1ST SOURCE BANK FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- 1ST SOURCE BANK FOUNDATION INC (EIN 35-6034211)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-19
- IRS object ID
- 202002939349100015
- Schema version
- 2019v5.0
- 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
- Other Assets Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-19T15:00:13-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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 | 2020-10-19 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.197.121.132 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1E9DD4E8CBE27BC0ED86AE21F35A4FC6D052EDCC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1E9DD4E8CBE27BC0ED86AE21F35A4FC6D052EDCC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $39,910,919 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends Rev And Expnss | $941,925 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $941,925 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $941,925 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $592,425 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,437,573 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $592,425 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $1,534,350 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,534,350 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $941,925 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $129,098 | 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 | $21,813 | 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 |
| Tot Opr Expenses Rev And Expnss | $152,811 | 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 | $1,724,844 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,724,844 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,877,655 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,900 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,724,844 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$343,305 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,532,450 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $941,925 | 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 | $2,445,070 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $968,753 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $968,753 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $22,302,497 | CorporateStockBOYAmt |
| Corporate Stock EOY | $20,817,823 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $31,577,166 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $4,563,446 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $7,108,228 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $7,166,022 | CorporateBondsEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $120,628 | OtherAssetsBOYAmt |
| Other Assets EOY | $195,628 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $198,978 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $29,431,641 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,090,432 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $39,910,919 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $29,431,641 | CapitalStockBOYAmt |
| Capital Stock EOY | $29,090,432 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $29,431,641 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $29,090,432 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $29,431,641 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $29,090,432 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $29,431,641 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$343,305 | ExcessRevenueOverExpensesAmt |
