FURP.ORG / PUBLIC DATA EXPLORER

OMRON FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
OMRON FOUNDATION INC (EIN 36-3644055)
Tax period
2019-04-01 to 2020-03-31
Filed
2020-08-03
IRS object ID
202022169349100562
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-03T14:52:04-05:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363644055EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OMRON FOUNDATION INCBusinessNameLine1Txt
Business Name Line2C/O OMCABusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% JAMES P EBERHARTInCareOfNm
Business Name ControlOMROBusinessNameControlTxt
Phone8478437900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12895 GREENSPOINT PARKWAY NO 100AddressLine1Txt
CityHOFFMAN ESTATESCityNm
State AbbreviationILStateAbbreviationCd
ZIP60169ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES P EBERHARTPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2245207654PhoneNum
Signature2020-07-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHERINE KURTZMANPreparerPersonNm
PTINP01236691PTIN
Phone3128792000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,663,209FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$749,520ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$28,896InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$28,896InterestOnSavNetInvstIncmAmt
Total Rev And Expnss$778,416TotalRevAndExpnssAmt
Total Net Invst Incm$28,896TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Expenses Rev And Expnss$5,091OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$5,076OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$15OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$5,091TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,076TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$15TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$765,928ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$765,928ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$771,019TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,076TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$765,943TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$7,397ExcessRevenueOverExpensesAmt
Net Investment Income$23,820NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,576,296SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$2,663,209SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$2,663,209SavAndTempCashInvstEOYFMVAmt
Total Assets BOY$2,576,296TotalAssetsBOYAmt
Total Assets EOY$2,663,209TotalAssetsEOYAmt
Total Assets EOYFMV$2,663,209TotalAssetsEOYFMVAmt
Accounts Payable BOY$6,959AccountsPayableBOYAmt
Accounts Payable EOY$86,475AccountsPayableEOYAmt
Total Liabilities BOY$6,959TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,475TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,569,337RetainedEarningBOYAmt
Retained Earning EOY$2,576,734RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,569,337TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,576,734TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,576,296TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,663,209TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,569,337TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$7,397ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,576,734SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,576,734TotNetAstOrFundBalancesEOYAmt
FieldValueIRS element (for citing)
Cap Gains Loss Tx Invst Incm DetailCapGainsLossTxInvstIncmDetail

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$709,038AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,159,452NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.328342DistributionYr1Rt
