PFLEIDERER WARSAW HIGH SCHOOL IRRV SCHOLARSHIP TR: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PFLEIDERER WARSAW HIGH SCHOOL IRRV SCHOLARSHIP TR (EIN 35-6720299)
Tax period
2019-10-01 to 2020-09-30
Filed
2020-11-27
IRS object ID
202003329349100300
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-27T11:00:25-06:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt
Return Type990PFReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN356720299EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PFLEIDERER WARSAW COMM SCHOLARSHIP XXX-XX-XXXXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPFLEBusinessNameControlTxt
Phone5742352790PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1602AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46634ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAMELA STEARNSPersonNm
Person TitleVice PresidentPersonTitleTxt
Phone5742352790PhoneNum
Signature2020-11-19SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.197.121.132IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1C0334600B2D3EC9024DA10913E7B899207FDF68AtSubmissionCreationDeviceId
At Submission Filing Device Id305D1266B7CA121FED637E84A3E5FC093496C1B4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,140,103FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Dividends Rev And Expnss$37,278DividendsRevAndExpnssAmt
Dividends Net Invst Incm$37,278DividendsNetInvstIncmAmt
Dividends Adj Net Incm$37,278DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$18,064NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$301,112GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$18,064CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$55,342TotalRevAndExpnssAmt
Total Net Invst Incm$55,342TotalNetInvstIncmAmt
Total Adj Net Incm$37,278TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$17,572CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$4,199CompOfcrDirTrstNetInvstIncmAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,400AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,400AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$3,943TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Rev And Expnss$495PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$23,410TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,599TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$101,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$101,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$124,410TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,599TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$101,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$69,068ExcessRevenueOverExpensesAmt
Net Investment Income$49,743NetInvestmentIncomeAmt
Adjusted Net Income$37,278AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
US Government Obligations BOY$11,128USGovernmentObligationsBOYAmt
US Government Obligations EOY$12,801USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$12,801USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,052,684CorporateStockBOYAmt
Corporate Stock EOY$997,791CorporateStockEOYAmt
Corporate Stock EOYFMV$1,528,100CorporateStockEOYFMVAmt
Corporate Bonds BOY$600,500CorporateBondsBOYAmt
Corporate Bonds EOY$585,009CorporateBondsEOYAmt
Corporate Bonds EOYFMV$599,202CorporateBondsEOYFMVAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,664,312TotalAssetsBOYAmt
Total Assets EOY$1,595,601TotalAssetsEOYAmt
Total Assets EOYFMV$2,140,103TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,664,312CapitalStockBOYAmt
Capital Stock EOY$1,595,601CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$1,664,312TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,595,601TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,664,312TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,595,601TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,664,312TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$69,068ExcessRevenueOverExpensesAmt
Other Increases$357OtherIncreasesAmt
Subtotal$1,595,601SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,595,601TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (16 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
8315.145 LORD ABBETT SHRT DUR INC-I2018-07-052020-03-23$32,180$34,674-$2,494-$2,494
7419.899 LORD ABBETT SHRT DUR INC-I2018-07-052020-03-24$28,567$30,941-$2,374-$2,374
1926.62 DODGE & COX INTL STOCK FUND2018-12-192020-03-30$58,203$72,030-$13,827-$13,827
75.877 DODGE & COX INTL STOCK FUND2019-12-192020-03-30$2,292$3,298-$1,006-$1,006
967.118 FIDELITY CONTRA FUND #0222019-02-082020-07-16$15,000$11,301$3,699$3,699
2409.639 LORD ABBETT SHRT DUR INC-I2019-07-032020-07-16$10,000$10,107-$107-$107
203.528 MFS INTERNATIONAL GROWTH-R62019-12-122020-07-16$7,500$6,998$502$502
70.482 AMER FNDS NEW WORLD-F32015-04-072020-07-16$5,000$3,978$1,022$1,022
320.376 BOSTON PARTNERS INV ALL CAP VAL INST2017-06-152020-07-16$7,500$7,583-$83-$83
77.592 T ROWE PR MID CAP GROW-I2018-12-132020-07-16$7,500$6,188$1,312$1,312
78.654 STERLING CAP STR S/C VAL-INS2017-06-142020-07-16$5,000$6,809-$1,809-$1,809
228.102 VANGUARD S/T INVEST GR-ADM2004-10-312020-07-16$2,500$2,438$62$62
10.173 T ROWE PR MID CAP GROW-I2018-12-132020-07-21$1,000$811$189$189
1078.134 STERLING CAP STR S/C VAL-INS2018-12-122020-08-19$72,699$80,183-$7,484-$7,484
73.813 STERLING CAP STR S/C VAL-INS2019-12-112020-08-19$4,977$5,709-$732-$732
CAPITAL GAIN DIVIDENDS$41,194P
FieldValueIRS element (for citing)
Capital Gain Net Income$18,064CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$87,890AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,080,765NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.042239DistributionYr1Rt
Adjusted Qlfy Distri Yr2$101,500AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,090,543NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.048552DistributionYr2Rt
Adjusted Qlfy Distri Yr3$107,501AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,008,399NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.053526DistributionYr3Rt
Adjusted Qlfy Distri Yr4$90,469AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,932,372NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.046818DistributionYr4Rt
Adjusted Qlfy Distri Yr5$106,756AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,985,439NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.053769DistributionYr5Rt
Total Distribution0.244904TotalDistributionRt
Average Distribution0.048981AverageDistributionRt