| Other Increases | $2,096 | OtherIncreasesAmt |
| Subtotal | $29,090,432 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $29,090,432 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (15 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 3000. AT&T INC | 2014-01-30 | 2019-01-30 | $88,165 | $109,036 | -$20,871 | -$20,871 | |
| 1500. GENERAL MILLS INC | 2012-09-20 | 2019-01-30 | $65,561 | $60,839 | $4,722 | $4,722 | |
| 21910.604 OAKMARK INTERNATIONAL-INST | 2015-05-20 | 2019-03-15 | $500,000 | $566,870 | -$66,870 | -$66,870 | |
| 8952.551 OAKMARK INTERNATIONAL-INST | 2014-03-21 | 2019-03-22 | $200,000 | $230,804 | -$30,804 | -$30,804 | |
| 2000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-08-24 | 2019-03-22 | $299,712 | $211,135 | $88,577 | $88,577 | |
| 8699.435 OAKMARK INTERNATIONAL-INST | 2015-06-09 | 2019-07-15 | $200,000 | $223,953 | -$23,953 | -$23,953 | |
| 640. ALCON INC | 2012-09-17 | 2019-07-19 | $38,524 | $18,713 | $19,811 | $19,811 | |
| 2000. ISHARES RUSSELL 1000 VALUE ETF | 2018-01-26 | 2019-09-09 | $256,431 | $262,876 | -$6,445 | -$6,445 | |
| 2000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-08-30 | 2019-09-09 | $321,830 | $210,811 | $111,019 | $111,019 | |
| 2000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-08-30 | 2019-10-03 | $313,199 | $209,558 | $103,641 | $103,641 | |
| 14810.428 LORD ABBETT SHRT DUR INC-I | 2019-10-03 | 2019-10-08 | $62,500 | $62,500 | |||
| 3000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-08-30 | 2019-11-13 | $501,646 | $314,323 | $187,323 | $187,323 | |
| 1879.699 T ROWE PR MID CAP GROW-I | 2015-07-22 | 2019-11-13 | $180,000 | $154,451 | $25,549 | $25,549 | |
| 2000. ISHARES RUSSELL 1000 GROWTH INDEX FUND | 2016-08-04 | 2019-11-25 | $340,729 | $209,279 | $131,450 | $131,450 | |
| CAPITAL GAIN DIVIDENDS | $69,276 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $592,425 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,494,255 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $34,361,557 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.043486 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,363,671 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $33,070,711 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.041235 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,317,135 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $29,533,823 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.044598 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $1,342,205 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $28,703,399 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.046761 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,105,123 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $27,366,546 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.040382 | DistributionYr5Rt |
| Total Distribution | 0.216462 | TotalDistributionRt |
| Average Distribution | 0.043292 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $36,359,993 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,574,097 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $15,325 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,589,422 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,724,844 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $15,325 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $15,325 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $15,325 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $79,966 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $79,966 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $64,641 | OverpaymentAmt |
