line2 | WARREN & HENDERSON COUNTIES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3097349333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 EAST BROADWAY | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG MCCLINTOCK | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 3097345214 | PhoneNum |
| Signature | 2021-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GREGORY K | PersonFirstNm |
| Person Last | MCCLINTOCK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | L COLLEEN CRAMBLET | PreparerPersonNm |
| PTIN | P00057392 | PTIN |
| Phone | 3097342330 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $16,795,667 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $845 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $845 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $263,117 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $263,117 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $393,886 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $5,701,180 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $393,886 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $657,848 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $657,848 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $2,075 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,075 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $50,000 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $50,000 | OtherProfFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $1,209 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,209 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $53,284 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $53,284 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $881,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $881,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $934,784 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $53,284 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $881,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$276,936 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $604,564 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $457,627 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $429,434 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $429,434 | SavAndTempCashInvstEOYFMVAmt |
| Other Assets BOY | $13,908,635 | OtherAssetsBOYAmt |
| Other Assets EOY | $13,652,439 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $16,366,233 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $14,366,262 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,081,873 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $16,795,667 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $14,366,262 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $14,081,873 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $14,366,262 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $14,081,873 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $14,366,262 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $14,081,873 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $14,366,262 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$276,936 | ExcessRevenueOverExpensesAmt |
| Subtotal | $14,089,326 | SubtotalAmt |
| Other Decreases | $7,453 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $14,081,873 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| CHARLES SCHWAB (SHORT TERM) | P | $1,704,425 | $1,573,095 | $131,330 | $131,330 |
| CHARLES SCHWAB (LONG TERM) | P | $3,927,935 | $3,734,199 | $193,736 | $193,736 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $393,886 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $131,330 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $8,403 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $8,403 | SubtotalAmt |
| Tax Based On Investment Income | $8,403 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $12,500 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $12,500 | TotalPaymentsAndCreditsAmt |
| Overpayment | $4,097 | OverpaymentAmt |
| Applied To ES Tax | $4,097 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAVANAUGH DAVIES BLACKMAN & CRAMBLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3097342330 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 NORTH MAIN STREET | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| GREG MCCLINTOCK | ||||||||
| 707 NORTH 11TH ST | MONMOUTH | IL | 61462 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| GARY HEATON | ||||||||
| 715 NORTH 9TH ST | MONMOUTH | IL | 61462 | SECRETARY | 000.00 | $0 | $0 | $0 |
| DOROTHY RICKETTS | ||||||||
| 202 NORTH G | MONMOUTH | IL | 61462 | CHAIRPERSON | 000.00 | $0 | $0 | $0 |
| DR JAMES BATTENBURG | ||||||||
| 2028 62ND ST | MONMOUTH | IL | 61462 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| DON GLADFELTER | ||||||||
| 861 210TH AVE | MONMOUTH | IL | 61462 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| MIKE CONNELL | ||||||||
| 1150 WARREN SCHOOL RD | MONMOUTH | IL | 61462 | VICE CHAIRPE | 000.00 | $0 | $0 | $0 |
| SPUD RILEY | ||||||||
| 1361 EAST BROADWAY | MONMOUTH | IL | 61462 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| CAROL SHAW | ||||||||
| 1008 HWY 116 | ROSEVILLE | IL | 61473 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| JON FERGUSON | ||||||||
| 17 FAIRWAY DRIVE | MONMOUTH | IL | 61462 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| JACKIE KERNAN | ||||||||