Net Vl Noncharitable Assets$2,073,989NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$101,586AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$497NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$102,083AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$101,811QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$995InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$995SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$995TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,000EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$3,000TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$2,005OverpaymentAmt
Applied To ES Tax$2,005AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
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 StateINOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line11ST SOURCE BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5742352790PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 N MICHIGAN STREETAddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46601ZIPCd
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 PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
1ST SOURCE BANK
PO BOX 1602SOUTH BENDIN46634TRUSTEE1$17,572
JULIE DIFFENDARFER
325 S LAKE STREETWARSAWIN46580MEMBER1$0
TINA CONLEY
325 S LAKE STREETWARSAWIN46580MEMBER1$0
MAUREEN HALL
325 S LAKE STREETWARSAWIN46580MEMBER1$0
JOHN HALL
325 S LAKE STREETWARSAWIN46580MEMBER1$0
TOM TEARNEY
325 S LAKE STREETWARSAWIN46580MEMBER1$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
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$2,105,573AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,105,573TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,105,573AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$31,584CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,073,989NetVlNoncharitableAssetsAmt
Minimum Investment Return$103,699MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$103,699MinimumInvestmentReturnAmt
Tax Based On Investment Income$995TaxBasedOnInvestmentIncomeAmt
Total Tax$995TotalTaxAmt
Distributable Before Adj$102,704DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$102,704DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$102,704DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$101,811ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$101,811QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$101,811AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$102,704DistributableAsAdjustedAmt
Undistributed Income PY$101,811UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$101,811QualifyingDistributionsAmt
Applied To Year1$101,811AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$102,704UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (39 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ELLA DOYLE
INDIANA WESLEYAN UNIVERSITY3346 N KNOLLWOOD DRWARSAWIN46582NONEISCHOLARSHIP$1,500
MALLORY HOOKS
& TAYLOR UNIVERSITY530 CRESTLANE DRIVEWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
LAUREN ORR
& PURDUE UNIVERSITY2902 FAUNN STWINONA LAKEIN46590NONEINDIVIDUALSCHOLARSHIP$3,000
JONAH LECHLITNER
& MANCHESTER UNIVERSITY2797 E WILCOX ROADWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
KATHERINE SCHMIDT
& INDIANA WESLEYAN UNIVERSITY635 N HARRISONWARASWIN46580NONEISCHOLARSHIP$1,500
DANIEL TERRY
& PURDUE UNIVERSITY2463 S WOODLAND CIRCLEWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
BRENDAN PERRY
& PURDUE UNIVERSITY FT WAYNE808 N JOHNSON STREETWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
MCKENNA HAWLITZEL
& UNIVERSITY OF SOUTHERN INDIANA23 EMS C27B LANEWARSAWIN46582NONEISCHOLARSHIP$1,500
GRAHAM LANDWERLEN
4109 E 100 NWARSAWIN46582NONEISCHOLARSHIP$1,500
REAGAN ROWLAND
& PURDUE UNIVERSITY4607 N 300 WWARSAWIN46582NONEISCHOLARSHIP$1,500
COURTNEY THOMPSON
& GRACE COLLEGE2324 S STONEBRIDGE ROADWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
SYDNEY MILLER
& MANCHESTER UNIVERSITY2557 LIBERTY DRIVEWINONA LAKEIN46590NONEINDIVIDUALSCHOLARSHIP$3,000
LAUREN SHAFFNER
& IUPUI1845 E SPRINGHILL RDWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
ISABEL RAY
& IUPUI179 S HUNTERS RIDGEWARSAWIN46582NONEISCHOLARSHIP$3,000
DELANEY TAYLOR
MARIAN UNIVERSITY INDIANAPOLIS1780 W BUSINESS 30COLUMBIA CITYIN46725NONEISCHOLARSHIP$3,000
NICHOLAS BAZZONI
BELMONT UNIVERSITY2005 WESTWOOD RDWINONA LAKEIN46590NONEISCHOLARSHIP$2,000
MORGAN SMITH
& PURDUE UNIVERSITY11414 S PERU ROADSILVER LAKEIN46982NONEINDIVIDUALSCHOLARSHIP$3,000
AMSLIE HOWETT
PURDUE UNIVERSITY3227 S PACKERTON RDWARSAWIN46580NONEISCHOLARSHIP$1,500
ANNE WOTTRING
GRACE COLLEGE70 EMS C24E LANEWARSAWIN46582NONEISCHOLARSHIP$3,000
WILSON SECAUR
& TAYLOR UNIVERSITY1103 E MAIN STWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
JOSHUA FISHER
& WRIGHT STATE UNIVERSITY179 EMS C31 LANEWARSAWIN46582NONEISCHOLARSHIP$1,500
JENNIFER STRAITS
TAYLOR UNIVERSITY803 SHARON STWINONA LAKEIN46590NONEISCHOLARSHIP$3,000
DAYNE KOONTZ
INDIANA STATE UNIVERSITY2035 DEER TRAILWARSAWIN46580NONEISCHOLARSHIP$1,500
OLIVIA RENIER
& BUTLER UNIVERSITY1499 S 250 EWINONA LAKEIN46590NONEISCHOLARSHIP$1,500
ZACHARY MORGAN
& PURDUE UNIVERSITY203 7TH STREETWINONA LAKEIN46590NONEINDIVIDUALSCHOLARSHIP$3,000
MORGAN LEAMON
& INDIANA WESLEYAN UNIVERSITY2029 S PACKERTON ROADWINONA LAKEIN46590NONEINDIVIDUALSCHOLARSHIP$3,000
ANDREANA HEIMAN
1965 N SANTORINI DRIVEWARSAWIN46580NONEISCHOLARSHIP$1,500
RACHEL SMITH
& IUPUI2866 W 400 NWARSAWIN46582NONEINDIVIDUALSCHOLARSHIP$3,000
MAYGAN BELLAMY
& UNIVERSITY OF INDIANAPOLIS2022 W BLANCHARD STREETWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
BAYLY DOBBINS
& GRACE COLLEGE859 ROZELLA ROADWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
ALEXANDRA KOONTZ
VALPARAISO UNIVERSITY2035 DEER TRAILWARSAWIN46580NONEISCHOLARSHIP$1,500
ABIGAIL SMITH & GRACE COLLEGE
2866 W 400 NWARSAWIN46582NONEINDIVIDUALSCHOLARSHIP$3,000
CARTER SCHUH
& GRACE COLLEGE2805 WIDAMAN STWINONA LAKEIN46590NONEISCHOLARSHIP$3,000
KATHRINE JOSELLIS
INDIANA UNIVERSITY2285 E LAURIEN CTWARSAWIN46582NONEISCHOLARSHIP$3,000
LYDIA HARRISION
& HOPE COLLEGE1317 HARTZLER STREETWARSAWIN46580NONEINDIVIDUALSCHOLARSHIP$3,000
ELIZABETH YEITER
& TAYLOR UNIVERSITY810 TIMBER LANEWINONA LAKEIN46590NONEINDIVIDUALSCHOLARSHIP$3,000
HANNAH SLABACH
& PURDUE UNIVERSITY1237 S HONEYBEE CTWARSAWIN46580NONEISCHOLARSHIP$1,500
GWYENTH BELLAMY
& GOSHEN COLLEGE2022 W LANCHARD STWARSAW IN 46580WARSAWIN46580NONEISCHOLARSHIP$3,000
ROSA ROBLERO
GRACE COLLEGE340 E LEVI LEE RD 145WARSAWIN46582NONEISCHOLARSHIP$6,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$101,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$37,278ExclusionAmt
FieldValueIRS element (for citing)
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 Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$18,064ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$55,342ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$55,342TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEESCategoryTxt
Amt$1,400Amt
Net Investment Income$1,400NetInvestmentIncomeAmt

