2021-09-21T13:31:44-05:00 2020-12-31 340677006 MALONEY NOVOTNY LLC 4774 MUNSON STREET NW SUITE 402 CANTON OH 447183634 990 2020-01-01 311760702 LICKING COUNTY FOUNDATION INC LICK 7403493863 30 N 2ND STREET NEWARK OH 430584212 CONSTANCE J HAWK EXECUTIVE DIRECTOR 7403493863 2021-09-21 1 CONSTANCE HAWK 999009999 DANA PATTERSON P01278758 3309669400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CONSTANCE J HAWK 30 N 2ND STREET NEWARK OH 430584212 31259180 0 X WWW.THELCFOUNDATION.ORG X 1956 OH TO IMPROVE THE QUALITY OF LIFE FOR ALL CITIZENS OF LICKING COUNTY 13 13 7 170 -31264 0 3698877 3472602 43192 39148 4056857 1635814 29131 34259 7828057 5181823 4319227 3843246 0 0 459115 497954 0 0 230262 798354 769129 5576696 5110329 2251361 71494 114094276 128269065 10542510 11706579 103551766 116562486 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 4339566 3843246 73407 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. 4339566 1 1 0 0 0 1 0 0 0 0 1 1 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 8 0 1 7 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 CYNTHIA MENZER CHAIRMAN 2.00 X X 0 0 0 NOBLE SNOW VICE CHAIRMAN 2.00 X X 0 0 0 ESCHOL CURL IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 MOLLY INGOLD SECRETARY & TREASURER 1.00 X X 0 0 0 JANINE MORTELLARO DIRECTOR 1.00 X 0 0 0 JEANETTA PYLE DIRECTOR 1.00 X 0 0 0 KIM COPLIN DIRECTOR 1.00 X 0 0 0 MICHAEL CANTLIN DIRECTOR 1.00 X 0 0 0 MICHAEL KENNEDY DIRECTOR 1.00 X 0 0 0 MIKE WHITEHEAD DIRECTOR 1.00 X 0 0 0 ROBERT O'NEILL DIRECTOR 1.00 X 0 0 0 RYAN MILLS DIRECTOR 1.00 X 0 0 0 TIM LEHMAN DIRECTOR 1.00 X 0 0 0 CONSTANCE J HAWK EXECUTIVE DIRECTOR 40.00 X 130405 0 29062 DEAN BUSACK FINANCIAL OFFICER 40.00 X 74968 0 5182 205373 0 34244 1 0 1 0 PARK NATIONAL BANK 50 N THIRD ST PO BOX 3500 NEWARK OH 43058 INV MGMT & OTHER BANKING SVCS 233343 1 900000 2572602 543881 3472602 REAL ESTATE REVENUE 531120 39148 39148 39148 2153720 -31264 2184984 25559451 26077357 -517906 -517906 -517906 MISCELLANEOUS 900099 34259 34259 34259 5181823 73407 -31264 1667078 2786349 2786349 1056897 1056897 239617 83954 88671 66992 190738 67758 70730 52250 8908 3141 3299 2468 29923 10548 11084 8291 28768 10142 10655 7971 92216 72224 19992 17750 17750 233343 233343 64999 61326 3529 144 61900 15475 46425 23045 7748 8749 6548 73808 26020 27338 20450 67211 53308 7953 5950 80009 50452 16908 12649 38498 28524 9974 16350 5700 10526 124 5110329 4339566 540501 230262 24255 705335 425178 571605 26916 14553 8530005 631015 7538285 7898990 99627038 112506300 5996064 6435338 310113 283371 114094276 128269065 106478 61023 220253 252697 83984 107724 10131795 11285135 10542510 11706579 X 99845981 112804644 3705785 3757842 