| Applied To ES Tax | $64,641 | 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 (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| REX MARTIN | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| JAMES SEITZ | ||||||
| 100 N MICHIGAN | SOITH BEND | IN | 46601 | DIRECTOR | 1 | $0 |
| CHRISTOPHER MURPHY III | ||||||
| 100 N MICHIGAN | SOUTH 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 | $129,098 |
| ANDREA SHORT | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | MEMBER | 1 | $0 |
| RON ZELTWANGER | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | MEMBER | 1 | $0 |
| KEVIN MURPHY | ||||||
| 100 N MICHIGAN | SOUTH BEND | IN | 46601 | 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 | $36,913,698 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $36,913,698 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $36,913,698 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $553,705 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $36,359,993 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,818,000 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,818,000 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $15,325 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $15,325 | TotalTaxAmt |
| Distributable Before Adj | $1,802,675 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,802,675 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,802,675 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,724,844 | 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 | $1,724,844 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $15,325 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,709,519 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,802,675 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $1,684,699 | 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 | $1,724,844 | QualifyingDistributionsAmt |
| Applied To Year1 | $1,684,699 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $40,145 | 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 | $1,762,530 | 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 (113 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 |
|---|---|---|---|---|---|---|---|---|
| UNITED WAY OF MARSHALL COUNTY | ||||||||
| 2701 NORTH MICHIGAN STREET | PLYMOUTH | IN | 46563 | NONE | PC | GENERAL SUPPORT | $2,700 | |
| UNITED WAY OF WHITLEY COUNTY | ||||||||
| PO BOX 464 | COLUMBIA CITY | IN | 46725 | NONE | PC | CHARITABLE CONTRIBUTION | $315 | |
| PACT INC | ||||||||
| 505 DON HOVEY DRIVE | VALPARAISO | IN | 46383 | NONE | PC | CHARITABLE CONTRIBUTION | $2,985 | |
| DISMAS INC | ||||||||
| 521 S ST JOSEPH STREET | SOUTH BEND | IN | 46601 | NONE | PC | GENERAL SUPPORT | $20,000 | DISMAS HOUSE OF INDIANA |
| SOUTH BEND HERITAGE FOUNDATION | ||||||||
| 803 LINCOLNWAY WEST | SOUTH BEND | IN | 46616 | NONE | PC | CHARITABLE CONTRIBUTION | $3,000 | |
| THE CROSSING EDUCATION CENTER | ||||||||
| 2930 S NAPPANEE STREET | ELKHART | IN | 46517 | NONE | NONE | CHARITABLE CONTRIBUTION | $2,000 | |
| MARSHALL COUNTY EDC | ||||||||
| 2864 MILLER DRIVE | PLYMOUTH | IN | 46563 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | |
| NEIGHBORLINK PORTER COUNTY | ||||||||
| PO BOX 2071 | CHESTERTON | IN | 46304 | NONE | PC | GENERAL SUPPORT | $25,000 | |
| KELLY CARES | ||||||||