| OSF HOLY FAMILY MD CTR 1000 W HARLE | MONMOUTH | IL | 61462 | EX-OFFICIO | 000.00 | $0 | $0 | $0 |
| LYNNE HAASE | ||||||||
| RR 1 BOX 112 | BIGGSVILLE | IL | 61418 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $16,055,756 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $220,950 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $16,276,706 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $16,276,706 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $244,151 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $16,032,555 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $801,628 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $801,628 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $8,403 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $8,403 | TotalTaxAmt |
| Distributable Before Adj | $793,225 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $793,225 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $793,225 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $881,500 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $881,500 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $881,500 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $793,225 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr4 | $22,593 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $151,197 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $163,146 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $336,936 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $881,500 | QualifyingDistributionsAmt |
| Applied To Current Year | $793,225 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $88,275 | RemainingDistriFromCorpusAmt |
| Total Corpus | $425,211 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $425,211 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $22,593 | ExcessFromYear4Amt |
| Excess From Year3 | $151,197 | ExcessFromYear3Amt |
| Excess From Year1 | $163,146 | ExcessFromYear1Amt |
| Excess From Current Year | $88,275 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | DOROTHY RICKETTS | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 EAST BROADWAY | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3097349333 | RecipientPhoneNum |
| Recipient Email Address | NONE | RecipientEmailAddressTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| OSF HEALTHCARE SYSTEMS FD | |||||||
| 1000 WEST HARLEM AVENUE | MONMOUTH | IL | 61462 | NONE | NOT FOR PROF | GRANT FOR EXPANSION | $600,000 |
| WARREN COUNTY HEALTH DEPT | |||||||
| SOUTH MAIN STREET | MONMOUTH | IL | 61462 | NONE | NOT FOR PROF | EQUIPMENT AND OPERATIONS | $66,500 |
| WARREN COUNTY YMCA | |||||||
| WEST BROADWAY | MONMOUTH | IL | 61462 | NONE | NOT FOR PROF | IMPROVEMENTS/ EQUIPMENT | $50,000 |
| WARREN ACHIEVEMENT CENTER | |||||||
| 1220 E 2ND AVENUE | MONMOUTH | IL | 61462 | NONE | NOT FOR PROF | OPERATIONS | $16,000 |
| OAK LAWN NURSING & REHAB | |||||||
| 604 OAKWOOD DR PO BOX 30 | STRONGHURST | IL | 61480 | NONE | NOT FOR PROF | OPERATIONS | $149,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $881,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $845 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $263,117 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $393,886 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $657,848 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $657,848 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PREPARATION OF 990'S | CategoryTxt |
| Amt | $2,075 | Amt |
| Net Investment Income | $2,075 | NetInvestmentIncomeAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (20 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| LONGLEAF PARTNERS SMALL CAP FD | $581,904 | $604,183 | $566,683 |
| BLACKSTONE ALT MULTI STRAT | $322,471 | $409,227 | $388,416 |
| PIMCO DIVERSIFIED | $803,256 | $813,014 | |
| BAIRD INTERMEDIATE BONDS | $1,814,459 | $2,206,849 | $2,267,024 |
| DODGE & COX GLOBAL STK FD | $1,141,469 | $1,113,572 | $1,314,133 |
| PRINCIPAL DIVERSIFIED RE FD | $399,328 | $264,136 | $293,290 |
| VANGUARD INTMDT-TERM TRS | $695,720 | $737,222 | |
| VANGUARD 500 INDEX FD | $2,590,013 | $2,493,622 | $4,086,113 |
| VANGUARD DEVELOPED MKTS FD | $524,457 | $1,290,812 | $1,548,020 |
| VANGUARD INTERMEDIATE GOVT BD FD | $1,446,514 | ||
| VANGUARD EMERGING MARKETS | $315,591 | $321,668 | $329,458 |
| NINETY ONE EMERGING MARK | $462,831 | $536,812 | |
| WILLIAM BLAIR SML MED | $517,533 | $446,819 | $619,398 |
| TEMPLETON GLOBAL BOND FD | $510,965 | $379,540 | $313,223 |
| HARBOR EMERG MKTS | $377,562 | ||
| PARAMETRIC VOLATILITY | $333,078 | $335,807 | $366,264 |
| GQG PARTNERS GLOBAL | $1,273,966 | $1,102,365 | $1,303,764 |
| GRANDUER PEAK INTL OPPTY | $395,901 | $368,402 | $530,477 |
| VNGUARD GLOBAL MINIMUM | $1,009,795 | ||
| 361 GLBL LONG SHORT | $353,629 | $353,630 | $352,922 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED TAX PAYMENTS | Desc |
| Amt | $7,453 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| INSURANCE | $1,052 | $1,052 |
| WEB FEES | $132 | $132 |
| ILLINOIS SEC OF STATE FILING | $10 | $10 |
| IL ATTORNEY GENERAL FEE | $15 | $15 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT ADVISORY AND FILING | CategoryTxt |
| Amt | $50,000 | Amt |
| Net Investment Income | $50,000 | NetInvestmentIncomeAmt |
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