2021-11-08T09:04:47-06:00 2020-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990PF 2020-01-01 356202479 ELI LILLY AND COMPANY FOUNDATION ELIL 3172762000 PO BOX 80007 INDIANAPOLIS IN 46280 TIFFANY BENJAMIN PRESIDENT 3172762000 2021-11-04 1 TIFFANY BENJAMIN XXX-XX-XXXX CASSE TATE P01271193 3175802000 2021-11-04 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 16785934 X 25000000 154346 154346 108516 108516 1868786 28216535 1868786 82542 78512 27214190 2210160 0 0 0 4547 0 0 97500 0 0 162293 23909 0 264340 23909 0 27493096 27493096 27757436 23909 27493096 -543246 2186251 714998 468252 468252 7121707 6664540 8204369 7892556 8053223 8113313 15729261 15186015 16785934 0 0 X 15729261 15186015 15729261 15186015 15729261 15186015 15729261 -543246 0 15186015 0 15186015 CORE ACTIVE P 13067441 12884521 182920 182920 EQUITY INDEX P 11555427 10500688 1054739 1054739 RUSSELL 2000 INDEX P 3040931 2962540 78391 78391 PASSTHROUGH GAINS AND LOSSES (ST) P 112783 112783 112783 PASSTHROUGH GAINS AND LOSSES (LT) P 439953 439953 439953 1868786 30389 0 30389 0 30389 143887 0 0 0 143887 0 113498 113498 0 0 0 0 0 0 0 0 0 0 0 1 1 IN 1 0 0 0 0 1 HTTPS://WWW.LILLY.COM/IMPACT/LILLY-FOUNDATION TIFFANY BENJAMIN 3172762000 LILLY CORP CTR DROP CODE 1627 INDIANAPOLIS IN 46285 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DAVID RICKS PO BOX 80007 INDIANAPOLIS IN 46280 BOARD CHAIR 1.00 0 0 0 TIFFANY BENJAMIN PO BOX 80007 INDIANAPOLIS IN 46280 PRESIDENT 1.00 0 0 0 CRYSTAL WILLIAMS PO BOX 80007 INDIANAPOLIS IN 46280 SECRETARY 1.00 0 0 0 AARTI SHAH PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 ALFONSO ZULETA PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 ANAT HAKIM PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER- PARTIAL YEAR 1.00 0 0 0 ANNE WHITE PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 DANIEL SKOVRONSKY PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 ILYA YUFFA PO BOX 80007 INDIANAPOLIS IN 46280 TREASURER- PARTIAL YEAR 1.00 0 0 0 JOHNA NORTON PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 JOSHUA SMILEY PO BOX 80007 INDIANAPOLIS IN 46280 TREASURER- PARTIAL YEAR 1.00 0 0 0 LEIGH ANN PUSEY PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 MELISSA STAPLETON BARNES PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 MICHAEL HARRINGTON PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER- PARTIAL YEAR 1.00 0 0 0 MICHAEL B MASON PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 MYLES O'NEILL PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 PATRIK JONSSON PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 STEPHEN FRY PO BOX 80007 INDIANAPOLIS IN 46280 BOARD MEMBER 1.00 0 0 0 NONE 0 KATZ SAPPER & MILLER 800 E 96TH STREET SUITE 500 INDIANAPOLIS IN 46240 ACCOUNTING AND GRANTS MANAGEMENT 97500 GLOBAL GIVING FOUNDATION 1110 VERMONT AVE SUITE 550 WASHINGTON DC 20005 ADMINISTRATION OF MATCHING GIFTS 79030 CYBERGRANTS 300 BRICKSTONE SQUARE SUITE 601 ANDOVER MA 01810 ADMINISTRATION OF MATCHING GIFTS 59354 0 0 12216530 2177956 0 14394486 0 0 14394486 215917 14178569 708928 708928 30389 30389 678539 0 678539 0 678539 27493096 0 27493096 0 27493096 678539 0 0 28461074 23386263 26227664 23968598 23033642 125077241 27493096 0 0 0 678539 26814557 0 0 151891798 0 0 0 0 0 0 28461074 123430724 23386263 26227664 23968598 23033642 26814557 X MATCHING GIFTS PAID - ADDITIONAL DETAILS REGARDING ORGANIZATIONS AVAILABLE UPON REQUEST DUE TO EFILE LIMITATIONS INDIANAPOLIS IN 46240 N/A PC MATCH OF EMPLOYEE DONATIONS 7092675 INDIANAPOLIS URBAN LEAGUE 777 INDIANA AVENUE INDIANAPOLIS IN 46202 N/A PC ENTREPRENEURSHIP CENTER 250000 INDIANA UNIVERSITY 400 E 7TH STREET POPLARS ROOM 501 BLOOMINGTON IN 474053001 N/A PC AMPATH BREAST & CERVICAL CANCER CONTROL PROGRAM 591535 TECHPOINT FOUNDATION FOR YOUTH 5255 WINTHROP AVE 4 INDIANAPOLIS IN 46220 N/A PC STEM PARTNERS AND STATE ROBOTICS INIATIVE 30000 SOCIAL AND ENVIRONMENTAL ENTREPRENEURS 23564 CALABASAS ROAD SUITE 201 CALABASAS CA 91302 N/A PC VOLUNTEER PROGRAMS 2020 13310 UNITED WAY OF CENTRAL INDIANA 2955 NORTH MERIDIAN STREET SUITE 300 INDIANAPOLIS IN 46208 N/A PC UNITED WAY CORPORATE MATCH (MATCHING OF DONATIONS BY LOCAL BUSINESSES) 964144 MINORITY ENGINEERING PROGRAM OF INDIANA 8909 PURDUE RD SUITE 130 INDIANAPOLIS IN 46268 N/A PC MEPI GENERAL OPERATING SUPPORT 2020 10000 INDIANA UNIVERSITY 400 E 7TH STREET POPLARS ROOM 501 BLOOMINGTON IN 474053001 N/A PC AMPATH MODEL REPLICATION IN GHANA 150000 INDIANAPOLIS CULTURAL TRAIL INC 132 W WALNUT STREET INDIANAPOLIS IN 46204 N/A PC INDIANAPOLIS CULTURAL TRAIL 2.0: EXPANSION ALONG SOUTH ST. 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LINE 1B IS ANSWERED "NO" BECAUSE THE SERVICES AND FACILITIES FURNISHED BY THE COMPANY TO THE FOUNDATION ARE PROVIDED WITHOUT CHARGE AND USED EXCLUSIVELY FOR SECTION 501(C)(3) PURPOSES, ONE OF THE EXCEPTIONS TO SELF-DEALING DESCRIBED IN REGULATIONS SECTION 53.4341(D)-3. CORE ACTIVE BOND FUND B 8053223 8113313 EQUITY INDEX FUND B 5471412 6566859 RUSSELL 2000 INDEX FUND B 1193128 1637510 LEGAL FEES 4547 0 0 CORE ACTIVE BOND FUND B 68248 68248 68248 EQUITY INDEX FUND B 4207 4207 4207 RUSSELL 2000 INDEX FUND B 6057 6057 6057 STOP PAY AND VOIDS 500 500 MISCELLANEOUS INCOME 3530 3530 GRANTS MANAGEMENT FEES 138384 0 0 INVESTMENT FEES 23909 23909 0