1ST SOURCE BANK FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- 1ST SOURCE BANK FOUNDATION INC (EIN 35-6034211)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-18
- IRS object ID
- 202132919349100903
- Schema version
- 2020v4.1
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-18T10:00:25-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 356034211 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1ST SOURCE FOUNDATION 480008010 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
| Phone | 5742352790 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1602 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46634 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA STEARNS | PersonNm |
| Person Title | OFFICER | PersonTitleTxt |
| Phone | 5742352790 | PhoneNum |
| Signature | 2021-10-11 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| 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 | $42,642,799 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends Rev And Expnss | $826,963 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $826,963 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $826,963 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,860,678 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $8,193,474 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,860,678 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $2,687,641 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,687,641 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $826,963 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $130,379 | CompOfcrDirTrstRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,900 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,900 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $17,421 | TaxesRevAndExpnssAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $24,285 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $173,985 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,900 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,807,976 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,807,976 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,981,961 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,900 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,807,976 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $705,680 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,685,741 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $826,963 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| US Government Obligations BOY | $968,753 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $854,554 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $854,554 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $20,817,823 | CorporateStockBOYAmt |
| Corporate Stock EOY | $19,938,849 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $32,479,264 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $7,108,228 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $8,719,665 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $8,997,503 | CorporateBondsEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $195,628 | OtherAssetsBOYAmt |
| Other Assets EOY | $258,217 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $311,478 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $29,090,432 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,771,285 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $42,642,799 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $29,090,432 | CapitalStockBOYAmt |