Adjusted Qlfy Distri Yr2$645,308AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,178,930NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.296158DistributionYr2Rt
Adjusted Qlfy Distri Yr3$659,529AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,803,415NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.365711DistributionYr3Rt
Adjusted Qlfy Distri Yr4$548,950AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,426,754NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.384754DistributionYr4Rt
Adjusted Qlfy Distri Yr5$618,833AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,042,537NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.593584DistributionYr5Rt
Total Distribution1.968549TotalDistributionRt
Average Distribution0.39371AverageDistributionRt
Net Vl Noncharitable Assets$805,599NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$317,172AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$238NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$317,410AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$765,943QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$238InvestmentIncomeExciseTaxAmt
Subtotal$238SubtotalAmt
Tax Based On Investment Income$238TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$110EstimatedPlusOvpmtIncmTxAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$110TotalPaymentsAndCreditsAmt
Tax Due$128TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressHTTPS://WWW.OMRONFOUNDATION.OMRON.COM/WebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JAMES P EBERHARTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2245207654PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12895 GREENSPOINT PARKWAY NO 100AddressLine1Txt
CityHOFFMAN ESTATESCityNm
State AbbreviationILStateAbbreviationCd
ZIP60169ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnYes (true)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
K BLAKE THATCHER
2895 GREENSPOINT PARKWAYHOFFMAN ESTATESIL60169SECRETARY/DIRECTOR1.0$0$0$0
NIGEL BLAKEWAY
2895 GREENSPOINT PARKWAYHOFFMAN ESTATESIL60169PRESIDENT/DIRECTOR2.0$0$0$0
JAMES P EBERHART
2895 GREENSPOINT PARKWAYHOFFMAN ESTATESIL60169TREASURER/V.P./DIRECTOR1.0$0$0$0
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$817,867AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$817,867TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$817,867AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$12,268CashDeemedCharitableAmt
Net Vl Noncharitable Assets$805,599NetVlNoncharitableAssetsAmt
Minimum Investment Return$40,280MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$40,280MinimumInvestmentReturnAmt
Tax Based On Investment Income$238TaxBasedOnInvestmentIncomeAmt
Total Tax$238TotalTaxAmt
Distributable Before Adj$40,042DistributableBeforeAdjAmt
Distributable Before Ded$40,042DistributableBeforeDedAmt
Distributable As Adjusted$40,042DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$765,943ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$765,943QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$238PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$765,705AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$40,042DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12017PriorYear1Yr
Prior Year22016PriorYear2Yr
Prior Year32015PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$566,712ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$477,041ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$569,480ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$536,440ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$601,544ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,751,217TotalExcessDistributionCyovAmt