103551766 116562486 114094276 128269065 X 71494 14092566 -1153340 X 0 1 X 1 0 X 5948069 3052575 1996007 3698877 3472602 18168130 5948069 3052575 1996007 3698877 3472602 18168130 3161652 15006478 1133079 1416725 1768090 2249694 2153720 8721308 307344 214357 84034 0 0 605735 289377 60280 58835 29131 34259 471882 27967055 1775026 0.53660 0.62820 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 289,377. 2017 AMOUNT: $ 60,280. 2018 AMOUNT: $ 58,835. 2019 AMOUNT: $ 29,131. 2020 AMOUNT: $ 34,259. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25 639001 419104 14329588 1 1 138448 138448 692091 266293 425798 296430 57677 238753 7403036 307045 7095991 7898990 PRIVATE EQUITY FUNDS 3484603 F BENEFICIAL INTEREST IN PERPETUAL TRUST 2950735 F 6435338 AGENCY FUND LIABILITIES 11285135 11285135 X 17291442 14092566 14092566 3198876 233343 1749604 1982947 5181823 4280722 0 4280722 233343 596264 829607 5110329 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, 2020 AND 2019, A PROVISION FOR UNRELATED BUSINESS INCOME TAX HAS BEEN RECORDED FOR $20,000. THERE WERE NO UNRECOGNIZED TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. 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 1,749,604. PART XII, LINE 4B - OTHER ADJUSTMENTS: AGENCY ENDOWMENT TRANSACTIONS 596,264. 1 NEWARK CENTRAL CHRISTIAN CHURCH 587 MT VERNON RD NEWARK OH 43055 314381374 501(C)(3) 11542 1/4 FOR BOOKS OR EDUCATIONAL MATERIAL FOR THE CHURCH LIBRARY WITH THE RESIDUAL FOR FLOWERS FOR THE ALTER AND THE CHURCH BUILDING FUND FOR CAPITAL IMPROVEMENTS WARRIOR MEDITATION FOUNDATION DBA SAVE A WARRIOR 4560 GRATIOT ROAD SE HEATH OH 43056 501(C)(3) 10000 2019 CAPITAL GRANT FOR S/SGT DICK WOOD WARRIOR VILLAGE THE COLUMBUS FOUNDATION 1234 EAST BROAD STREET COLUMBUS OH 43205 316044264 501(C)(3) 10000 2020 BIG GIVE BONUS POOL CONTRIBUTION CAROL STRAWN CENTER PO BOX 398 NEWARK OH 430580398 311776581 501(C)(3) 9404 CARES ACT NONPROFIT RELIEF OHIOCAN (CHANGE ADDICTION NOW) 2298 COMET CIRCLE NW NORTH CANTON OH 44720 825205372 501(C)(3) 7119 CARES ACT NONPROFIT RELIEF ROBBINS HUNTER MUSEUM PO BOX 183 GRANVILLE OH 43023 261768037 501(C)(3) 21309 CARES ACT NONPROFIT RELIEF WELSH HILLS SCHOOL 2610 NEWARK GRANVILLE RD GRANVILLE OH 43023 310967486 501(C)(3) 48373 CARES ACT NONPROFIT RELIEF LICKING COUNTY PLAYERS 131 WEST MAIN STREET NEWARK OH 43055 310739013 501(C)(3) 5458 CARES ACT NONPROFIT RELIEF LICKING LAND TRUST PO BOX 196 GRANVILLE OH 43023 311284110 501(C)(3) 6655 CARES ACT NONPROFIT RELIEF LICKING COUNTY GOVERNMENTAL PRESERVATION SOCIETY PO BOX 5252 NEWARK OH 430585252 463000689 501(C)(3) 21591 CARES ACT NONPROFIT RELIEF WHOLE LIVING RECOVERY 79 BRIARWOOD DRIVE GRANVILLE OH 43023 815456083 501(C)(3) 