| Capital Stock EOY | $29,771,285 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $29,090,432 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $29,771,285 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $29,090,432 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $29,771,285 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $29,090,432 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $705,680 | ExcessRevenueOverExpensesAmt |
| Other Increases | $2,109 | OtherIncreasesAmt |
| Subtotal | $29,798,221 | SubtotalAmt |
| Other Decreases | $26,936 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $29,771,285 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (76 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 8521.517 OAKMARK INTERNATIONAL-INST | 2015-10-13 | 2020-01-31 | $200,000 | $203,400 | -$3,400 | -$3,400 | |
| 6000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-09-19 | 2020-01-31 | $1,077,781 | $625,705 | $452,076 | $452,076 | |
| 5954.947 OAKMARK INTERNATIONAL-INST | 2015-10-13 | 2020-02-24 | $135,415 | $137,611 | -$2,196 | -$2,196 | |
| 1000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-09-19 | 2020-02-24 | $181,763 | $103,580 | $78,183 | $78,183 | |
| 15114.873 DODGE & COX INTL STOCK FUND | 2017-12-19 | 2020-03-11 | $500,000 | $683,140 | -$183,140 | -$183,140 | |
| 1637.065 DODGE & COX INTL STOCK FUND | 2019-12-19 | 2020-03-23 | $43,038 | $71,163 | -$28,125 | -$28,125 | |
| 26452.442 DODGE & COX INTL STOCK FUND | 2018-12-19 | 2020-03-23 | $695,435 | $968,337 | -$272,902 | -$272,902 | |
| 63524.151 LORD ABBETT SHRT DUR INC-I | 2020-01-31 | 2020-03-23 | $245,838 | $268,707 | -$22,869 | -$22,869 | |
| 47237.372 LORD ABBETT SHRT DUR INC-I | 2020-01-31 | 2020-03-24 | $181,864 | $199,814 | -$17,950 | -$17,950 | |
| 55712.397 LORD ABBETT SHRT DUR INC-I | 2020-01-31 | 2020-03-26 | $215,607 | $235,181 | -$19,574 | -$19,574 | |
| 500. GENERAL DYNAMICS CORP | 2017-06-20 | 2020-04-21 | $65,588 | $102,485 | -$36,897 | -$36,897 | |
| 3000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-09-15 | 2020-06-02 | $556,847 | $309,839 | $247,008 | $247,008 | |
| 100000. INTERCONTINENTAL EX 2.750% 12/01/20 | 2016-05-18 | 2020-06-25 | $100,840 | $100,273 | $567 | $567 | |
| 100000. ALIBABA GROUP HLDG 3.600% 11/28/24 | 2018-06-01 | 2020-07-09 | $109,137 | $98,622 | $10,515 | $10,515 | |
| 2500. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-09-09 | 2020-08-03 | $524,285 | $255,706 | $268,579 | $268,579 | |
| 737.76 FNMA PL #MA4073 3.000% 6/01/40 | 2020-06-10 | 2020-08-25 | $738 | $778 | -$40 | -$40 | |
| 2706. ENBRIDGE INCORPORATED | 2012-09-17 | 2020-09-08 | $85,011 | $82,329 | $2,682 | $2,682 | |
| 2032.52 T ROWE PR MID CAP GROW-I | 2015-07-22 | 2020-09-08 | $200,000 | $167,008 | $32,992 | $32,992 | |
| 1242.42 FNMA PL #MA4073 3.000% 6/01/40 | 2020-06-10 | 2020-09-25 | $1,242 | $1,309 | -$67 | -$67 | |
| 7714. ISHARES MSCI EAFE ETF | 2019-03-15 | 2020-10-22 | $498,435 | $470,281 | $28,154 | $28,154 | |
| 1000. NUCOR CORP | 2012-09-19 | 2020-10-22 | $49,275 | $39,920 | $9,355 | $9,355 | |
| 1639.82 FNMA PL #MA4073 3.000% 6/01/40 | 2020-06-10 | 2020-10-25 | $1,640 | $1,726 | -$86 | -$86 | |
| 8000. LAKELAND FINANCIAL CORP | 2017-10-05 | 2020-11-03 | $417,457 | $388,720 | $28,737 | $28,737 | |
| 3134. ISHARES MSCI EAFE ETF | 2016-09-15 | 2020-11-04 | $202,385 | $182,138 | $20,247 | $20,247 | |