| FOOTBALL 101 GUGLIELMINO COMPLEX | SOUTH BEND | IN | 46617 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| HOLY CROSS VILLAGE FOUNDATION INC | ||||||||
| 54515 STATE ROAD 933 NORTH | NOTRE DAME | IN | 46556 | NONE | SO | GENERAL SUPPORT | $25,000 | |
| WAGON WHEEL CENTER FOR THE ARTS | ||||||||
| 2515 E CENTER STREET | WARSAW | IN | 46580 | NONE | PC | GENERAL SUPPORT | $500 | |
| 100 BLACK MEN OF GREATER SOUTH BEND | ||||||||
| 2043 SOUTH BEND AVENUE | SOUTH BEND | IN | 46637 | NONE | PC | CHARITABLE CONTRIBUTION | $5,000 | |
| 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 |
| HOSPICE FOUNDATION | ||||||||
| 501 COMFORT PLACE | MISHAWAKA | IN | 46545 | NONE | PC | HELPING HANDS AWARD DINNER | $10,000 | |
| UNITED WAY OF WELLS COUNTY | ||||||||
| 122 LAMAR STREET SUITE 118 | BLUFFTON | IN | 46714 | NONE | PC | CHARITABLE CONTRIBUTION | $180 | |
| 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 |
| YOUTH SERVICE BUREAU | ||||||||
| ATTENTION JENNIFER PICKERING | SOUTH BEND | IN | 46628 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | OF ST JOSEPH COUNTY INC |
| HABITAT FOR HUMANITY | ||||||||
| 402 EAST SOUTH STREET | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $30,000 | OF ST JOSEPH COUNTY |
| COMMUNITY FDN OF ELKHART COUNTY | ||||||||
| 101 SOUTH MAIN STREET | ELKHART | IN | 46516 | NONE | PC | GENERAL SUPPORT | $50,000 | |
| UNITED WAY OF LAPORTE COUNTY | ||||||||
| 115 EAST 4TH STREET | MICHIGAN CITY | IN | 46360 | NONE | PC | CHARITABLE CONTRIBUTION | $7,160 | |
| SOUTH BEND MUSEUM OF ART | ||||||||
| 120 S DR MARTIN LUTHER KING JR B | SOUTH BEND | IN | 46601 | NONE | PC | LEADER SPONSOR/ARTLIGHT | $1,800 | |
| ST VINCENT DEPAUL SOCIETY | ||||||||
| 520 CRESCENT AVENUE | SOUTH BEND | IN | 466171920 | NONE | PC | VINTAGE SPONSOR | $7,500 | OF ST JOSEPH COUNTY |
| UNITED WAY OF ALLEN COUNTY | ||||||||
| 334 E BERRY STREET | FORT WAYNE | IN | 468022708 | NONE | PC | CHARITABLE CONTRIBUTION | $3,660 | |
| LASALLE COUNCIL | ||||||||
| 1340 SOUTH BEND AVENUE | SOUTH BEND | IN | 46617 | NONE | PC | MAYORS LUNCHEON | $3,500 | BOY SCOUTS OF AMERICA |
| ST MARY'S COLLEGE | ||||||||
| 141 LEMANS HALL | NOTRE DAME | IN | 46556 | NONE | PC | GENERAL SUPPORT | $47,500 | ATTN BURSAR'S OFFICE |
| INNOVATION PARK AT NOTRE DAME | ||||||||
| 1400 E ANGELA BLVD | SOUTH BEND | IN | 46617 | NONE | GROUP | CHARITABLE CONTRIBUTION | $5,000 | |
| YMCA OF MICHIANA INC | ||||||||
| 1201 NORTHSIDE BOULEVARD | SOUTH BEND | IN | 46615 | NONE | PC | GENERAL SUPPORT | $27,500 | |
| YWCA GREATER LAFAYETTE | ||||||||
| 605 N 6TH STREET | LAFAYETTE | IN | 47901 | NONE | NONE | CHARITABLE CONTRIBUTION | $12,500 | |
| YWCA NORTH CENTRAL INDIANA | ||||||||
| 1102 S FELLOWS ST | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $50,000 | ATTN SUSAN TYBON |
| FAMILY & CHILDREN'S CENTER | ||||||||
| PRESIDENT CEO | SOUTH BEND | IN | 466173094 | NONE | NONE | CHARITABLE CONTRIBUTIONA | $9,000 | ATTN MARK MULLANEY |
| UNITED WAY OF GREATER LAFAYETTE | ||||||||
| 1114 EAST STATE STREET | LAFAYETTE | IN | 47905 | NONE | PC | CHARITABLE CONTRIBUTION | $540 | |
| JUNIOR ACHIEVEMENT OF NO INDIANA | ||||||||
| 550 E WALLEN ROAD | FORT WAYNE | IN | 46825 | NONE | NONE | CHARITABLE CONTRIBUTION | $113,155 | |
| BASHOR HOMES EDUCATION ENDOWMENT FND | ||||||||
| PO BOX 843 | GOSHEN | IN | 46527 | NONE | NONE | CHARITABLE CONTRIBUTION | $60,000 | DON PHILLIPS |
| UNITED WAY OF ELKHART COUNTY | ||||||||
| P O BOX 3048 | ELKHART | IN | 46515 | NONE | PC | CHARITABLE CONTRIBUTION | $6,780 | |
| LOGAN CENTER | ||||||||
| 2505 EAST JEFFERSON BLVD | SOUTH BEND | IN | 46615 | NONE | PC | CHARITABLE CONTRIBUTION | $54,500 | |