Qualifying Distributions$765,943QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$40,042AppliedToCurrentYearAmt
Remaining Distri From Corpus$725,901RemainingDistriFromCorpusAmt
Total Corpus$3,477,118TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$566,712ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,910,406ExcessDistriCyovToNextYrAmt
Excess From Year4$477,041ExcessFromYear4Amt
Excess From Year3$569,480ExcessFromYear3Amt
Excess From Year2$536,440ExcessFromYear2Amt
Excess From Year1$601,544ExcessFromYear1Amt
Excess From Current Year$725,901ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonKEVIN BUTALEKRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12895 GREENSPOINT PARKWAY SUITE 100AddressLine1Txt
CityHOFFMAN ESTATESCityNm
State AbbreviationILStateAbbreviationCd
ZIP60169ZIPCd
FieldValueIRS element (for citing)
Recipient Phone2245207660RecipientPhoneNum
Recipient Email AddressOFI@OMRON.COMRecipientEmailAddressTxt
Form And Info And MaterialsHTTPS://WWW.OMRONFOUNDATION.OMRON.COM/GUIDELINES.PHP HTTPS://WWW.OMRONFOUNDATION.OMRON.COM/FILES/OFI%20GRAN%20APPLICATION%2 0FOR%20OMRON%20FOUNDATION%20INC%208-29-13.PDFFormAndInfoAndMaterialsTxt
Submission DeadlinesAPPLICATIONS ARE CONSIDERED THROUGHOUT THE YEARSubmissionDeadlinesTxt
Restrictions On AwardsSEE FUNDING EXCLUSIONS ON "GUIDELINES" WEBPAGE: HTTPS://WWW.OMRONFOUNDATION.OMRON.COM/GUIDELINES.PHPRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (124 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACADEMY FOR SCIENCE AND DESIGN
486 AMHERST STNASHUANH03063NONEPCCHARITABLE AND EDUCATION$3,000
AHA Alliance for Humane Action
2106 Grand AvenueLindenhurstIL60046NONEPCCHARITABLE AND EDUCATION$700
Alameda County Community Food
PO Box 7817San FranciscoCA94120NONEPCCHARITABLE AND EDUCATION$5,260
Alliance for Immigrant Neighbors
382 S Mt Prospect RdDes PlainesIL60016NONEPCCHARITABLE AND EDUCATION$500
Alzheimer's Association
225 N Michigan Ave - 17th floorChicagoIL60601NONEPCCHARITABLE AND EDUCATION$160
Alzheimers Greater Los Angeles
4221 Wilshire Blvd Suite 400Los AngelesCA90010NONEPCCHARITABLE AND EDUCATION$2,500
American Heart Association
208 S LaSalle St Suite 1500ChicagoIL60604NONEPCCHARITABLE AND EDUCATION$12,355
American Red Cross
8550 Arlington BlvdFairfaxGA22031NONEPCCHARITABLE AND EDUCATION$1,500
Ann & Robert Lurie Children's Hospital
225 East Chicago AveChicagoIL60611NONEPCCHARITABLE AND EDUCATION$200
ARCO A Community Resource
901 North 4th StreetMonroeLA71201NONEPCCHARITABLE AND EDUCATION$1,000
Assistance in Healthcare
PO Box 396ZionIL60099NONEPCCHARITABLE AND EDUCATION$600
BAPS Charities Inc
81 Sutton Lane Suite 201PiscatawayNJ08854NONEPCCHARITABLE AND EDUCATION$1,000
BBBSMC
560 W Lake Street 5th FloorChicagoIL60661NONEPCCHARITABLE AND EDUCATION$1,000
Bellevue Blast Fastpitch Association
PO Box 40444BellevueWA98015NONEPCCHARITABLE AND EDUCATION$200
BF Day PTSA
3921 Linden Ave NSeattleWA98103NONEPCCHARITABLE AND EDUCATION$1,000
Blind Babies Foundation
2381 Mariner Square Dr Suite 275AlamedaCA94501NONEPCCHARITABLE AND EDUCATION$25
Boy Scouts of America
1025 Sam Rittenberg BlvdCharlestonSC29407NONEPCCHARITABLE AND EDUCATION$200
Cals Angels
2422 W Main St Unit 3BSt CharlesIL60175NONEPCCHARITABLE AND EDUCATION$4,151
Camp Leo
31811 Pacific Hwy S Ste B 224Federal WayWA98003NONEPCCHARITABLE AND EDUCATION$2,000
Canyon Creek Little League
PO Box 2639San RamonCA94583NONEPCCHARITABLE AND EDUCATION$1,200
Caregivers