| 8000. LAKELAND FINANCIAL CORP | 2017-10-05 | 2020-11-04 | $400,044 | $164,308 | $235,736 | $235,736 | |
| 5000. LAKELAND FINANCIAL CORP | 1994-12-26 | 2020-11-06 | $252,039 | $13,958 | $238,081 | $238,081 | |
| 2000. LAKELAND FINANCIAL CORP | 1994-12-26 | 2020-11-09 | $107,326 | $5,583 | $101,743 | $101,743 | |
| 5000. LAKELAND FINANCIAL CORP | 1994-12-26 | 2020-11-10 | $276,523 | $13,958 | $262,565 | $262,565 | |
| 4000. LAKELAND FINANCIAL CORP | 1994-12-26 | 2020-11-12 | $210,689 | $11,167 | $199,522 | $199,522 | |
| 2451.07 FNMA PL #MA4073 3.000% 6/01/40 | 2020-06-10 | 2020-11-25 | $2,451 | $2,575 | -$124 | -$124 | |
| 1100. CHEVRONTEXACO CORP | 2016-08-24 | 2020-12-04 | $102,294 | $110,351 | -$8,057 | -$8,057 | |
| 2400. INTEL CORP | 2012-09-17 | 2020-12-04 | $125,082 | $61,384 | $63,698 | $63,698 | |
| 500. JOHNSON & JOHNSON CO | 2004-06-09 | 2020-12-04 | $74,974 | $28,498 | $46,476 | $46,476 | |
| 176. LOCKHEED MARTIN CORP DEL COM | 2020-04-21 | 2020-12-04 | $64,463 | $68,167 | -$3,704 | -$3,704 | |
| 1735.207 T ROWE PR MID CAP GROW-I | 2015-07-22 | 2020-12-04 | $200,000 | $142,578 | $57,422 | $57,422 | |
| 517. VIATRIS INC | 2004-06-09 | 2020-12-04 | $8,974 | $7,824 | $1,150 | $1,150 | |
| .7812 VIATRIS INC | 2004-06-09 | 2020-12-07 | $14 | $12 | $2 | $2 | |
| 4444.97 FNMA PL #MA4073 3.000% 6/01/40 | 2020-06-10 | 2020-12-25 | $4,445 | $4,661 | -$216 | -$216 | |
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,535 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,860,678 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $37,332 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $37,332 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $37,332 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $64,641 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $64,641 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $27,309 | OverpaymentAmt |
| Applied To ES Tax | $27,309 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | IN | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (true) | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1ST SOURCE BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5742352119 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MICHIGAN | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46601 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | Yes (true) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2011 | UndistributedIncomePY1Yr |
| Undistr Incm Sect4942a2 Not App | Yes (true) | UndistrIncmSect4942a2NotAppInd |
| 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 (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| CHRISTOPHER J MURPHY | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | PRESIDENT | 1 | $0 |
| JAMES SEITZ | ||||||
| 100 N MICHIGAN | SOITH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| JOHN AFFLECK GRAVES | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| JOHN PHAIR | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| 1ST SOURCE BANK | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | TRUSTEE | 0 | $130,379 |
| ANDREA SHORT | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | VICE PRESIDENT | 1 | $0 |
