2019-01-28T16:13:57-06:00 2018-05-31 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990PF 2017-06-01 452548424 DONALD E FIKE FAMILY FOUNDATION DONA 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 DONALD E FIKE PRESIDENT 3093431550 2019-01-28 1 DELINDA HAWKINS P00485614 3093428026 108.171.131.165 2019-01-28 11:48:15 CS P 99F155A1D309E64789FCF49563C00DE36CEBD54C 51E0F80EC60F4AE0EAB11410FE403885E403FF44 2017 2019-02-21 02:37:17Z X 3411663 X 155432 62429 62429 42337 42337 42337 260198 104766 0 0 0 2100 1575 525 999 999 0 25 0 25 3124 2574 550 134750 134750 137874 2574 135300 122324 102192 106997 283365 283365 700046 976 976 1720360 2843822 2843822 560000 280000 280000 7180 3500 3500 3094583 3411663 3411663 462 0 462 X 3094583 3411201 3094583 3411201 3094583 3411663 3094583 122324 194294 3411201 0 3411201 CAPITAL GAINS DIVIDENDS P 42337 42337 42337 42337 0 118021 2714128 0.043484 95859 2392920 0.040059 70287 1944890 0.036139 48389 1471520 0.032884 125 948307 0.000132 0.152698 0.030540 3282222 100239 1022 101261 135300 X 1022 0 1022 0 1022 560 1000 0 1560 X 0 538 538 0 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A RON WILSON RFMS INC 3093431550 285 S FARNHAM GALESBURG IL 61401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 DONALD E FIKE 285 SOUTH FARNHAM GALESBURG IL 61401 PRESIDENT/DIRECTOR 1.00 0 0 0 SUZANNE FIKE MEEKER 285 SOUTH FARNHAM GALESBURG IL 61401 SECRETARY/DIRECTOR 1.00 0 0 0 ANTHONY AJ FIKE 285 SOUTH FARNHAM GALESBURG IL 61401 DIRECTOR 1.00 0 0 0 MISTY L FIKE 285 SOUTH FARNHAM GALESBURG IL 61401 DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 THE DONALD E. FIKE FAMILY FOUNDATION IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF ILLINOIS. THE FOUNDATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED. 135300 0 2803873 524832 3500 3332205 0 0 3332205 49983 3282222 164111 164111 1022 1022 163089 0 163089 0 163089 135300 0 135300 1022 134278 163089 134547 0 0 135300 134547 0 0 753 0 0 0 0 0 0 0 0 162336 0 0 0 DONALD E FIKE X DONALD E FIKE 285 SOUTH FARNHAM STREET GALESBURG IL 61401 3093431550 THE SELECTION PROCESS OF CONTRIBUTIONS WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. A MAJORITY VOTE BY THE DIRECTORS WILL QUALIFY AN ORGANIZATION AND/OR SPECIFIC PROGRAMS OF AN ORGANIZATION FOR FUNDING. NONE RECIPIENTS MUST PROVE THEIR STATUS AS 501(C)(3) ORGANIZATIONS OR OTHERWISE VERIFY THAT GRANT MONIES WILL BE USED EXCLUSIVELY FOR CHARITABLE PURPOSES AS DESCRIBED IN IRC SECTION 170(C)(1) OR 170(C)(2)(B). THE FOUNDATION WILL PERFORM AN ANNUAL REVIEW TO INSURE THAT ALL RECIPIENT ORGANIZATIONS MAINTAINED THEIR 501(C)(3) STATUS AND/OR USED GRANT MONIES EXCLUSIVELY FOR THE INTENDED CHARITABLE PURPOSE DESCRIBED IN IRC SECTION 170(C)(1) OR 170(C)(2)(B). ACHIEVEMENT UNLIMITED INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 N/A PC TO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED 20000 ILLINOIS VALLEY ANIMAL RESCUE INC PO BOX 284 PERU IL 61354 N/A PC TO RESCUE, PROVIDE CARE AND COMFORT FOR ABUSED, NEGLECTED AND HOMELESS ANIMALS 5000 ILLINOIS VALLEY YMCA 300 WALNUT DRIVE PERU IL 61354 N/A PC TO BUILD HEALTHY SPIRIT, MIND, AND BODY FOR ALL PEOPLE 5000 KCCDD INC 2015 WINDISH DR GALESBURG IL 61401 N/A PC TO CREATE OPPORTUNITIES FOR INDIVIDUALS TO MAXIMIZE INDEPENDENCE & POTENTIAL 10000 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 N/A PC TO PROVIDE EDUCATION, RESEARCH, AND PATIENT CARE 30000 PET PROJECT INC PO BOX 163 OTTAWA IL 61350 N/A PC TO PROVIDE SHELTER AND ADOPTION SERVICES FOR CATS AND DOGS 5000 RESIDENTIAL ALTERNATIVES OF ILLINOIS INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 N/A PC TO PROVIDE & OPERATE NURSING & ASSISTED LIVING FACILITIES FOR THE ELDERLY 11500 THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF KNOX COUNTY ILLINOIS 1324 W CARL SANDBURG DRIVE GALESBURG IL 61401 N/A PC TO SUPPORT PROGRAMS THAT BUILD A HEALTHY SPIRIT, MIND, AND BODY FOR ALL PEOPLE 10000 TONICA VOLUNTEER FIRE DEPARTMENT 507 N FIRST ST TONICA IL 61370 N/A NC TO PROVIDE FIRE AND RESCUE SERVICES TO SURROUNDING COMMUNITIES 2500 UNIVERSITY OF ILLINOIS FOUNDATION 1305 WEST GREEN STREET URBANA IL 61801 N/A PC TO SUPPORT THE UNIVERSITY'S TEACHING, RESEARCH, PUBLIC SERVICE AND ECONOMIC DEVELOPMENT MISSION 10000 TONICA UNITED METHODIST CHURCH 423 E WAUPONIS ST PO BOX 98 TONICA IL 613700098 N/A PC TO MAKE DISCIPLES OF JESUS CHRIST FOR THE TRANSFORMATION OF THE WORLD. 