| KID'S CLOSET MINISTRY | ||||||||
| 210 CENTRAL AVE | NORTH JUDSON | IN | 46366 | NONE | CHURCH | GENERAL SUPPORT | $1,000 | NORTH JUDSON UNITED METHODIST CHURCH |
| BETHANY LUTHERAN CHURCH | ||||||||
| 102 G STREET | LAPORTE | IN | 46350 | NONE | CHURCH | GENERAL SUPPORT | $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 | $1,130 | |
| LAPORTE COUNTY AGRICULTURAL ASSOC | ||||||||
| 2581 WEST STATE ROAD 2 | LAPORTE | IN | 46350 | NONE | PC | GENERAL SUPPORT | $10,000 | |
| FORT WAYNE RESCUE MISSION MINISTRIES | ||||||||
| 301 WEST SUPERIOR STREET | FORT WAYNE | IN | 46802 | NONE | PC | GENERAL SUPPORT | $26,000 | |
| ADEC | ||||||||
| 19670 STATE ROAD 120 | BRISTOL | IN | 46507 | NONE | PC | CHARITABLE CONTRIBUTION | $7,577 | |
| UNITED WAY OF ST JOSEPH COUNTY | ||||||||
| P O BOX 6396 | SOUTH BEND | IN | 46660 | NONE | PC | CHARITABLE CONTRIBUTION | $71,500 | |
| TRITON SCHOOL CORP | ||||||||
| 100 TRITON DRIVE | BOURBON | IN | 46504 | NONE | SCHOOL | GENERAL SUPPORT | $11,762 | |
| GOODWILL INDUSTRIES | ||||||||
| 1805 WESTERN AVENUE | SOUTH BEND | IN | 46619 | NONE | PC | CHARITABLE CONTRIBUTION | $50,000 | |
| PLYMOUTH COMMUNITY SCHOOL CORP | ||||||||
| 220 N LIBERTY STREET | PLYMOUTH | IN | 46563 | NONE | GOV | EQUIPMENT | $5,000 | LINCOLN JUNIOR HIGH SCHOOL |
| PATHFINDER SERVICES | ||||||||
| 2824 THEATER AVENUE | HUNTINGTON | IN | 46750 | NONE | PC | VITA PROGRAM | $5,000 | ATTN DIANA LAUX |
| THE HISTORY MUSEUM | ||||||||
| 808 W WASHINGTON | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| UNITED WAY OF HUNTINGTON COUNTY | ||||||||
| PO BOX 347 | HUNTINGTON | IN | 46750 | NONE | PC | CHARITABLE CONTRIBUTION | $315 | |
| OPPORTUNITY ENTERPRISES INC | ||||||||
| 2801 EVANS AVE | VALPARAISO | IN | 46383 | NONE | PC | RESPITE AT LAKESIDE CAPITAL | $11,000 | |
| REAL SERVICES INC | ||||||||
| 1151 S MICHIGAN STREET | SOUTH BEND | IN | 46601 | NONE | PC | CATERING FOOD TRUCK | $22,500 | |
| BIG BROTHERS BIG SISTERS | ||||||||
| 218 W WASHINGTON STREET | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $5,000 | OF ST JOSEPH COUNTY |
| HOMEBOUND MEALS INC | ||||||||
| 611 WEST BERRY STREET | FORT WAYNE | IN | 46802 | NONE | PC | EMR AWARD | $5,000 | |
| GROUP HOMES FOR CHILDREN | ||||||||
| 3307 LONGLOIS DRIVE | LAFAYETTE | IN | 47904 | NONE | PC | GENERAL SUPPORT | $7,875 | |
| BIG BROTHERS BIG SISTERS OF NEI INC | ||||||||
| 1005 W RUDISILL BLVD | FORT WAYNE | IN | 46807 | NONE | PC | GENERAL SUPPORT | $5,000 | |
| LACASA DE AMISTAD | ||||||||
| 746 SOUTH MEADE STREET | SOUTH BEND | IN | 46619 | NONE | NONE | CHARITABLE CONTRIBUTION | $100,000 | |
| DUNELAND YMCA | ||||||||
| 215 ROOSEVELT STREET | CHESTERTON | IN | 46304 | NONE | PC | EARLY LEARNING ACADEMY | $25,000 | |
| UNION TOWNSHIP SCHOOL CORPORATION | ||||||||
| 587 W 300 NORTH | VALPARAISO | IN | 46385 | NONE | PUBLIC SCHOOL | GENERAL SUPPORT | $3,100 | WHEELER HIGH SCHOOL ROBOTICS |
| MARSHALL COUNTY NEIGHBORHOOD SERV | ||||||||
| 402 W GARRO ST | PLYMOUTH | IN | 46563 | NONE | PC | CHARITABLE CONTRIBUTION | $1,000 | |
| LACASA INC | ||||||||
| 202 N COTTAGE AVENUE | GOSHEN | IN | 46528 | NONE | PC | CHARITABLE CONTRIBUTION | $10,000 | |
| THE STUDEBAKER NATIONAL MUSEUM | ||||||||
| 201 S CHAPIN STREET | SOUTH BEND | IN | 46601 | NONE | PC | HALL OF CHAMPIONS DINNER | $10,000 | |
| SOUTH BEND CIVIC THEATRE | ||||||||
| 403 NORTH MAIN STREET | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $2,000 | |
| PORTER COUNTY PARKS FOUNDATION INC | ||||||||
