PFLEIDERER WARSAW HIGH SCHOOL IRRV SCHOLARSHIP TR: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PFLEIDERER WARSAW HIGH SCHOOL IRRV SCHOLARSHIP TR (EIN 35-6720299)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2021-10-19
- IRS object ID
- 202142929349100204
- 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
- Borrowed Funds Election
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-19T09:00:22-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 356720299 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PFLEIDERER WARSAW COMM SCHOLARSHIP XXX-XX-XXXX | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PFLE | 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 | Vice President | PersonTitleTxt |
| Phone | 5742352790 | PhoneNum |
| Signature | 2021-10-14 | 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 | $2,472,415 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends Rev And Expnss | $28,768 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $28,768 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $28,768 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $94,919 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $207,811 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $94,919 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $123,687 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $123,687 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $28,768 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $18,885 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $4,534 | CompOfcrDirTrstNetInvstIncmAmt |
| 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 | $1,400 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,400 | 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 | $348 | 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 Rev And Expnss | $495 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $21,128 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $5,934 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $101,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $101,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $122,128 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $5,934 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $101,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,559 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $117,753 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $28,768 | 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 | $12,801 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $30,804 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $30,804 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $997,791 | CorporateStockBOYAmt |
| Corporate Stock EOY | $975,319 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,847,694 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $585,009 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $590,747 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $593,917 | CorporateBondsEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,595,601 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,596,870 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,472,415 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $1,595,601 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,596,870 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,595,601 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,596,870 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,595,601 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,596,870 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,595,601 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,559 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,597,160 | SubtotalAmt |
| Other Decreases | $290 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,596,870 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (12 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 2901.169 VANGUARD TOTAL BD MKT IDX ADM | 2020-12-22 | 2021-02-09 | $33,276 | $32,234 | $1,042 | $1,042 | |
| 3420.67 DODGE & COX INCOME FUND | 2018-06-21 | 2021-02-24 | $49,394 | $45,974 | $3,420 | $3,420 | |
| .88948 NATIXIS LOOMIS SAY INV GR-N2 | 2020-12-21 | 2021-02-24 | $10 | $10 | |||
| 1143.78552 NATIXIS LOOMIS SAY INV GR-N2 | 2020-12-21 | 2021-02-24 | $13,165 | $12,202 | $963 | $963 | |
| 627.287 FIDELITY CONTRA FUND #022 | 2017-06-14 | 2021-07-09 | $12,000 | $7,221 | $4,779 | $4,779 | |
| 1324.855 FIDELITY CONTRA FUND #022 | 2017-06-14 | 2021-07-20 | $25,000 | $15,251 | $9,749 | $9,749 | |
| CAPITAL GAIN DIVIDENDS | $74,966 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,966 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,966 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,966 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,966 | P | |||||
| CAPITAL GAIN DIVIDENDS | $74,966 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $94,919 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,637 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,637 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,637 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,005 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $2,005 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $368 | OverpaymentAmt |
| Applied To ES Tax | $368 | 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 | false | 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 | 5742352790 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MICHIGAN STREET | 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 | 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| 1ST SOURCE BANK | ||||||
| PO BOX 1602 | SOUTH BEND | IN | 46634 | TRUSTEE | 1 | $18,885 |
| JULIE DIFFENDARFER | ||||||
| 325 S LAKE STREET | WARSAW | IN | 46580 | MEMBER | 1 | $0 |
| MAUREEN HALL | ||||||
| 325 S LAKE STREET | WARSAW | IN | 46580 | MEMBER | 1 | $0 |
| JOHN HALL | ||||||
| 325 S LAKE STREET | WARSAW | IN | 46580 | MEMBER | 1 | $0 |
| TOM TEARNEY | ||||||
| 325 S LAKE STREET | WARSAW | IN | 46580 | MEMBER | 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 | $2,306,258 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,306,258 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,306,258 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $34,594 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,271,664 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $113,583 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $113,583 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,637 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,637 | TotalTaxAmt |