| RON ZELTWANGER | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| KEVIN MURPHY | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | TREASURER | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $41,276,857 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $41,276,857 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $41,276,857 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $619,153 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $40,657,704 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $2,032,885 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $2,032,885 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $37,332 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $37,332 | TotalTaxAmt |
| Distributable Before Adj | $1,995,553 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,995,553 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,995,553 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,807,976 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $1,807,976 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,807,976 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,995,553 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $1,762,530 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,807,976 | QualifyingDistributionsAmt |
| Applied To Year1 | $1,762,530 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $45,446 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $1,950,107 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (83 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| PORTER HOSPITAL LLC | ||||||||
| 85 E US HIGHWAY 6 | VALPARAISO | IN | 46383 | NONE | HOSPITAL | SUPPORT | $20,000 | |
| PARKVIEW HOSPITAL INC | ||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46895 | NONE | SOUNK | SUPPORT | $40,000 | |
| UNITED WAY OF MARSHALL COUNTY | ||||||||
| 2701 NORTH MICHIGAN STREET | PLYMOUTH | IN | 46563 | NONE | PC | GENERAL SUPPORT | $33,332 | |
| UNITED WAY OF WHITLEY COUNTY | ||||||||
| PO BOX 464 | COLUMBIA CITY | IN | 46725 | NONE | PC | CHARITABLE CONTRIBUTION | $2,512 | |
| DISMAS INC | ||||||||
| 521 S ST JOSEPH STREET | SOUTH BEND | IN | 46601 | NONE | PC | GENERAL SUPPORT | $10,000 | DISMAS HOUSE OF INDIANA |
| SOUTH BEND HERITAGE FOUNDATION | ||||||||
| 803 LINCOLNWAY WEST | SOUTH BEND | IN | 46616 | NONE | PC | CHARITABLE CONTRIBUTION | $3,000 | |
| IU HEALTH ARNETT INC | ||||||||
| 5346 RELIABLE PARKWAY | CHICAGO | IL | 60686 | NONE | PC | SUPPORT | $5,500 | |
| KELLY CARES | ||||||||
| FOOTBALL 101 GUGLIELMINO COMPLEX | SOUTH BEND | IN | 46617 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| SOUTH BEND PARKS FOUNDATION INC | ||||||||
| 301 S ST LOUIS BLVD | SOUTH BEND | IN | 46617 | NONE | PC | STUDEBAKER ELECTRIC | $45,000 | SOUTH BEND VENUES PARKS & ARTS |
| UNITED WAY OF WELLS COUNTY | ||||||||
| 122 LAMAR STREET SUITE 118 | BLUFFTON | IN | 46714 | NONE | PC | CHARITABLE CONTRIBUTION | $6,199 | |
| MARSHALL COUNTY BLUEBERRY FESTIVAL | ||||||||
| P O BOX 639 | PLYMOUTH | IN | 46563 | NONE | NONE | CHARITABLE CONTRIBUTION | $5,000 | |
| CRIME STOPPERS INC | ||||||||
| COORDINATOR | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $1,000 | OFFICER KAYLA MILLER |
| HABITAT FOR HUMANITY | ||||||||
| 402 EAST SOUTH STREET | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | OF ST JOSEPH COUNTY |
| YMCA OF MICHIANA INC | ||||||||
| 1201 NORTHSIDE BOULEVARD | SOUTH BEND | IN | 46615 | NONE | PC | CHARITABLE CONTRIBUTION | $2,500 | |
| UNITED WAY OF GREATER LAPORTE COUNTY | ||||||||
| 115 EAST 4TH STREET | MICHIGAN CITY | IN | 46360 | NONE | NONE | CHARITABLE CONTRIBUTION | $35,291 | KRISTIE PATE |
| COMMUNITY HOSPITAL OF BREMEN | ||||||||
| 615 N MICHIGAN STREET | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $15,000 | |