1765 Goodyear Avenue Suite 205VenturaCA93003NONEPCCHARITABLE AND EDUCATION$2,500
Carolina Farm Trust
19028 Oakhurst BlvdComeliusNC28031NONEPCCHARITABLE AND EDUCATION$485
Catholic Charities of Los Angeles
1531 James M Wood BoulevardLos AngelesCA90015NONEPCCHARITABLE AND EDUCATION$1,000
Catholic Relief Services
PO Box 17152BaltimoreMD17152NONEPCCHARITABLE AND EDUCATION$250
Catwaba Lands Conservancy
4530 Park Road Suite 420CharlotteNC28209NONEPCCHARITABLE AND EDUCATION$250
Chicago Hope For Kids
641 W Lake St Suite 200ChicagoIL60661NONEPCCHARITABLE AND EDUCATION$2,500
Childrens Hospital Los Angeles
4650 Sunset BlvdLos AngelesCA90027NONEPCCHARITABLE AND EDUCATION$5,000
Childrens Hunger Fund
13931 Balboa BlvdSylmarCA91342NONEPCCHARITABLE AND EDUCATION$1,500
College of Adaptive Arts
1401 Parkmoor Ave Suite 260San JoseCA95126NONEPCCHARITABLE AND EDUCATION$20
Community Alliance for Special Education
1550 Bryant St Ste 735San FranciscoCA94103NONEPCCHARITABLE AND EDUCATION$30
Concordia Language Villages
901 9th St SMoorheadMN56562NONEPCCHARITABLE AND EDUCATION$20,000
Cradles to Crayons
4141 W George StreetChicagoIL60641NONEPCCHARITABLE AND EDUCATION$3,750
Cystic Fibrosis Foundation
6931 Arlington Road Suite 200BethesdaMD20814NONEPCCHARITABLE AND EDUCATION$250
Days for Girls
Bellingham WA 98225BellinghamWA98225NONEPCCHARITABLE AND EDUCATION$200
Doctors Without Boarders
PO Box 5030HagarstownMD21741NONEPCCHARITABLE AND EDUCATION$250
EduCare Foundation
16134 Wyandotte StreetVan NuysCA91406NONEPCCHARITABLE AND EDUCATION$10,000
Einstein Academy
747 Davis RoadElginIL60124NONEPCCHARITABLE AND EDUCATION$805
Evergreen Mountain Bike Alliance
438 NE 72nd StreetSeattleWA98115NONEPCCHARITABLE AND EDUCATION$125
Farmington High School
40 Thayer DriveFarmingtonNH03835NONEPCCHARITABLE AND EDUCATION$1,000
Feed My Starving Children
1072 National ParkwaySchaumburgIL60173NONEPCCHARITABLE AND EDUCATION$10,050
FIRST Illinois Robotics
PO Box 82Prospect HeightsIL600700082NONEPCCHARITABLE AND EDUCATION$15,000
FIRST Washington
21238 68th Ave SKentWA98032NONEPCCHARITABLE AND EDUCATION$11,750
Foundation for Int'l Understanding through student
PO Box 352233SeattleWA981952233NONEPCCHARITABLE AND EDUCATION$21
Gail Borden Public Library Foundation
270 N Grove AveElginIL601205505NONEPCCHARITABLE AND EDUCATION$500
Gary Sinise Foundation
PO Box 368Woodland HillsCA91365NONEPCCHARITABLE AND EDUCATION$509
Gigi's Playhouse
2350 W Higgins RdHoffman EstatesIL60169NONEPCCHARITABLE AND EDUCATION$25,501
Give with Compassion
5740 Cornflower TrailSan DiegoCA92130NONEPCCHARITABLE AND EDUCATION$200
Gleaners Community Food Bank
2131 BeaufaitDetroitMI48207NONEPCCHARITABLE AND EDUCATION$10,000
Glenmary Sisters
PO Box 22264OwensboroKY423042264NONEPCCHARITABLE AND EDUCATION$2,000
Have Dreams
515 Busse Highway Suite 150Park RidgeIL60068NONEPCCHARITABLE AND EDUCATION$2,500
HealthCorps Inc
33 Irving Place 3rd FloorNew YorkNY10003NONEPCCHARITABLE AND EDUCATION$60,000
Homes for Families
21031 Ventura Blvd No 610Woodland HillsCA91364NONEPCCHARITABLE AND EDUCATION$5,000
Hope4Harper
PO Box 116952CarrolltonTX75011NONEPCCHARITABLE AND EDUCATION$1,210
Illinois Junior Academy of Science
500 N BentonPalatineIL60067NONEPCCHARITABLE AND EDUCATION$1,000
JDRF International
26 Broadway 14th FlNew YorkNY10004NONEPCCHARITABLE AND EDUCATION$1,000
Journey Care
2050 Claire CourtGlenviewIL60025NONEPCCHARITABLE AND EDUCATION$1,895
Juvenile Diabetes Research Foundation
26 Broadway 14th FloorNew YorkNY10004NONEPCCHARITABLE AND EDUCATION$5,000
Kane County 4H Foundation Inc
535 S Randall RdSt CharlesIL601741533NONEPCCHARITABLE AND EDUCATION$200
