RICE MEMORIAL HOSPITAL AND WELFARE FUND: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RICE MEMORIAL HOSPITAL AND WELFARE FUND (EIN 35-6015582)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-07
IRS object ID
202041289349101129
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)
Return2020-05-07T11:00:23-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010604131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TRUST PROCESSING SOLUTIONSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 894AddressLine1Txt
CityMILFORDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP451500894ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN356015582EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICE MEMORIAL HOSPITAL AND WELFARE 310006010BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRICEBusinessNameControlTxt
Phone8124641584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP477020207ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonOLD NATIONAL WEALTH MANAGEMENTPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8124641584PhoneNum
Signature2020-04-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUG HARTPreparerPersonNm
PTINP00241831PTIN
Phone5137748805PhoneNum
Preparation2020-04-17PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.68.127.170IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id33F592ACAE94898F6011331A358991489B73CEACAtSubmissionCreationDeviceId
At Submission Filing Device Id8670109924BED3CE298B6E1E977013E584BCC65FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,107,726FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$19,321DividendsRevAndExpnssAmt
Dividends Net Invst Incm$19,321DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$32,954NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$189,793GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$32,954CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$52,275TotalRevAndExpnssAmt
Total Net Invst Incm$52,275TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$11,936CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$2,372CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$9,564CompOfcrDirTrstDsbrsChrtblAmt
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$1,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$1,273TaxesRevAndExpnssAmt
Taxes Net Invst Incm$233TaxesNetInvstIncmAmt
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 Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$14,209TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,605TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$10,564TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$41,875ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$41,875ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$56,084TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,605TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$52,439TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$3,809ExcessRevenueOverExpensesAmt
Net Investment Income$49,670NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$907,095OtherInvestmentsBOYAmt
Other Investments EOY$903,283OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,107,726OtherInvestmentsEOYFMVAmt
Total Assets BOY$907,095TotalAssetsBOYAmt
Total Assets EOY$903,283TotalAssetsEOYAmt
Total Assets EOYFMV$1,107,726TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$907,095CapitalStockBOYAmt
Capital Stock EOY$903,283CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$907,095TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$903,283TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$907,095TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$903,283TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$907,095TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$3,809ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$903,286SubtotalAmt
Other Decreases$3OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$903,283TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (80 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
51. SCHWAB US TIPS ETF2018-02-232019-01-04$2,727$2,776-$49-$49
170. VANGUARD SHORT TERM INFLATION PROTECTED SECS INDEX ETF2018-02-232019-01-04$8,144$8,289-$145-$145
6. ANALOG DEVICES INC2017-10-202019-02-06$615$536$79$79
5. APPLE COMPUTER INC2008-10-232019-02-06$870$69$801$801
18. BANK OF AMERICA CORP2017-01-192019-02-06$516$406$110$110
7. COGNIZANT TECH SOLUTIONS CORP2018-06-052019-02-06$520$540-$20-$20
5. DANAHER CORP2015-10-212019-02-06$547$337$210$210
6. DOVER CORPORATION2017-12-272019-02-06$528$482$46$46
6. EDWARDS LIFESCIENCES CORP2016-01-282019-02-06$1,022$455$567$567
19. EQUIFAX INC2016-02-172019-02-06$2,034$1,935$99$99
2. EQUIFAX INC2019-01-042019-02-06$214$189$25$25
7. EXXON MOBIL CORP2016-04-252019-02-06$526$610-$84-$84
5. FACEBOOK INC CL A2016-04-252019-02-06$853$549$304$304
9. FASTENAL CO2018-06-052019-02-06$554$489$65$65