| Distributable Before Adj | $111,946 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $111,946 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $111,946 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $102,704 | 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 | $102,704 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $102,704 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $111,946 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $102,704 | 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 | $102,704 | QualifyingDistributionsAmt |
| Applied To Year1 | $102,704 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | 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 | $111,946 | 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 (34 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 |
|---|---|---|---|---|---|---|---|---|
| ELLA DOYLE | ||||||||
| 3346 N KNOLLWOOD DR | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| MADISON HART | ||||||||
| 1900 SELWYN AVENUE | CHALOTTE | NC | 28207 | NONE | I | SCHOLARSHIP | $3,000 | QUEENS UNIVERSITY OF CHARLOTTE |
| IAN PELOZA | ||||||||
| 1 SOUTH GROVE STREET | WESTERVILLE | OH | 43081 | NONE | I | SCHOLARSHIP | $3,000 | OTTERBEIN UNIVERSITY BUSINESS OFFICE |
| KATHERINE SCHMIDT | ||||||||
| 635 N HARRISON | WARASW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| MCKENNA HAWBLITZEL | ||||||||
| 23 EMS C27B LANE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $2,000 | |
| ELIZABETH SCHMIDT | ||||||||
| 635 N HARRISON STREET | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| COURTNEY THOMPSON | ||||||||
| 2324 S STONEBRIDGE ROAD | WARSAW | IN | 46580 | NONE | INDIVIDUAL | SCHOLARSHIP | $3,000 | |
| ISABEL RAY | ||||||||
| 179 S HUNTERS RIDGE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| DELANEY TAYLOR | ||||||||
| 1780 W BUSINESS 30 | COLUMBIA CITY | IN | 46725 | NONE | I | SCHOLARSHIP | $3,000 | |
| NICHOLAS BAZZONI | ||||||||
| 2005 WESTWOOD RD | WINONA LAKE | IN | 46590 | NONE | I | SCHOLARSHIP | $3,000 | |
| JACK STEWART | ||||||||
| 250 GILLIAM DR S | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| AMSLIE HOWETT | ||||||||
| 3227 S PACKERTON RD | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | PURDUE UNIVERSITY |
| ANNIE WOTTRING | ||||||||
| 70 EMS C24E LANE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| WILSON SECAUR | ||||||||
| 1103 E MAIN ST | WARSAW | IN | 46580 | NONE | INDIVIDUAL | SCHOLARSHIP | $3,000 | |
| JOSHUA FISHER | ||||||||
| 179 EMS C31 LANE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| JENNIFER STRAITS | ||||||||
| 803 SHARON ST | WINONA LAKE | IN | 46590 | NONE | I | SCHOLARSHIP | $3,000 | |
| DAYNE KOONTZ | ||||||||
| 2035 DEER TRAIL | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| KENDALL WAYNE | ||||||||
| 2104 SALLY STREET | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| SAMUEL LECHLITNER | ||||||||
| 2797 E WILCOX ROAD | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| NATHANIEL LECHLITNER | ||||||||
| 2797 E WILCOX ROAD | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| MICHAEL RAY | ||||||||
| 179 S HUNTERS RIDGE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| MADISON MORGAN | ||||||||
| 203 7TH STREET | WINONA LAKE | IN | 46590 | NONE | I | SCHOLARSHIP | $3,000 | |
| RACHEL SMITH | ||||||||
| 2866 W 400 N | WARSAW | IN | 46582 | NONE | INDIVIDUAL | SCHOLARSHIP | $3,000 | |
| JOSEPH SPRINGER | ||||||||
| 1913 INDIAN TRAIL | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| ALEXANDRA KOONTZ | ||||||||
| 2035 DEER TRAIL | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| BAYLEE DUNCAN | ||||||||
| 10113 S STATE ROAD 15 | SILVER LAKE | IN | 46982 | NONE | I | SCHOLARSHIP | $3,000 | |
| BRITTANY DUNCAN | ||||||||
| 10113 S STATE ROAD 15 | SILVER LAKE | IN | 46982 | NONE | I | SCHOLARSHIP | $3,000 | |
| HOPE STRUNK | ||||||||
| 8787 W ALMEDA AVENUE | LAKEWOOD | CO | 80226 | NONE | I | SCHOLARSHIP | $3,000 | COLORADO CHRISTIAN UNIVERSITY |
| CARTER SCHUH | ||||||||
| 2805 WIDAMAN ST | WINONA LAKE | IN | 46590 | NONE | I | SCHOLARSHIP | $3,000 | |
| JACOB KISSLING | ||||||||
| 3325 N KNOLLWOOD DRIVE | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| KATHRINE JOSELLIS | ||||||||
| 2285 E LAURIEN CT | WARSAW | IN | 46582 | NONE | I | SCHOLARSHIP | $3,000 | |
| LYDIA HARRISION | ||||||||
| 1317 HARTZLER STREET | WARSAW | IN | 46580 | NONE | INDIVIDUAL | SCHOLARSHIP | $3,000 | |
| ELIZABETH YEITER | ||||||||
| 810 TIMBER LANE | WINONA LAKE | IN | 46590 | NONE | INDIVIDUAL | SCHOLARSHIP | $3,000 | |
| EMMA SPENCER | ||||||||
| 2229 S PAXTON DRIVE | WARSAW | IN | 46580 | NONE | I | SCHOLARSHIP | $3,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $101,000 | 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 | $28,768 | 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 | $94,919 | 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 | $123,687 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $123,687 | 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 | $1,400 | Amt |
| Net Investment Income | $1,400 | NetInvestmentIncomeAmt |
Borrowed Funds Election BorrowedFundsElection
Borrowed Funds BorrowedFundsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1ST SOURCE BANK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1602 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46634 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Borrowed | $1,704 | BorrowedAmt |
| Use Of Borrowed Funds | ADMINISTRATION | UseOfBorrowedFundsTxt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (8 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BLACKROCK STRAT INC OPP INS | $47,357 | $48,077 |
| FED HER OPP HIGH YIELD BD-IN | $54,595 | $54,300 |
| TEMPLETON GLOBAL BOND FUND | $34,103 | $23,494 |
| VANGUARD S/T INVEST GR-ADM | $126,083 | $129,286 |
| DODGE & COX INCOME FUND | $186,378 | $195,220 |
| LORD ABBETT SHRT DUR INC | $124,184 | $123,886 |
| NATIXIS LOOMIS SAY INV GR-Y | $18,047 | $19,654 |
| VANGUARD TOTAL BD MKT IDX ADM |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (8 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BOSTON PARTNERS INV ALL CAP VA | $243,344 | $485,737 |
| FIDELITY CONTRAFUND | $278,718 | $687,850 |
| ISHARES MSCI EAFE ETF | $34,960 | $47,508 |
| AMER FNDS NEW WORLD | $68,616 | $117,336 |
| T ROWE PR MID CAP GROW | $53,348 | $106,785 |
| MFS INTERNATIONAL GROWTH-R6 | $117,751 | $163,585 |
| SPDR S&P DIVIDEND ETF | $100,664 | $124,721 |
| VANGUARD STRAT SM CAP EQ | $77,918 | $114,172 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIFFERENCE DUE TO TIMING/ROUNDING | Desc |
| Amt | $290 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES ON QUALIFIED FOR | $347 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $1 | $0 | $0 |
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