750 ST JUDE FORE THE KIDS 262 DANNY THOMAS PLACE MEMPHIS TN 381053678 N/A PC TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. 5000 GALESBURG MUSEUMS INC DBA DISCOVERY DEPOT 128 S CHAMBERS ST GALESBURG IL 61401 N/A PC TO PROVIDE INTERACTIVE HANDS-ON EXPERIENCES FOR CHILDREN THAT TOUCH ON THE HISTORY, CULTURE, ARTS, INDUSTRY, EDUCATION AND TRADITIONS IN THE GALESBURG AREA. 10000 TONICA CEMETERY ASSOCIATION PO BOX 275 TONICA IL 61370 N/A NC FUNDS ARE IRREVOCABLY DEDICATED TO THE CARE OF THE CEMETERY AS A WHOLE AND WILL SUPPORT THE TONICA CEMETERY ROAD PROJECT. 10000 134750 0 14 62429 14 42337 0 104766 0 104766 1 0 0 0 0 0 0 0 0 1a(1) 2500 TONICA VOLUNTEER FIRE DEPARTMENT CASH GRANT TO SUPPORT THE CHARITABLE, PUBLIC PURPOSE OF THE 501(C)(4) EXEMPT ORGANIZATION 1a(1) 10000 TONICA CEMETERY ASSOCIATION CASH GRANT TO SUPPORT THE IRC SECTION 170(C)(5) CHARITABLE PURPOSE OF THE 501(C)(13) EXEMPT ORGANIZATION. 0 X X 1 DONALD E FIKE 285 SOUTH FARNHAM STREET GALESBURG IL 61401 155432 X 1 8 SHS AMERISOURCE BERGEN CO (ABC) 740 2017-12-28 1 143 SHS ADIENT PLC F (ADNT) 11357 2017-12-28 1 1000 SHS AVIS BUDGET GROUP (CAR) 44479 2017-12-28 1 20 SHS CVS CAREMARK (CVS) 1461 2017-12-28 1 194 SHS EXPRESS SCRIPTS (ESRX) 14534 2017-12-28 1 5 SHS HCA HOLDINGS INC (HCA) 441 2017-12-28 1 15 SHS HUMANA (HUM) 3735 2017-12-28 1 187 SHS MALLINCKRODT (MNK) 4261 2017-12-28 1 359 SHS PENTAIR LTD (PNR) 25130 2017-12-28 1 400 SHS YUM BRANDS (YUM) 33056 2017-12-28 1 400 SHS YUM BRANDS CHINA HOLDINGS (YUMC) 16238 2017-12-28 ACCOUNTING FEES 2100 1575 525 TONICA CEMETERY ASSOCIATION PO BOX 275 TONICA IL 61370 2018-04-30 10000 FUNDS ARE IRREVOCABLY DEDICATED TO THE CARE OF THE CEMETERY AS A WHOLE. THE VOLUNTARY CONTRIBUTION WAS A DIRECT CHARITABLE ACT AND UNRELATED TO ANY PARTICULAR CEMETERY LOT OR CRYPT. 10000 NONE 4/30/2018 2018-04-30 THE GRANT MONEY WAS PROPERLY USED TO FURTHER THE 501(C)(13) RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AS A CHARITABLE ORGANIZATION UNDER IRC SECTION 170(C)(5). HOMETOWN COMMUNITY BANCORP, INC. SUBORDINATED PROMISSORY NOTE 280000 280000 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - AMERISOURCEBERGEN CO. 657 657 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - ADIENT PLC F 7613 7613 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - AMERICAN CENTURY EQUITY GROWTH 744807 744807 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - AVIS BUDGET GROUP 38990 38990 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - CVS HEALTH CORP 1268 1268 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - EXPRESS SCRIPTS HLDG 14707 14707 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - HCA HEALTHCARE INC. 516 516 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - HUMANA INC. 4365 4365 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - JANUS GLOBAL RESEARCH FUND 1243183 1243183 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - MALLINCKRODT PUB F 3151 3151 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - NVENT ELECTRIC PLC F 9722 9722 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - OAKMARK INTL FD INV 337447 337447 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - PENTAIR PLC F 15667 15667 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - SCHWAB SMALL CAP INDEX FUND 373477 373477 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - YUM BRANDS INC. 32532 32532 INVESTMENT IN AVAILABLE FOR SALE SECURITIES - YUM CHINA HOLDINGS 15720 15720 INCOME TAX RECEIVABLE 180 0 0 INTEREST RECEIVABLE 7000 3500 3500 LICENSES FEES 25 0 25 UNREALIZED GAIN ON INVESTMENTS 194294 FEDERAL TAXES 999 999 0