| ST VINCENT DEPAUL SOCIETY | ||||||||
| 520 CRESCENT AVENUE | SOUTH BEND | IN | 466171920 | NONE | PC | VINTAGE SPONSOR | $2,500 | OF ST JOSEPH COUNTY |
| UNITED WAY OF ALLEN COUNTY | ||||||||
| 334 E BERRY STREET | FORT WAYNE | IN | 468022708 | NONE | PC | CHARITABLE CONTRIBUTION | $52,865 | |
| GRACE COLLEGE | ||||||||
| 200 SEMINARY DRIVE | WINONA LAKE | IN | 46590 | NONE | PC | SOCCER FIELD | $10,000 | |
| MEMORIAL HOSPITAL OF SOUTH BEND INC | ||||||||
| 615 N MICHIGAN ST | SOUTH BEND | IN | 466019986 | NONE | PC | SUPPORT | $40,000 | ATTN DAVE POWER |
| ST MARY'S COLLEGE | ||||||||
| 141 LEMANS HALL | NOTRE DAME | IN | 46556 | NONE | PC | GENERAL SUPPORT | $37,500 | ATTN BURSAR'S OFFICE |
| UNIVERSITY OF NOTRE DAME | ||||||||
| 1400 EAST ANGELA BLVD UNIT 148 | SOUTH BEND | IN | 46617 | NONE | GROUP | CHARITABLE CONTRIBUTION | $5,000 | ATTN NICK SWISHER |
| YWCA NORTHEAST INDIANA INC | ||||||||
| 5920 DECATUR ROAD | FORT WAYNE | IN | 46816 | NONE | NONE | CHARITABLE CONTRIBUTION | $5,000 | |
| YWCA NORTH CENTRAL INDIANA | ||||||||
| 1102 S FELLOWS ST | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $50,000 | ATTN SUSAN TYBON |
| ELKHART GENERAL HOSPITAL FOUNDATION | ||||||||
| 600 E BLVD | ELKHART | IN | 46514 | NONE | NONE | CHARITABLE CONTRIBUTION | $20,000 | MR JOHN HOUSAND |
| UNITED WAY OF GREATER LAFAYETTE | ||||||||
| 1114 EAST STATE STREET | LAFAYETTE | IN | 47905 | NONE | PC | CHARITABLE CONTRIBUTION | $13,534 | |
| JUNIOR ACHIEVEMENT OF NO INDIANA | ||||||||
| 550 E WALLEN ROAD | FORT WAYNE | IN | 46825 | NONE | NONE | CHARITABLE CONTRIBUTION | $20,000 | |
| BASHOR HOMES EDUCATION ENDOWMENT FND | ||||||||
| PO BOX 843 | GOSHEN | IN | 46527 | NONE | NONE | CHARITABLE CONTRIBUTION | $40,000 | DON PHILLIPS |
| UNITED WAY OF ELKHART & LAGRANGE | ||||||||
| P O BOX 3048 | ELKHART | IN | 46515 | NONE | PC | CHARITABLE CONTRIBUTION | $100,304 | |
| LOGAN CENTER | ||||||||
| 2505 EAST JEFFERSON BLVD | SOUTH BEND | IN | 46615 | NONE | PC | CHARITABLE CONTRIBUTION | $25,000 | |
| THE STANLEY CLARK SCHOOL | ||||||||
| 3123 MIAMI STREET | SOUTH BEND | IN | 46614 | NONE | PC | KALEIDOSCOPE DINNER & | $5,000 | |
| UNITED WAY OF KOSCIUSKO COUNTY | ||||||||
| PO BOX 923 | WARSAW | IN | 46581 | NONE | PC | CHARITABLE CONTRIBUTION | $20,924 | |
| FORT WAYNE RESCUE MISSION MINISTRIES | ||||||||
| 404 E WASHINGTON BLVD | FORT WAYNE | IN | 46802 | NONE | PC | GENERAL SUPPORT | $25,000 | |
| UNITED WAY OF ST JOSEPH COUNTY | ||||||||
| P O BOX 6396 | SOUTH BEND | IN | 46660 | NONE | PC | CHARITABLE CONTRIBUTION | $283,908 | |
| UNITED WAY OF DEKALB COUNTY | ||||||||
| 208 S JACKSON | AUBURN | IN | 46706 | NONE | PC | SUPPORT | $2,635 | |
| GOODWILL INDUSTRIES | ||||||||
| 1805 WESTERN AVENUE | SOUTH BEND | IN | 46619 | NONE | PC | CHARITABLE CONTRIBUTION | $12,500 | |
| PATHFINDER SERVICES | ||||||||
| 2824 THEATER AVENUE | HUNTINGTON | IN | 46750 | NONE | PC | VITA PROGRAM | $5,000 | ATTN MICHELLE BANKS |
| THE HISTORY MUSEUM | ||||||||
| 808 W WASHINGTON | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $25,000 | |
| UNITED WAY OF HUNTINGTON COUNTY | ||||||||
| PO BOX 347 | HUNTINGTON | IN | 46750 | NONE | PC | CHARITABLE CONTRIBUTION | $4,140 | |
| SJRMC - PLYMOUTH | ||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | NONE | PC | SUPPORT | $5,000 | |
| WNIT | ||||||||
| 300 WEST JEFFERSON | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $5,000 | MICHIANA PUBLIC BROADCASTING CORP |
| WOODLAWN HOSPITAL | ||||||||