| P O BOX 428 | VALPARAISO | IN | 46384 | NONE | PC | GENERAL SUPPORT | $5,000 | C/O BRYAN WAISANEN |
| FISCHOFF NAT'L CHAMBER OF MUSIC ASSN | ||||||||
| 303 BROWNSON HALL | NOTRE DAME | IN | 46556 | NONE | PC | CHARITABLE CONTRIBUTION | $13,500 | |
| THE FOUNDATION OF SJHS | ||||||||
| HEALTH SYSTEM | SOUTH BEND | IN | 46617 | NONE | NONE | CHARITABLE CONTRIBUTION | $2,500 | THE FOUNDATION OF SAINT JOSEPH |
| 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 | $5,000 | |
| HABITAT FOR HUMANITY | ||||||||
| 2020 E WASHINGTON BLVD | FORT WAYNE | IN | 46603 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | OF GREATER FORT WAYNE |
| VALPARAISO PARKS & RECREATION FDN | ||||||||
| 3210 CAMPBELL STREET | VALPARAISO | IN | 46385 | NONE | NONE | CHARITABLE CONTRIBUTION | $1,000 | |
| CENTER FOR THE HOMELESS | ||||||||
| 813 SOUTH MICHIGAN STREET | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $1,750 | |
| BOYS & GIRLS CLUB OF FORT WAYNE | ||||||||
| 2609 FAIRFIELD AVENUE | FORT WAYNE | IN | 46807 | NONE | PC | GENERAL SUPPORT | $5,000 | |
| MICHIANA DOWN SYNDROME | ||||||||
| 51201 OLD COTTAGE DRIVE | GRANGER | IN | 46530 | NONE | NONE | CHARITABLE CONTRIBUTION | $500 | |
| RONALD MCDONALD HOUSE CHARITIES | ||||||||
| 615 N MICHIGAN 3RD FLOOR | SOUTH BEND | IN | 46601 | NONE | NONE | CHARITABLE CONTRIBUTION | $16,750 | OF MICHIANA |
| DOWNTOWN GOSHEN INC | ||||||||
| 234 S MAIN STREET SUITE 4 | GOSHEN | IN | 46526 | NONE | NONE | CHARITABLE CONTRIBUTION | $12,000 | |
| IBA FOUNDATION INC | ||||||||
| 8425 WOODFIELD CROSSING BLVD | INDIANAPOLIS | IN | 46240 | NONE | SOUNK | GENERAL SUPPORT | $2,000 | |
| MEMORIAL OPERA HOUSE FOUNDATION INC | ||||||||
| 104 INDIANA AVENUE | VALPARAISO | IN | 46383 | NONE | PC | GENERAL SUPPORT | $5,000 | |
| 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 | $990 | C/O NORTHERN INDIANA COMMUNITY FDN |
| HABITAT FOR HUMANITY PORTER COUNTY | ||||||||
| 2411 BEECH STREET SUITE L | VALPARAISO | IN | 46383 | NONE | NONE | CHARITABLE CONTRIBUTION | $15,000 | |
| BOYS AND GIRLS CLUB OF MARSHALL CTY | ||||||||
| 314 E JEFFERSON STREET | PLYMOUTH | IN | 46563 | NONE | PC | CHARITABLE CONTRIBUTION | $25,000 | |
| PORTER COUNTY COMMUNITY FOUNDATION | ||||||||
| 1401 CALUMET AVE | VALPARAISO | IN | 46383 | NONE | NONE | CHARITABLE CONTRIBUTION | $5,000 | |
| INDIANA DUNES ENVIR LEARNING CENTER | ||||||||
| 700 HOWE ROAD | CHESTERTON | IN | 46304 | NONE | PC | TECHNOLOGY UPDATES | $15,840 | DBA DUNES LEARNING CENTER |
| NORTHEAST INDIANA INNOVATION CENTER | ||||||||
| 3201 STELLHORN ROAD | FORT WAYNE | IN | 46815 | NONE | PC | CHARITABLE CONTRIBUTION | $2,000 | |
| STARKE COUNTY YOUTH CLUB | ||||||||
| P O BOX 442 | KNOX | IN | 46534 | NONE | NONE | CHARITABLE CONTRIBUTION | $2,500 | |
| COMMUNITY TRANSPORTATION NETWORK | ||||||||
| 5601 INDUSTRIAL ROAD | FORT WAYNE | IN | 46825 | NONE | NONE | CHARITABLE CONTRIBUTION | $20,000 | |
| BLUE JACKET INC | ||||||||
| 27826 S CALHOUN ST | FORT WAYNE | IN | 46802 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | |
| INDIANA UNIVERSITY SOUTH BEND | ||||||||
| 1234 N NOTRE DAME AVENUE | SOUTH BEND | IN | 46617 | NONE | PC | CHARITABLE CONTRIBUTION | $22,500 | |
| ARGOS COMMUNITY SCHOOLS | ||||||||
| 410 N FIRST STREET | ARGOS | IN | 46501 | NONE | SCHOOL | SUPPORT | $2,200 | |
| CARDINAL SERVICES | ||||||||
| 504 NORTH BAY DRIVE | WARSAW | IN | 46580 | NONE | NONE | CHARITABLE CONTRIBUTION | $50,000 | |
| UNITED WAY OF PORTER COUNTY | ||||||||
| PO BOX 2028 | VALPARAISO | IN | 46384 | NONE | PC | CHARITABLE CONTRIBUTION | $4,020 | |