Kent Schools Foundation
12033 SE 256th StKentWA98030NONEPCCHARITABLE AND EDUCATION$6,000
KT's Kids
1930 West Bradley PlaceChicagoIL60613NONEPCCHARITABLE AND EDUCATION$450
LA Family Housing
7843 Lankershim BlvdNorth HollywoodCA91605NONEPCCHARITABLE AND EDUCATION$5,000
Lafayette Partners In Education
PO Box 923LafayetteCA94549NONEPCCHARITABLE AND EDUCATION$2,000
Larkin High School
1475 Larkin AvenueElginIL60123NONEPCCHARITABLE AND EDUCATION$725
Leukemia and Lymphoma Society
5601 6th Ave South Ste 182SeattleWA98108NONEPCCHARITABLE AND EDUCATION$700
Los Angeles Mission
303 East 5th StreetLos AngelesCA90013NONEPCCHARITABLE AND EDUCATION$200
Lupus LA
8383 Wilshire Blvd Suite 232Beverly HillsCA90211NONEPCCHARITABLE AND EDUCATION$2,500
MAP International
4700 Glynco ParkwayBrunswickGA31525NONEPCCHARITABLE AND EDUCATION$2,000
March of Dimes-Greater Piedmon
7506 E Independence Blvd Suite 114CharlotteNC28227NONEPCCHARITABLE AND EDUCATION$2,541
Marklund
1 South 450 Wyatt DriveGenevaIL60134NONEPCCHARITABLE AND EDUCATION$20,000
MEND-Meet Each Need with Dignity
10641 N San Francisco RoadPacoimaCA91331NONEPCCHARITABLE AND EDUCATION$5,000
Miami Hoshuko Inc
8755 SW 16th StMiamiFL33165NONEPCCHARITABLE AND EDUCATION$300
MoCo Arts
76 Railroad StreetKeeneNH03431NONEPCCHARITABLE AND EDUCATION$250
Momentous Institute
106 East 10th StreetDallasTX752032236NONEPCCHARITABLE AND EDUCATION$200
Montevideo Elementary School
13000 Breadmoor DrSan RamonCA94583NONEPCCHARITABLE AND EDUCATION$400
National Merit Scholarship Corporation
1560 Sherman Ave Ste 200EvanstonIL60201NONEPCCHARITABLE AND EDUCATION$11,500
New Horizons
15725 Parthenia StreetNorth HillsCA91343NONEPCCHARITABLE AND EDUCATION$2,500
North Central College
30 N Brainard StNapervilleIL60540NONEPCCHARITABLE AND EDUCATION$129,000
North Valley Caring Services
15453 Rayan StreetNorth HillsCA91343NONEPCCHARITABLE AND EDUCATION$5,000
Northern Illinois Food Bank
273 Dearborn CourtGenevaIL60134NONEPCCHARITABLE AND EDUCATION$20,000
Northwest Harvest
PO Box 12272SeattleWA98102NONEPCCHARITABLE AND EDUCATION$5,000
Nutritional Therapy for IBD
921 Pine Hallow RoadMount PleasantSC29464NONEPCCHARITABLE AND EDUCATION$500
Omni Youth Services Inc
1111 W Lake Cook RdBuffalo GroveIL600891926NONEPCCHARITABLE AND EDUCATION$6,600
Only Hope Prison Ministries
PO Box 177Sun ValleyCA93062NONEPCCHARITABLE AND EDUCATION$250
Open Heart Kitchen
1141 Catalina Dr Mailbox 137LivermoreCA94550NONEPCCHARITABLE AND EDUCATION$5,000
Operation Gratitude Inc
PO Box 260257EncinoCA914260257NONEPCCHARITABLE AND EDUCATION$2,000
Opportunity Networks
11 Caldwell DriveAmherstNH03063NONEPCCHARITABLE AND EDUCATION$5,000
Pancreatic Cancer Action Network
1500 Rosecrans Ave Ste 200Manhattan BeachCA90266NONEPCCHARITABLE AND EDUCATION$500
Parts and Crafts
577 Somerville AveSomervilleMA02144NONEPCCHARITABLE AND EDUCATION$250
Purdue Foundation
403 West Wood StreetWest LafayetteIN47907NONEPCCHARITABLE AND EDUCATION$25
Red Nose Day
488 Madison Ave 10th FloorNew YorkNY10022NONEPCCHARITABLE AND EDUCATION$100
Respiratory Health Assc of Metropolitan Chicago
1440 W Washington BlvdChicagoIL60607NONEPCCHARITABLE AND EDUCATION$25,000
Sail Sand Point
7861 62nd Ave NESeattleWA98115NONEPCCHARITABLE AND EDUCATION$300
SAM Care International
1309 W Valencia Dr Unit AFullertonCA92833NONEPCCHARITABLE AND EDUCATION$250
San Fernando Valley Rescue Mission
PO Box 8073Van NuysCA91409NONEPCCHARITABLE AND EDUCATION$5,000
Save One Life Foundation
PO Box 734YorkvilleIL60560NONEPCCHARITABLE AND EDUCATION$5,000
Semper Fi Fund
825 College Blvd Suite 102OcenasideCA92057NONEPCCHARITABLE AND EDUCATION$250