5. HOME DEPOT2016-08-152019-02-06$923$687$236$236
7. JP MORGAN CHASE & CO2017-12-272019-02-06$726$751-$25-$25
8. MICROSOFT CORP2017-06-132019-02-06$849$566$283$283
9. MONSTER BEVERAGE CORP2018-09-042019-02-06$516$520-$4-$4
6. PROCTER & GAMBLE CO2019-01-042019-02-06$587$544$43$43
21. PROGRESSIVE CORP OHIO COM2017-12-272019-02-06$1,418$1,184$234$234
5. SALESFORCE.COM INC2017-12-272019-02-06$789$513$276$276
12. SCHWAB CHARLES CORP2018-06-052019-02-06$552$676-$124-$124
74. SELECT SECTOR SPDR CONSUMER DISCRETIONARY2017-03-212019-02-06$8,023$6,385$1,638$1,638
55. SELECT SECTOR SPDR FINL2017-03-212019-02-06$1,431$1,299$132$132
21. SELECT SECTOR SPDR INDUSTRIAL ETF2017-03-212019-02-06$1,541$1,355$186$186
7. AMEX TECHNOLOGY SELECT SPDR2017-03-212019-02-06$479$369$110$110
10. STARBUCKS CORP2016-08-152019-02-06$688$554$134$134
13. SUNTRUST BKS INC COM2016-10-202019-02-06$763$605$158$158
19. TJX CO INC2011-11-012019-02-06$924$281$643$643
5. THERMO FISHER SCIENTIFIC INC2009-02-062019-02-06$1,234$200$1,034$1,034
156. VANGUARD VALUE ETF2018-02-022019-02-06$16,469$17,033-$564-$564
7. VISA INC CL A2009-05-272019-02-06$990$118$872$872
5. CHECK POINT SOFTWARE TECH LTD ORD2019-01-042019-02-06$579$528$51$51
27.939 OAKMARK INTL INSTL FD #28862018-02-022019-02-07$611$838-$227-$227
33.282 JANUS HENDERSON ENTERPRISE CL I FD #1022016-04-212019-02-07$4,106$2,988$1,118$1,118
131.522 JPMORGAN US SMALL COMPANY CL L FD #13842017-01-312019-02-07$2,145$2,394-$249-$249
7.251 OPPENHEIMER INTL GROWTH CL I FD #19612018-02-022019-02-07$269$326-$57-$57
32.283 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #70072014-02-112019-02-07$775$665$110$110
5. ADOBE SYS INC2017-10-202019-04-22$1,359$876$483$483
5. ANALOG DEVICES INC2017-10-202019-04-22$568$447$121$121
8. APPLE COMPUTER INC2008-10-232019-04-22$1,637$111$1,526$1,526
1. BERKSHIRE HATHAWAY INC CL B2019-01-042019-04-22$210$196$14$14
14. BERKSHIRE HATHAWAY INC CL B2015-02-202019-04-22$2,933$2,075$858$858
5. BLACKROCK INC2015-09-142019-04-22$2,321$1,506$815$815
5. EXXON MOBIL CORP2019-01-042019-04-22$415$356$59$59
36. EXXON MOBIL CORP2016-04-252019-04-22$2,986$2,785$201$201
8. STARBUCKS CORP2016-08-152019-04-22$603$443$160$160
24. TJX CO INC2011-11-012019-04-22$1,305$355$950$950
5. VISA INC CL A2009-05-272019-04-22$802$84$718$718
7. AON PLC CL A2016-08-152019-04-22$1,223$767$456$456
5. SALESFORCE.COM INC2018-06-052019-06-12$755$640$115$115
9. SCHWAB CHARLES CORP2018-06-052019-06-12$379$507-$128-$128
10. STARBUCKS CORP2016-08-152019-06-12$828$554$274$274
5. SUNTRUST BKS INC COM2016-10-202019-06-12$319$233$86$86
14. SELECT SECTOR SPDR MATERIALS ETF2017-03-212019-06-21$808$726$82$82
44. SELECT SECTOR SPDR HLTH CARE ETF2017-03-212019-06-21$4,126$3,275$851$851
40. SELECT SECTOR SPDR CONSUMER STAPLES2017-03-212019-06-21$2,350$2,205$145$145
30. SELECT SECTOR SPDR CONSUMER DISCRETIONARY2017-03-212019-06-21$3,586$2,589$997$997
18. SELECT SECTOR SPDR ENERGY2017-03-212019-06-21$1,142$1,249-$107-$107
128. SELECT SECTOR SPDR FINL2017-03-212019-06-21$3,483$3,023$460$460
39. SELECT SECTOR SPDR INDUSTRIAL ETF2017-03-212019-06-21$3,008$2,517$491$491
82. AMEX TECHNOLOGY SELECT SPDR2017-03-212019-06-21$6,428$4,327$2,101$2,101
79. COMMUNICATION SVCS SELECT SECTOR SPDR FD ETF2018-10-032019-06-21$3,894$3,872$22$22
25. REAL ESTATE SELECT SECTOR SPDR FD ETF2017-03-212019-06-21$943$780$163$163
15000. CAPITAL ONE BK, GLEN ALLEN VA CTF DEP 1.25% 09/03/20192016-08-252019-09-03$15,000$15,000
38. VANGUARD VALUE ETF2019-01-042019-09-20$4,260$3,765$495$495
164. VANGUARD VALUE ETF2018-02-022019-09-20$18,385$13,465$4,920$4,920
6. BIOGEN INC2018-09-042019-10-10$1,339$2,078-$739-$739
1. BIOGEN INC2019-01-042019-10-10$223$318-$95-$95
2. CELGENE CORP2019-01-042019-10-10$200$170$30$30
23. CELGENE CORP2017-05-112019-10-10$2,294$2,743-$449-$449
5. EDWARDS LIFESCIENCES CORP2016-01-282019-10-10$1,131$380$751$751
13. FACEBOOK INC CL A2016-04-252019-10-10$2,341$1,428$913$913
5. NORTHROP GRUMMAN CORP2016-01-112019-10-10$1,845$943$902$902
1. REGENERON PHARMACEUTICALS INC2019-01-042019-10-10$299$399-$100-$100
4. REGENERON PHARMACEUTICALS INC2018-09-042019-10-10$1,195$1,612-$417-$417
7. STRYKER CORP2015-10-212019-10-10$1,480$699$781$781
637.963 FEDERATED CLOVER SMALL VALUE CL IS FD #6592016-08-162019-12-26$13,346$13,642-$296-$296
246.443 FEDERATED CLOVER SMALL VALUE CL IS FD #6592019-02-072019-12-26$5,156$4,658$498$498
CAPITAL GAIN DIVIDENDS$5,831P
FieldValueIRS element (for citing)
Capital Gain Net Income$32,954CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$57,669AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,019,377NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.056573DistributionYr1Rt
Adjusted Qlfy Distri Yr2$55,287AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$994,719NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.055581DistributionYr2Rt
Adjusted Qlfy Distri Yr3$57,496AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$940,553NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.06113DistributionYr3Rt