| MARSHALL COUNTY 4-H FAIR ASSOCIATION | ||||||||
| 15715 MICHIGAN ROAD | ARGOS | IN | 46501 | NONE | NONE | GENERAL SUPPORT | $5,000 | |
| SOUTH BEND SYMPHONY ORCHESTRA | ||||||||
| 127 N MICHIGAN STREET | SOUTH BEND | IN | 46601 | NONE | PC | CHARITABLE CONTRIBUTION | $35,000 | |
| SCHOLARSHIP FOUNDATION OF ST JOSEPH | ||||||||
| 3515 NORTH MAIN STREET | MISHAWAKA | IN | 46545 | NONE | PC | CHARITABLE CONTRIBUTION | $5,000 | COUNTY INC |
| UNITED WAY OF FULTON COUNTY | ||||||||
| P O BOX 583 | ROCHESTER | IN | 46975 | NONE | PC | CHARITABLE CONTRIBUTION | $405 | |
| DEKALB COUNTY ED PARTNERSHIP INC | ||||||||
| 4483 COUNTY ROAD 19 - SUITE 3 | AUBURN | IN | 46706 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| COMMUNITY DEVELOPMENT CORPORATION | ||||||||
| 600 E THIRD STREET 201 | MISHAWAKA | IN | 46544 | NONE | PC | GENERAL SUPPORT | $20,000 | |
| UNITED WAY OF SOUTHWEST MICHIGAN | ||||||||
| 2015 LAKEVIEW AVE | ST JOSEPH | MI | 49085 | NONE | PC | CHARITABLE CONTRIBUTION | $6,490 | |
| UNITED WAY OF BATTLE CREEKKALAMAZOO | ||||||||
| 709 S WESTNEDGE AVENUE | KALAMAZOO | MI | 49007 | NONE | PC | CHARITABLE CONTRIBUTION | $315 | |
| SALVATION ARMY KROC CENTER | ||||||||
| 900 W WESTERN AVENUE | SOUTH BEND | IN | 46601 | NONE | AN ARM OF STATE | GENERAL SUPPORT | $10,000 | |
| YMCA OF GREATER KALAMAZOO | ||||||||
| 1001 WEST MAPLE STREET | KALAMAZOO | MI | 49008 | NONE | PC | CHARITABLE CONTRIBUTION | $15,000 | |
| SOUTHWESTERN MICHIGAN COLLEGE | ||||||||
| VP CHIEF BUSINESS OFFICER | DOWAGIAC | MI | 49047 | NONE | SOUNK | CHARITABLE CONTRIBUTION | $25,000 | ATTN SUSAN B COULSTON |
| LAKELAND HEALTH FOUNDATION | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | NONE | PC | CHARITABLE DONTRIBUTION | $25,000 | |
| CORNERSTONE ALLIANCE | ||||||||
| 80 WEST MAIN STREET | BENTON HARBOR | MI | 49022 | NONE | PC | WBC CELEBRATION | $7,500 | |
| LAKELAND IMMEDIATE CARE CENTER | ||||||||
| 261 M-62 NORTH | CASSOPOLIS | MI | 49031 | NONE | PC | GENERAL SUPPORT | $25,000 | DBA CASSOPOLIS FAMILY CLINIC |
| BOYS & GIRLS CLUB OF BENTON HARBOR | ||||||||
| 600 NATE WELLS SENIOR DR | BENTON HARBOR | MI | 49022 | NONE | NONE | CHARITABLE CONTRIBUTION | $10,000 | |
| THE MUSIC VILLAGE | ||||||||
| P O BOX 11004 | SOUTH BEND | IN | 46634 | NONE | NONE | CHARITABLE | $10,000 | |
| ELKHART EDUCATION FOUNDATION | ||||||||
| 2746 OLD US 20 W SUITE B | ELKHART | IN | 46514 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| SPINA BIFIDA ASSOCIATION | ||||||||
| 1600 WILSON BLVD SUITE 800 | ARLINGTON | VA | 22209 | NONE | PC | GENERAL SUPPORT | $500 | |
| CROSS COMMUNITY INC | ||||||||
| 707 SHERMAN AVENUE | SOUTH BEND | IN | 46616 | NONE | PC | GENERAL SUPPORT | $10,000 | |
| INTERFAITH COMMUNITY PADS INC | ||||||||
| 7871 W 400 NORTH | MICHIGAN CITY | IN | 46360 | NONE | PC | GENERAL SUPPORT | $18,000 | |
| REES THEATER INC | ||||||||
| 12638 EMERALD COURT | PLYMOUTH | IN | 46563 | NONE | PC | CHARITABLE CONTRIBUTION | $25,000 | |
| C2 YOUR HEALTH WOMEN'S INITIATIVE | ||||||||
| 19009 LAYDEN STREET | SOUTH BEND | IN | 46637 | NONE | PUBLIC BENEFIT CORP | GENERAL SUPPORT | $2,550 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,724,844 | 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 | $941,925 | 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 | $592,425 | 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 | $1,534,350 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,534,350 | 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 (19 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BLACKROCK STRAT INC OPP-INS | $739,831 | $732,267 |