Shriners Hospital for Children
2900 N Rocky Point DriveTampaFL33607NONEPCCHARITABLE AND EDUCATION$250
SHS First Robotics
70 Thornton Ferry Road IIAmherstNH03031NONEPCCHARITABLE AND EDUCATION$1,000
Special Children's Charities
2 East 8th St Suite 2MChicagoIL60605NONEPCCHARITABLE AND EDUCATION$26
St Jude Childrens Research Hospital
501 St Jude PlaceMemphisTN38105NONEPCCHARITABLE AND EDUCATION$5,023
St Baldrick's Foundation
1333 South Mayflower Avenue SuiteMonroviaCA91016NONEPCCHARITABLE AND EDUCATION$71
St Francis House
70 Washington StSt AugustineFL32084NONEPCCHARITABLE AND EDUCATION$250
Starfish Animal Rescue
25317 Scott DrivePlainfieldIL60544NONEPCCHARITABLE AND EDUCATION$50
Streamwood High School
701 W Schaumburg RdStreamwoodIL60107NONEPCCHARITABLE AND EDUCATION$10,000
The Association of Former Students of Texas A&M
505 George Bush DriveCollege StationTX77840NONEPCCHARITABLE AND EDUCATION$200
The Childrens Ranch Foundation
4007 Verdant StreetLos AngelesCA90039NONEPCCHARITABLE AND EDUCATION$2,500
The Common Thread Community
174 Oxmoor RoadBirminghamAL35209NONEPCCHARITABLE AND EDUCATION$250
The Harbour
1440 Renaissance Dr Ste 240Park RidgeIL60068NONEPCCHARITABLE AND EDUCATION$77,266
The Nashua Center
18 Simon StreetNashuaNH03060NONEPCCHARITABLE AND EDUCATION$10,000
The Ohio State University Foundation
450 W Broad StreetColumbusOH43215NONEPCCHARITABLE AND EDUCATION$150
Thief River Falls Area Food Shelf
PO Box 802River FallsMN56701NONEPCCHARITABLE AND EDUCATION$1,000
Together We Rise Corporation
580 W Lambert Rd Suite ABreaCA92821NONEPCCHARITABLE AND EDUCATION$198
Travis Manion Foundation
PO Box 1485DoylestownPA18901NONEPCCHARITABLE AND EDUCATION$101
Trinity University
One Trinity PlaceSan AntonioTX78212NONEPCCHARITABLE AND EDUCATION$100
Tyee Middle School PTSA
13630 SE Allen RdBellevueWA98006NONEPCCHARITABLE AND EDUCATION$100
University of Michigan Dearborn
4901 Evergreen Rd 1040BDearbornMI48128NONEPCCHARITABLE AND EDUCATION$105,000
Vision House
PO Box 2951RentonWA98056NONEPCCHARITABLE AND EDUCATION$2,000
West Seattle Food Bank
3419 SW Morgan StSeattleWA98126NONEPCCHARITABLE AND EDUCATION$100
West Valley Animal Shelter
20655 Plummer StreetChatsworthCA91311NONEPCCHARITABLE AND EDUCATION$200
West Valley Food Pantry
5700 Rudnick AveWoodland HillsCA91367NONEPCCHARITABLE AND EDUCATION$500
WestSide Baby
10002 14th Ave SWSeattleWA98146NONEPCCHARITABLE AND EDUCATION$5,000
Winning Futures
27500 CosgroveWarrenMI48092NONEPCCHARITABLE AND EDUCATION$25,000
World Vision
PO Box 9716Federal WayWA980639716NONEPCCHARITABLE AND EDUCATION$250
YMCA
PO Box 2336MontgomeryAL36102NONEPCCHARITABLE AND EDUCATION$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$765,928TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$28,896ExclusionAmt
FieldValueIRS element (for citing)
Div And Int From Sec Part VIIDivAndIntFromSecPartVIIGrp
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp
Gain Sales Ast Oth Than InvntryGainSalesAstOthThanInvntryGrp
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$28,896ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$28,896TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
OMRON ELECTRONICS LLC
12895 GREENSPOINT PKWYHOFFMAN ESTATESIL60169$301,194Yes (X)
OMRON ELECTRONIC COMPONENTS LLC
22895 GREENSPOINT PKWYHOFFMAN ESTATESIL60169$225,421Yes (X)
OMRON HEALTHCARE INC
31925 WEST FIELD COURTLAKE FORESTIL60045$209,965Yes (X)
OMRON MICROSCAN SYSTEMS INC
4700 SW 39TH STREETRENTONWA98057$11,587Yes (X)

Depreciation Schedule DepreciationSchedule

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
IL FILING FEE$15$0$0$15
BANK FEES$5,076$5,076$0$0