5199 CARES ACT NONPROFIT RELIEF SOUTHWEST LICKING LOCAL SCHOOL DISTRICT 927-A SOUTH STREET PATASKALA OH 43062 115 10414 FOR ELECTRIC PIANO KEYBOARDS AND ACCESSORIES UNITED WAY OF LEE COUNTY 7273 CONCOURSE DR FORT MYERS FL 33908 591005169 501(C)(3) 10000 FOR GENERAL CAMPAIGN A CALL TO COLLEGE 314 GRANVILLE ST NEWARK OH 43055 311333812 501(C)(3) 155046 FOR GENERAL SUPPORT BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC 65 MESSIMER DRIVE NEWARK OH 43055 316402630 501(C)(3) 40091 FOR GENERAL SUPPORT BIG BROTHERS BIG SISTERS OF LICKING & PERRY COUNTIES 62 WEST LOCUST STREET NEWARK OH 43055 310860010 501(C)(3) 27924 FOR GENERAL SUPPORT BOYS & GIRLS CLUB OF CENTRAL OHIO INC 1108 CITY PARK AVENUE SUITE 301 COLUMBUS OH 43206 314387575 501(C)(3) 6832 FOR GENERAL SUPPORT BOYS & GIRLS CLUB OF NEWARK PO BOX 271 NEWARK OH 430580271 314387575 501(C)(3) 20108 FOR GENERAL SUPPORT BRYN DU COMMISSION 537 JONES RD GRANVILLE OH 43023 203103807 501(C)(3) 13080 FOR GENERAL SUPPORT BUCKEYE VALLEY FAMILY YMCA 470 W CHURCH ST NEWARK OH 43055 316053101 501(C)(3) 226874 FOR GENERAL SUPPORT CAMP O'BANNON OF LICKING COUNTY INC 9688 BUTLER ROAD NE NEWARK OH 43055 316401440 501(C)(3) 21802 FOR GENERAL SUPPORT CANAL MARKET DISTRICT AND ENTERPRISE HUB PO BOX 4217 NEWARK OH 430584217 473293365 501(C)(3) 11290 FOR GENERAL SUPPORT CDF FREEDOM SCHOOLS OF LICKING COUNTY 734 SHERWICK ROAD NEWARK OH 43055 320515948 501(C)(3) 26000 FOR GENERAL SUPPORT CENTER FOR DISABILITY SERVICES 667 HOPEWELL DR HEATH OH 43056 316402437 501(C)(3) 18287 FOR GENERAL SUPPORT COLUMBUS COUNCIL ON WORLD AFFAIRS 51 JEFFERSON AVENUE COLUMBUS OH 43215 510180760 501(C)(3) 6000 FOR GENERAL SUPPORT CROTON CHURCH OF CHRIST PO BOX 206 40 S MAIN ST CROTON OH 43013 311185855 501(C)(3) 7922 FOR GENERAL SUPPORT CROTON UNITED METHODIST CHURCH PO BOX 127 CROTON OH 43013 362167731 501(C)(3) 7922 FOR GENERAL SUPPORT FIRST UNITED METHODIST CHURCH PO BOX 729 NEWARK OH 430580729 362167731 501(C)(3) 13169 FOR GENERAL SUPPORT FOSTERING FURTHER PO BOX 365 PATASKALA OH 43062 474412979 501(C)(3) 30632 FOR GENERAL SUPPORT FOUNDATION FOR HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY RD NEWARK OH 43055 550855205 501(C)(3) 18528 FOR GENERAL SUPPORT FRIENDS OF BUCKEYE LAKE LIBRARY INC PO BOX 708 41 WEST FIRST STREET BUCKEYE LAKE OH 43008 611457902 501(C)(3) 9184 FOR GENERAL SUPPORT FRIENDS OF THE LICKING COUNTY LIBRARY INC 101 W MAIN ST NEWARK OH 43055 465177930 501(C)(3) 26421 FOR GENERAL SUPPORT GIRL SCOUTS OF OHIO'S HEARTLAND COUNCIL INC 1700 WATERMARK DRIVE COLUMBUS OH 43215 501(C)(3) 6000 FOR GENERAL SUPPORT GRANVILLE PUBLIC LIBRARY 217 E BROADWAY GRANVILLE OH 43023 316401361 501(C)(3) 20545 FOR GENERAL