| FEDERATED INST HI YLD BOND FUN | $200,000 | $197,612 |
| ISHARES IBOXX USD HIGH YIELD | $1,252,012 | $1,231,160 |
| VANGUARD S/T INVEST GR-ADM | $1,239,618 | $1,249,836 |
| ALIBABA GROUP HLDG 3.600% | $98,622 | $105,337 |
| AVALONBAY COMMUN MTN | $102,106 | $107,368 |
| CAPITAL ONE FINL 3.050% | $109,812 | $112,309 |
| HARLEY-DAVIDSON 3.550% | $100,185 | $101,853 |
| INTERCONTINENTAL EX 2.750% | $100,595 | $100,740 |
| WM WRIGLEY JR CO 3.375% | $100,132 | $100,975 |
| DODGE & COX INCOME FUND | $1,318,956 | $1,361,989 |
| MORGAN STANLEY BK CD 2.800% | $250,000 | $251,258 |
| JPMORGAN CHASE 3.900% | $102,411 | $108,008 |
| NEW YORK LIFE GLOBAL 3.000% | $155,729 | $155,505 |
| NIAGARA MOHAWK POWER | $153,208 | $157,799 |
| PNC BANK NA 4.200% | $158,572 | $164,961 |
| TOYOTA MOTOR CRT MTN | $101,439 | $105,240 |
| LORD ABBETT SHRT DUR INC-I | $562,500 | $561,167 |
| VANGUARD TOTAL BD MKT IDX | $262,500 | $260,638 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (42 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AIR PRODUCTS & CHEMICALS INC | $45,303 | $140,994 |
| AMERICAN ELEC PWR INC | $59,814 | $132,314 |
| AT&T INC | ||
| BRITOL MYERS SQUIBB CO | $84,835 | $96,285 |
| AUTOMATIC DATA PROCESSING INC | $57,023 | $170,500 |
| CHEVRON CORPORATION | $110,351 | $132,561 |
| CISCO SYSTEMS INC | $69,066 | $172,656 |
| DARDEN RESTAURANTS INC | $56,099 | $130,812 |
| ENBRIDGE INCORPORATED | $82,329 | $107,618 |
| GENERAL DYNAMICS CORP | $102,485 | $88,175 |
| GENERAL MLS INC | ||
| HONEYWELL INTERNATIONAL INC | $67,894 | $212,400 |
| HORIZON BANCORP INC | $26,173 | $855,000 |
| INTEL CORP | $61,384 | $143,640 |
| JOHNSON & JOHNSON | $199,489 | $510,545 |
| KIMBERLY CLARK CORP | $97,518 | $192,570 |
| LAKELAND FINL CORP | $628,403 | $2,103,990 |
| LOWES COS INC | $73,116 | $107,784 |
| MCDONALDS CORP | $85,918 | $187,730 |
| METLIFE INC | $62,857 | $224,829 |
| MICROSOFT CORP | $53,865 | $283,860 |
| NIKE INC-CLASS B | $58,000 | $101,310 |
| NORFOLK SOUTHERN CORP | $65,655 | $194,130 |
| NOVARTIS AG SPONS ADR | $135,315 | $303,008 |
| NUCOR CORP | $39,920 | $56,280 |
| PEPSICO INC | $72,479 | $136,670 |
| PFIZER INC | $149,913 | $163,498 |
| PROCTER & GAMBLE CO | $79,404 | $149,880 |
| VERIZON COMMUNICATIONS | $98,505 | $159,640 |
| ZOETIS INC | $47,712 | $173,908 |
| DODGE & COX INTL STOCK FUND | $1,722,641 | $1,883,711 |
| GOLDMAN SACHS US EQ DIV/PR-I | $500,000 | $498,879 |
| ISHARES CORE S&P MID CAP ETF | $354,651 | $391,058 |
| ISHARES NASDAQ BIOTECH ETF | $238,853 | $253,071 |
| ISHARES RUSSELL 1000 VALUE ETF | $5,271,363 | $6,551,040 |
| OAKMARK INTERNATIONAL-INST | $341,011 | $360,753 |
| T ROWE PR MID CAP GROW-I | $713,595 | $839,280 |
| VANGUARD MSCI EMERGING MARKETS | $1,874,805 | $2,006,664 |
| ISHARES MSCI EAFE ETF | $1,448,782 | $1,772,525 |
| ISHARES RUSSELL 1000 GROWTH ET | $5,018,206 | $8,971,920 |
| MICROCHIP TECHNOLOGY INC | $61,534 | $104,720 |
| SPDR S&P DIVIDEND ETF | $501,557 | $510,958 |
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 | $29,461 | $28,978 |
| IN COMMUNITY BUSINESS CREDIT C | $20,000 | $20,000 | $20,000 |
| NOTRE DAME PIT | $71,167 | $146,167 | $150,000 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DIFFERENCE DUE TO TIMING/ROUNDING | $2,096 |
| COST BASIS ERROR FROM PRIOR YEAR | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $4,669 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $13,746 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $3,398 | $0 | $0 |
Comments