Borrowed Funds Election BorrowedFundsElection

Borrowed Funds BorrowedFundsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11ST SOURCE BANKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1602AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46634ZIPCd
FieldValueIRS element (for citing)
Borrowed$811BorrowedAmt
Use Of Borrowed FundsADMINISTRATIONUseOfBorrowedFundsTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (8 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BLACKROCK STRAT INC OPP INS$47,357$46,911
FED HER OPP HIGH YIELD BD-IN$54,595$51,965
TEMPLETON GLOBAL BOND FUND$35,316$25,670
VANGUARD S/T INVEST GR-ADM$126,083$129,877
DODGE & COX INCOME FUND$199,104$217,178
LORD ABBETT SHRT DUR INC$61,614$61,614
NATIXIS LOOMIS SAY INV GR-Y$28,760$32,330
VANGUARD TOTAL BD MKT IDX ADM$32,180$33,657

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (10 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BOSTON PARTNERS INV ALL CAP VA$243,344$352,939
DODGE & COX INTL STOCK FUND
FIDELITY CONTRAFUND$301,190$641,874
ISHARES MSCI EAFE ETF$34,960$38,763
AMER FNDS NEW WORLD$68,616$94,062
STERLING CAP STR S/C VAL INS
T ROWE PR MID CAP GROW$53,348$86,887
MFS INTERNATIONAL GROWTH-R6$117,751$141,470
SPDR S&P DIVIDEND ETF$100,664$98,036
VANGUARD STRAT SM CAP EQ$77,918$74,069

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescDIFFERENCE DUE TO TIMING/ROUNDINGDesc
Amt$357Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX PAYMENT - PRIOR YE$391$0$0
FEDERAL ESTIMATES - PRINCIPAL$3,000$0$0
FOREIGN TAXES ON QUALIFIED FOR$540$0$0
FOREIGN TAXES ON NONQUALIFIED$12$0$0

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