| 1400 E 9TH STREET | ROCHESTER | IN | 46975 | NONE | PC | SUPPORT | $5,000 | |
| HOMEBOUND MEALS INC | ||||||||
| 611 WEST BERRY STREET | FORT WAYNE | IN | 46802 | NONE | PC | EMR AWARD | $5,000 | |
| BOYS & GIRLS CLUB OF ST JOSEPH CO | ||||||||
| 315 W JEFFERSON BOULEVARD | SOUTH BEND | IN | 46601 | NONE | PC | GREATEST KIDS SPONSOR | $100,000 | DEVELOPMENT OFFICE |
| FRANCISCAN ALLIANCE INC | ||||||||
| 3500 FRANCISCAN WAY | MICHIGAN CITY | IN | 46360 | NONE | PC | SUPPORT | $9,500 | D/B/A FRANCISCAN HEALTH MICHIGAN CIT |
| ADAMS WOODCREST | ||||||||
| 1300 MERCER AVENUE | DECATUR | IN | 46733 | NONE | NONE | SUPPORT | $10,000 | |
| THE STUDEBAKER NATIONAL MUSEUM | ||||||||
| 201 S CHAPIN STREET | SOUTH BEND | IN | 46601 | NONE | PC | HALL OF CHAMPIONS DINNER | $5,000 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | ||||||||
| 810 EAST PARK PLACE | MISHAWAKA | IN | 46545 | NONE | PC | SUPPORT | $30,000 | |
| HABITAT FOR HUMANITY OF | ||||||||
| 420 S 1ST STREET | LAFAYETTE | IN | 47905 | NONE | PC | CHARITABLE CONTRIBUTION | $7,000 | LAFAYETTE |
| THE FOUNDATION OF SJHS | ||||||||
| HEALTH SYSTEM | SOUTH BEND | IN | 46617 | NONE | NONE | CHARITABLE CONTRIBUTION | $2,500 | THE FOUNDATION OF SAINT JOSEPH |
| LAPORTE COUNTY HABITAT FOR HUMANITY | ||||||||
| 225 EAST GARFIELD STREET | MICHIGAN CITY | IN | 463618874 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | |
| SOUTH BEND ALUMNI ASSOCIATION | ||||||||
| 215 S DR MARTIN LUTHER KING JR BLV | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $7,500 | |
| HABITAT FOR HUMANITY OF ELKHART CTY | ||||||||
| P O BOX 950 | GOSHEN | IN | 46527 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| HABITAT FOR HUMANITY | ||||||||
| 2020 E WASHINGTON BLVD | FORT WAYNE | IN | 46603 | NONE | NONE | CHARITABLE CONTRIBUTION | $15,000 | OF GREATER FORT WAYNE |
| CENTER FOR THE HOMELESS | ||||||||
| 813 SOUTH MICHIGAN STREET | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $5,000 | |
| IBA FOUNDATION INC | ||||||||
| 8425 WOODFIELD CROSSING BLVD | INDIANAPOLIS | IN | 46240 | NONE | SOUNK | GENERAL SUPPORT | $2,000 | |
| SOUTH BEND-ELKHART REGIONAL FDN INC | ||||||||
| 635 S LAFAYETTE BLVD SUITE 123 | SOUTH BEND | IN | 46601 | NONE | SO | GENERAL SUPPORT | $100,000 | |
| UNITED WAY OF STARKE COUNTY | ||||||||
| P O BOX 807 | ROCHESTER | IN | 46975 | NONE | PC | CHARITABLE CONTRIBUTION | $10,171 | C/O NORTHERN INDIANA COMMUNITY FDN |
| REBUILDING TOGETHER | ||||||||
| 803 LINCOLNWAY WEST | SOUTH BEND | IN | 46616 | NONE | PC | CHRISTMAS IN APRIL | $3,500 | |
| BOYS AND GIRLS CLUB OF MARSHALL CTY | ||||||||
| 314 E JEFFERSON STREET | PLYMOUTH | IN | 46563 | NONE | PC | CHARITABLE CONTRIBUTION | $25,000 | |
| LUTHERAN HOSPITAL | ||||||||
| 15691 COLLECTIONS CTR DR | CHICAGO | IL | 606930156 | NONE | HOSPITAL | SUPPORT | $35,000 | |
| HABITAT FOR HUMANITY MARSHALL COUNTY | ||||||||
| 116 S WALNUT STREET | PLYMOUTH | IN | 46563 | NONE | PC | SUPPORT | $25,000 | |
| COMMUNITY TRANSPORTATION NETWORK | ||||||||
| 5601 INDUSTRIAL ROAD | FORT WAYNE | IN | 46825 | NONE | NONE | CHARITABLE CONTRIBUTION | $20,000 | |
| GOSHEN HOSPITAL | ||||||||
| 200 HIGH PARK AVE | GOSHEN | IN | 465270139 | NONE | PC | SUPPORT | $5,000 | |
| INDIANA SCHOOL OF MEDICINE-SO BEND | ||||||||
| 1234 N NOTRE DAME AVENUE | SOUTH BEND | IN | 46617 | NONE | PC | CHARITABLE CONTRIBUTION | $6,500 | |
| UNITED WAY OF PORTER COUNTY | ||||||||
| PO BOX 2028 | VALPARAISO | IN | 46384 | NONE | PC | CHARITABLE CONTRIBUTION | $70,691 | |