SUPPORT GREATER BUCKEYE LAKE HISTORICAL SOCIETY PO BOX 1 BUCKEYE LAKE OH 43008 311443773 501(C)(3) 12007 FOR GENERAL SUPPORT HARTFORD LIBRARY ASSOCIATION PO BOX 313 11 S PARK CROTON OH 43013 237295550 501(C)(3) 7924 FOR GENERAL SUPPORT HEARTBEATS FOR LIFE 336 E MAIN ST NEWARK OH 43055 237316671 501(C)(3) 5500 FOR GENERAL SUPPORT HISTORIC HUDSON COMMUNITY ASSOCIATION PO BOX 5211 NEWARK OH 430585211 311385224 501(C)(3) 7000 FOR GENERAL SUPPORT LICKING COUNTY AGING PROGRAM 1058 EAST MAIN STREET NEWARK OH 43055 310787851 501(C)(3) 8000 FOR GENERAL SUPPORT LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES 116 N 22ND ST NEWARK OH 43055 316400074 501(C)(3) 26000 FOR GENERAL SUPPORT LICKING COUNTY CENTER FOR VISUAL IMPROVEMENT 67 N FIFTH ST NEWARK OH 43055 311081258 501(C)(3) 30000 FOR GENERAL SUPPORT LICKING COUNTY COALITION OF CARE PO BOX 8663 105 JEFFERSON ST NEWARK OH 430588663 510522123 501(C)(3) 20849 FOR GENERAL SUPPORT LICKING COUNTY COMMUNITY CENTER FOR 60 ADULTS PO BOX 257 3825 COLUMBUS ROAD BUILDING D GRANVILLE OH 43023 310914592 501(C)(3) 19993 FOR GENERAL SUPPORT LICKING COUNTY COMMUNITY HEALTH CARE 144 W MAIN ST NEWARK OH 43055 311340169 501(C)(3) 7500 FOR GENERAL SUPPORT LICKING COUNTY HISTORICAL SOCIETY PO BOX 785 NEWARK OH 430580785 310713996 501(C)(3) 22055 FOR GENERAL SUPPORT LICKING COUNTY HOPE 12 NEAL AVENUE NEWARK OH 43055 823291462 501(C)(3) 7500 FOR GENERAL SUPPORT LICKING COUNTY HUMANE SOCIETY 825 THORNWOOD DR HEATH OH 430569320 316062704 501(C)(3) 59044 FOR GENERAL SUPPORT LICKING COUNTY JAIL MINISTRIES PO BOX 535 503 HULL ST NEWARK OH 430580535 311302289 501(C)(3) 27190 FOR GENERAL SUPPORT LICKING COUNTY JOB & FAMILY SERVICES 74 SOUTH SECOND STREET PO BOX 5030 NEWARK OH 430585030 316400074 501(C)(3) 85500 FOR GENERAL SUPPORT LICKING MEMORIAL HEALTH FOUNDATION 1320 WEST MAIN STREET NEWARK OH 43055 311096217 501(C)(3) 75863 FOR GENERAL SUPPORT LICKING MEMORIAL HOSPITAL 1320 W MAIN ST NEWARK OH 43055 314379519 501(C)(3) 7254 FOR GENERAL SUPPORT LICKING PARK DISTRICT PO BOX 590 4309 LANCASTER RD GRANVILLE OH 43023 316400074 501(C)(3) 5068 FOR GENERAL SUPPORT MENTAL HEALTH AMERICA OF LICKING COUNTY INC 65 MESSIMER DR NEWARK OH 43055 314421855 501(C)(3) 59160 FOR GENERAL SUPPORT MORE LIFE CHURCH 1718 EAST MAIN ST NEWARK OH 43055 201476342 501(C)(3) 15000 FOR GENERAL SUPPORT NATIONWIDE CHILDREN'S HOSPITAL FOUNDATION 525 EAST MOUND STREET COLUMBUS OH 43215 311036370 501(C)(3) 19676 FOR GENERAL SUPPORT NEW YORK ZEN CENTER FOR CONTEMPLATIVE CARE 110 W 23RD ST 401 NEW YORK NY 10011 208452673 501(C)(3) 25000 FOR GENERAL SUPPORT NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501(C)(3) 310237 FOR GENERAL SUPPORT NEWARK-GRANVILLE