Adjusted Qlfy Distri Yr4$48,033AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,000,210NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.048023DistributionYr4Rt
Adjusted Qlfy Distri Yr5$57,923AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,014,428NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.057099DistributionYr5Rt
Total Distribution0.278406TotalDistributionRt
Average Distribution0.055681AverageDistributionRt
Net Vl Noncharitable Assets$1,032,444NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$57,488AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$497NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$57,985AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$52,439QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$993InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$993SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$993TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,509EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,509TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$516OverpaymentAmt
Applied To ES Tax$516AppliedToESTaxAmt
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 Line1OLD NATIONAL WEALTH MANAGEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8124641584PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47702ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
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 IndividualsYes (true)GrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
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

FieldValueIRS element (for citing)
PersonOLD NATIONAL WEALTH MANAGEMENTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47702ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$11,936CompensationAmt
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$1,048,167AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,048,167TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,048,167AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$15,723CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,032,444NetVlNoncharitableAssetsAmt
Minimum Investment Return$51,622MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$51,622MinimumInvestmentReturnAmt
Tax Based On Investment Income$993TaxBasedOnInvestmentIncomeAmt
Total Tax$993TotalTaxAmt
Distributable Before Adj$50,629DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$50,629DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$50,629DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$52,439ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$52,439QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$52,439AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$50,629DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,536ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$11,358ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$7,524ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$8,207ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$29,625TotalExcessDistributionCyovAmt
Qualifying Distributions$52,439QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$50,629AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,810RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$31,435TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$2,536ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$28,899ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$11,358ExcessFromYear3Amt
Excess From Year2$7,524ExcessFromYear2Amt
Excess From Year1$8,207ExcessFromYear1Amt
Excess From Current Year$1,810ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
INDIANA UNIVERSITY
BURSAR OFFICE-FRANKLIN HALL 011601 E KIRKWOOD AVEBLOOMINGTONIN474051233NONEPCSCHOLARSHIPS$24,000
IU OFFICE OF THE BURSAR
POPLARS BUILDING W101400 E SEVENTH STBLOOMINGTONIN47408NONEPCSCHOLARSHIPS$3,000
INDIANA UNIVERSITY SOUTHEAST
4201 GRANT LINE RDNEW ALBANYIN47150NONEPCSCHOLARSHIPS$3,000
PURDUE UNIVERSITY
BURSAR OFFICE-OUTSIDE AWARDS1060 HOVDE HALL OF ADMINW LAFAYETTEIN479071060NONEPCSCHOLARSHIPS$5,875
IUPUI
OFFICE OF THE BURSARPO BOX 66144INDIANAPOLISIN462666144NONEPCSCHOLARSHIPS$6,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$41,875TotalGrantOrContriPdDurYrAmt

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$19,321ExclusionAmt
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$32,954ExclusionAmt
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$52,275ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$52,275TotalIncomeProducingActyAmt
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 FEE (NON-ALLOCCategoryTxt
Amt$1,000Amt
Disbursements Charitable Prps$1,000DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$3Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$1,040$0$0
FOREIGN TAXES ON QUALIFIED FOR$233$233$0

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