| UNITED WAY OF FULTON COUNTY | ||||||||
| P O BOX 583 | ROCHESTER | IN | 46975 | NONE | PC | CHARITABLE CONTRIBUTION | $9,421 | |
| UNITED WAY OF SOUTHWEST MICHIGAN | ||||||||
| 2015 LAKEVIEW AVE | ST JOSEPH | MI | 49085 | NONE | PC | CHARITABLE CONTRIBUTION | $30,846 | |
| BRONSON HEALTHCARE GROUP | ||||||||
| DEPT 771700 | DETROIT | MI | 482771700 | NONE | PC | SUPPORT | $10,000 | |
| UNITED WAY OF BATTLE CREEKKALAMAZOO | ||||||||
| 709 S WESTNEDGE AVENUE | KALAMAZOO | MI | 49007 | NONE | PC | CHARITABLE CONTRIBUTION | $5,703 | |
| ASCENSION BORGESS HOSPITAL | ||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | NONE | PC | SUPPORT | $10,000 | |
| YMCA OF GREATER KALAMAZOO | ||||||||
| 1001 WEST MAPLE STREET | KALAMAZOO | MI | 49008 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| SOUTHWESTERN MICHIGAN COLLEGE | ||||||||
| VP CHIEF BUSINESS OFFICER | DOWAGIAC | MI | 49047 | NONE | SOUNK | CHARITABLE CONTRIBUTION | $25,000 | ATTN SUSAN B COULSTON |
| SPECTRUM LAKELAND HEALTH | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | NONE | PC | SUPPORT | $30,000 | |
| HOSPICE AT HOME INC | ||||||||
| 445 UPTON DRIVE | ST JOSEPH | MI | 49085 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | DBA LORY'S PLACE |
| LAKELAND HEALTH FOUNDATION | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | NONE | PC | CHARITABLE DONTRIBUTION | $25,000 | |
| KALAMAZOO VLY HABITAT FOR HUMANITY | ||||||||
| 1126 GULL ROAD | KALAMAZOO | MI | 490481726 | NONE | PC | SUPPORT | $2,500 | |
| LAKELAND IMMEDIATE CARE CENTER | ||||||||
| 261 M-62 NORTH | CASSOPOLIS | MI | 49031 | NONE | PC | GENERAL SUPPORT | $25,000 | DBA CASSOPOLIS FAMILY CLINIC |
| ST JOSEPH HOSPITAL | ||||||||
| 700 BROADWAY | FORT WAYNE | IN | 46802 | NONE | HOSPITAL | SUPPORT | $5,000 | |
| KOSCIUSKO COMMUNITY HOSPITAL | ||||||||
| 13683 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | NONE | HOSPITAL | SUPPORT | $10,000 | |
| BLUFFTON REGIONAL MEDICAL CENTER | ||||||||
| 303 S MAIN STREET | BLUFFTON | IN | 46714 | NONE | HOSPITAL | SUPPORT | $5,000 | |
| DUPONT HOSPITAL LLC | ||||||||
| 2520 E DUPONT ROAD | FORT WAYNE | IN | 46825 | NONE | HOSPITAL | SUPPORT | $5,000 | |
| LAPORTE HOSPITAL | ||||||||
| 33372 COLLECTION CENTER DRIVE | CHICAGO | IL | 606930333 | NONE | HOSPITAL | SUPPORT | $5,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,807,976 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $826,963 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,860,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $2,687,641 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,687,641 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
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 | TAX PREPARATION FEES | CategoryTxt |
| Amt | $1,900 | Amt |
| Net Investment Income | $1,900 | NetInvestmentIncomeAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (23 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BLACKROCK STRAT INC OPP-INS | $739,831 | $761,646 |
| FEDERATED INST HI YLD BOND FUN | $400,000 | $399,416 |
| ISHARES IBOXX USD HIGH YIELD | $1,252,012 | $1,222,200 |
| VANGUARD S/T INVEST GR-ADM | $1,839,618 | $1,892,544 |
| ALIBABA GROUP HLDG 3.600% | ||
| AVALONBAY COMMUN MTN | $101,573 | $110,166 |
| CAPITAL ONE FINL 3.050% | $109,812 | $113,364 |
| HARLEY-DAVIDSON 3.550% | $100,063 | $101,097 |
| INTERCONTINENTAL EX 2.750% | ||
| WM WRIGLEY JR CO 3.375% | ||
| DODGE & COX INCOME FUND | $1,916,427 | $2,049,965 |