SYMPHONY ORCHESTRA PO BOX 566 GRANVILLE OH 43023 202823408 501(C)(3) 32639 FOR GENERAL SUPPORT OHIO STATE LEGAL SERVICES ASSOCIATION 1108 CITY PARK AVENUE SUITE 200 COLUMBUS OH 43206 310718185 501(C)(3) 25000 FOR GENERAL SUPPORT OHIO UNIVERSITY SOUTHERN 1804 LIBERTY AVENUE IRONTON OH 45638 316402269 501(C)(3) 21019 FOR GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF CENTRAL OHIO 711 E LIVINGSTON AVE COLUMBUS OH 43205 310890152 501(C)(3) 17961 FOR GENERAL SUPPORT SECOND PRESBYTERIAN CHURCH FINANCIAL OFFICE PO BOX 428 NEWARK OH 430580428 314444526 501(C)(3) 79235 FOR GENERAL SUPPORT SIMON KENTON COUNCIL BOY SCOUTS OF AMERICA 807 KINNEAR RD COLUMBUS OH 43212 314388520 501(C)(3) 10157 FOR GENERAL SUPPORT SOAR INC PO BOX 388 BALSAM NC 28707 581505954 501(C)(3) 10000 FOR GENERAL SUPPORT ST FRANCIS DE SALES CHURCH 66 GRANVILLE ST NEWARK OH 43055 314379546 501(C)(3) 21000 FOR GENERAL SUPPORT ST VINCENT DE PAUL HOUSING FACILITIES INC 115 WILSON STREET NEWARK OH 43055 800191758 501(C)(3) 36000 FOR GENERAL SUPPORT THE DAWES ARBORETUM 7770 JACKSONTOWN RD SE NEWARK OH 43056 314379601 501(C)(3) 11589 FOR GENERAL SUPPORT THE FOOD PANTRY NETWORK OF LICKING COUNTY 1035 BRICE ST NEWARK OH 43055 311028761 501(C)(3) 31801 FOR GENERAL SUPPORT THE SALVATION ARMY PO BOX 774 250 E MAIN ST NEWARK OH 430580774 340714378 501(C)(3) 46542 FOR GENERAL SUPPORT THE TURBAN PROJECT 7871 RIDGE RD FRAZEYSBURG OH 43822 364739704 501(C)(3) 5500 FOR GENERAL SUPPORT THE WORKS OHIO CENTER FOR HISTORY ART & TECHNOLOGY 55 S FIRST ST NEWARK OH 43055 311395941 501(C)(3) 58772 FOR GENERAL SUPPORT TRINITY EPISCOPAL CHURCH 76 E MAIN ST NEWARK OH 43055 310537481 501(C)(3) 20603 FOR GENERAL SUPPORT UNITED WAY OF LICKING COUNTY PO BOX 4490 NEWARK OH 430584490 314379455 501(C)(3) 25536 FOR GENERAL SUPPORT WEATHERVANE PLAYHOUSE PO BOX 607 NEWARK OH 430580607 237420666 501(C)(3) 56227 FOR GENERAL SUPPORT MARSHALL UNIVERSITY FOUNDATION INC 519 JOHN MARSHALL DRIVE HUNTINGTON WV 25703 556011111 501(C)(3) 7003 FOR GRADUATE SCHOLARSHIPS IN THE PSYCHOLOGY DEPARTMENT AS A MEMORIAL TO DR. M. H. FEIL LICKINGKNOX GOODWILL INDUSTRIES PO BOX 828 55 S 5TH ST NEWARK OH 430580828 310921782 501(C)(3) 29500 FOR SCHOLARSHIP DISBURSEMENT IN LICKING COUNTY, SESSION 1, 2020 NEWARK CITY SCHOOLS 621 MOUNT VERNON ROAD NEWARK OH 430554615 316400796 115 10827 FOR SCHOLARSHIPS FOR ANY TYPE OF ADVANCED EDUCATION BEYOND HIGH SCHOOL FOR ANY GRADUATE(S) OF THE NEWARK, OHIO PUBLIC SCHOOL SYSTEM THE WOODLANDS SERVING CENTRAL OHIO INC 195 UNION ST STE B 1 NEWARK OH 43055 310711374 501(C)(3) 33392 FOR THE CENTER FOR NEW BEGINNINGS SHELTER AND SERVICES NEWARK CAMPUS DEVELOPMENT FUND PO BOX 4217 NEWARK OH 430584217 311062282 