| MORGAN STANLEY BK CD 2.800% | ||
| JPMORGAN CHASE 3.900% | $102,026 | $113,604 |
| NEW YORK LIFE GLOBAL 3.000% | $155,372 | $167,417 |
| NIAGARA MOHAWK POWER | $152,571 | $164,715 |
| PNC BANK NA 4.200% | $157,232 | $172,937 |
| TOYOTA MOTOR CRT MTN | $101,096 | $108,349 |
| LORD ABBETT SHRT DUR INC-I | $558,798 | $558,424 |
| VANGUARD TOTAL BD MKT IDX | $509,202 | $532,071 |
| BIOGEN INC | $103,762 | $104,460 |
| FHLMC SER 3745 CMO | $108,057 | $107,416 |
| FNMA PL #MA4073 | $145,746 | $147,231 |
| JP MORGAN CHASE& CO 3.625% | $166,467 | $170,481 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (42 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AIR PRODUCTS & CHEMICALS INC | $45,303 | $163,932 |
| AMERICAN ELEC PWR INC | $59,814 | $116,578 |
| BRITOL MYERS SQUIBB CO | $84,835 | $93,045 |
| AUTOMATIC DATA PROCESSING INC | $57,023 | $176,200 |
| CHEVRON CORPORATION | ||
| CISCO SYSTEMS INC | $69,066 | $161,100 |
| DARDEN RESTAURANTS INC | $56,099 | $142,944 |
| ENBRIDGE INCORPORATED | ||
| GENERAL DYNAMICS CORP | ||
| HONEYWELL INTERNATIONAL INC | $67,894 | $255,240 |
| HORIZON BANCORP INC | $26,173 | $713,700 |
| INTEL CORP | ||
| JOHNSON & JOHNSON | $170,991 | $472,140 |
| KIMBERLY CLARK CORP | $97,518 | $188,762 |
| LAKELAND FINL CORP | $30,708 | $589,380 |
| LOWES COS INC | $73,116 | $144,459 |
| MCDONALDS CORP | $85,918 | $203,851 |
| METLIFE INC | $62,857 | $207,096 |
| MICROSOFT CORP | $53,865 | $400,356 |
| NIKE INC-CLASS B | $58,000 | $141,470 |
| NORFOLK SOUTHERN CORP | $65,655 | $237,610 |
| NOVARTIS AG SPONS ADR | $135,315 | $302,176 |
| NUCOR CORP | ||
| PEPSICO INC | $72,479 | $148,300 |
| PFIZER INC | $142,077 | $153,608 |
| PROCTER & GAMBLE CO | $79,404 | $166,968 |
| VERIZON COMMUNICATIONS | $98,505 | $152,750 |
| ZOETIS INC | $47,712 | $217,467 |
| DODGE & COX INTL STOCK FUND | ||
| GOLDMAN SACHS US EQ DIV/PR-I | $500,000 | $529,148 |
| ISHARES CORE S&P MID CAP ETF | $354,651 | $436,677 |
| ISHARES NASDAQ BIOTECH ETF | $238,853 | $318,129 |
| ISHARES RUSSELL 1000 VALUE ETF | $5,271,363 | $6,563,040 |
| OAKMARK INTERNATIONAL-INST | ||
| T ROWE PR MID CAP GROW-I | $429,804 | $596,844 |
| VANGUARD MSCI EMERGING MARKETS | $2,321,506 | $2,773,538 |
| ISHARES MSCI EAFE ETF | $796,364 | $1,070,907 |
| ISHARES RUSSELL 1000 GROWTH ET | $4,498,343 | $10,127,880 |
| MICROCHIP TECHNOLOGY INC | $61,534 | $138,110 |
| SPDR S&P DIVIDEND ETF | $1,060,453 | $1,146,057 |
| ISHARES RUSSELL 2000 ETF | $715,651 | $746,204 |
| MFS INTERNATIONAL GROWTH-R6 | $1,950,000 | $2,483,598 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $854,554 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $854,554 | USGovtObligationsEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| LAPORTE COMM DEVPMT PTRSHP LLC | $29,461 | $29,014 | $28,978 |
| IN COMMUNITY BUSINESS CREDIT C | $20,000 | $20,000 | $20,000 |
| NOTRE DAME PIT | $146,167 | $209,203 | $262,500 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COST BASIS ERROR FROM PRIOR YEAR | Desc |
| Amt | $26,936 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER EXPENSES | Desc |
| Revenue And Expenses Per Books | $24,285 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIFFERENCE DUE TO TIMING/ROUNDING | Desc |
| Amt | $2,109 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $4,690 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $9,602 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $3,129 | $0 | $0 |
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