501(C)(3) 59544 IN SUPPORT OF THE JOHN & MARY ALFORD CENTER LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM 62 E STEVENS ST NEWARK OH 43055 310805576 501(C)(3) 6943 LC COVID-19 RELIEF FUND GRANT LOOK UP MINISTRIES 50 OBANNON AVENUE NEWARK OH 43055 200408127 501(C)(3) 14500 LC COVID-19 RELIEF FUND GRANT PATHWAYS OF CENTRAL OHIO 1627 BRYN MAWR DRIVE NEWARK OH 43055 310836725 501(C)(3) 10000 LC COVID-19 RELIEF FUND GRANT AMERICAN RED CROSS 143 S 30TH STREET NEWARK OH 43055 530196605 501(C)(3) 30082 CARES ACT NONPROFIT RELIEF PHILANTHROPY OHIO 500 S FRONT ST SUITE 900 COLUMBUS OH 432157628 311111842 501(C)(3) 25000 STRATEGIC GRANT CENTRAL OHIO TECHNICAL COLLEGE OFFICE OF FINANCIAL AID 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501(C)(3) 24450 TO BE USED FOR SCHOLARSHIPS AND OTHER COLLEGE USES THE OHIO STATE UNIVERSITY AT NEWARK 1179 UNIVERSITY DRIVE NEWARK OH 43055 311145986 501(C)(3) 17609 TO BE USED FOR SCHOLARSHIPS AND OTHER COLLEGE USES LAKEWOOD LOCAL SCHOOLS PO BOX 70 525 EAST MAIN STREET HEBRON OH 43025 316402659 115 5154 TO SUPPORT THE 8TH GRADE WASHINGTON, D.C. TRIP. EXPLORE LICKING COUNTY 5 SOUTH 3RD STREET NEWARK OH 43055 501(C)(3) 10000 TO SUPPORT THE PROMOTION OF THE ARTS IN LICKING COUNTY WHEN THE ARTS CAN RESUME FULL OPERATION LICKING COUNTY DOG SHELTER & ADOPTION CENTER 544 DOG LEG ROAD HEATH OH 43056 501(C)(3) 6000 TO SUPPORT THE SPAY OR NEUTER OF ADOPTABLE DOGS CITY OF NEWARK 40 W MAIN ST 2ND FLOOR NEWARK OH 43055 316400237 115 137620 VARIOUS COMMUNITY PARK PROJECTS LICKING COUNTY EDUCATIONAL SERVICE CENTER 145 N QUENTIN RD NEWARK OH 43055 316400655 501(C)(3) 7000 WORKFORCE DEVELOPMENT GRANT 91 SCHOLARSHIPS 262 1056897 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 130405 0 0 0 0 0 6725 0 22337 0 159467 0 0 0 DAVID TRAUTMAN TIM LEHMAN SEE PART V 233343 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 AN OFFICER OF PARK NATIONAL BANK. PARK NATIONAL BANK'S TRUST DEPARTMENT MANAGED A MAJORITY OF THE FOUNDATION'S INVESTMENT PORTFOLIO. X 26 543881 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, COMMUNICATIONS AND PROGRAM 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 -1,153,340. 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 2761 2201236 LCF LICKING COUNTY FND INVEST II LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 0 397750 LCF LICKING COUNTY FOUNDATION PROGRAMS LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 0 660547 LCF LICKING COUNTY FOUNDATION PRESERVATION 30 N SECOND ST NEWARK OH 43058 815058611 REAL ESTATE OH 0 3584457 LCF LCF FOUNDATION LLC 30 N SECOND ST NEWARK OH 43058 311760702 REAL ESTATE OH 35 803242 LCF 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0