2018-11-14T12:06:12-06:00 2017-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2017-01-01 311760702 LICKING COUNTY FOUNDATION INC LICK 7403493863 30 N 2ND STREET NEWARK OH 430584212 CONSTANCE J HAWK DIRECTOR 7403493863 2018-11-13 1 CHRISTOPHER B ANDERSON P00226559 2163630100 209.116.109.2 2018-11-13 13:42:10 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 34F15A1E57D14FDCA2271EC8547C559A386063E6 2017 2019-02-21 02:37:17Z CONSTANCE J HAWK 30 N 2ND STREET NEWARK OH 430584212 19905733 0 X WWW.THELCFOUNDATION.ORG X 1956 OH TO IMPROVE THE QUALITY OF LIFE FOR ALL CITIZENS OF LICKING COUNTY AND TO DISTRIBUTE EARNINGS FROM PERMANENT CHARITABLE ASSETS TO BENEFIT THE ENTIRE COMMUNITY. 14 14 6 130 214357 192021 5948069 3052575 507986 570180 3923187 6059965 289377 60280 10668619 9743000 2621917 2466238 0 0 364439 396884 0 0 186016 1061980 1317832 4048336 4180954 6620283 5562046 88777951 97142063 8389991 9264093 80387960 87877970 THE MISSION OF LICKING COUNTY FOUNDATION IS TO IMPROVE THE QUALITY OF LIFE FOR ALL CITIZENS OF LICKING COUNTY AND TO DISTRIBUTE EARNINGS FROM PERMANENT CHARITABLE ASSETS TO BENEFIT THE ENTIRE COMMUNITY. 0 0 2647172 2466238 630460 LICKING COUNTY FOUNDATION IS A PUBLIC CHARITABLE ORGANIZATION MADEUP OF A DIVERSE COLLECTION OF FUNDS GIVEN BY CARING INDIVIDUALS,BUSINESSES, AND ORGANIZATIONS THAT HAVE A COMMON CONCERN FOR THEWELL-BEING OF THE PEOPLE OF LICKING COUNTY. DISTRIBUTIONS FROMTHESE FUNDS MAINTAIN AND ENHANCE THE EDUCATIONAL, SOCIAL,CULTURAL, HEALTH AND CIVIC RESOURCES OF THE COMMUNITY THROUGHSUPPORT OF QUALIFIED CHARITABLE ORGANIZATIONS. 2647172 1 1 0 1 0 1 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 1 8 0 1 6 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X DEAN BUSACK 7403493863 30 N 2ND STREET NEWARK OH 430584212 ESCHOL CURL CHAIRMAN 2.00 2.00 X X 0 0 0 MICHAEL CANTLIN DIRECTOR 1.00 1.00 X 0 0 0 NOBLE SNOW SECRETARY & TREASURER 1.00 1.00 X X 0 0 0 MIKE WHITEHEAD DIRECTOR 1.00 1.00 X 0 0 0 JANINE MORTELLARO DIRECTOR 1.00 1.00 X 0 0 0 MOLLY INGOLD DIRECTOR 1.00 1.00 X 0 0 0 CYNTHIA MENZER VICE CHAIRMAN 2.00 2.00 X X 0 0 0 KIM COPLIN DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL KENNEDY DIRECTOR 1.00 1.00 X 0 0 0 TIM LEHMAN DIRECTOR 1.00 1.00 X 0 0 0 JEANETTA PYLE DIRECTOR 1.00 1.00 X 0 0 0 PARK SHAI III DIRECTOR 1.00 1.00 X 0 0 0 RYAN MILLS DIRECTOR 1.00 1.00 X 0 0 0 ROBERT O'NEILL DIRECTOR 1.00 1.00 X 0 0 0 CONSTANCE J HAWK EXECUTIVE DIRECTOR 40.00 1.00 X 115563 0 17568 DEAN BUSACK FINANCIAL OFFICER 40.00 1.00 X 65602 0 3280 181165 0 20848 1 0 0 0 PARK NATIONAL BANK 50 N THIRD STREET PO BOX 3500 NEWARK OH 43058 INV.MGMT.&OTHER BANKING SVCS. 251491 1 3052575 59732 3052575 ADMINISTRATIVE FEE REVENUE 561000 529952 529952 REAL ESTATE REVENUE 531120 40228 40228 570180 1631082 214357 1416725 14591616 10162733 4428883 4428883 4428883 MISCELLANEOUS 900099 60280 60280 60280 9743000 630460 214357 5845608 1468328 1468328 997910 997910 202013 70705 80805 50503 117666 41183 47066 29417 53260 18641 21304 13315 23945 8381 9578 5986 39402 39402 15750 15750 1000 1000 227166 227166 31705 31705 73021 18255 54766 10503 3676 4201 2626 30354 10624 12142 7588 86489 86489 5136 1798 2054 1284 3630 1271 1452 907 58182 58182 29869 29869 ADMINISTRATIVE FEES 482367 482367 MISC. EXPENSES 99565 99565 TAXES 97669 97669 EVENTS 26024 6400 19624 4180954 2647172 1347766 186016 27589 24209 677743 98 98 2277 9149 1871031 508177 1158236 1362854 82891834 90253011 4312526 4453902 385391 361097 88777951 97142063 12134 84520 92000 33850 8285857 9145723 8389991 9264093 X 8338184 7091648 43468125 51092983 28581651 29693339 80387960 87877970 88777951 97142063 5562046 1927964 0 X X 0 1 X 1 0 X 264490 61102 15955 5948069 3052575 9342191 264490 61102 15955 5948069 3052575 9342191 340624 9001567 7695 14496 13191 1133079 1416725 2585186 307344 214357 521701 289377 60280 349657 12798735 1204387 0.70330 0.77380 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 289,377. 2017 AMOUNT: $ 60,280. 0 0 0 0 0 0 0 0 1 1000 1000 0 PART II-B, LINE 1: THE FOUNDATION PAID PHILANTHROPY OHIO, AN UNRELATED ORGANIZATION, FOR MISSION-RELATED LOBBYING ACTIVITIES. 45 452812 427987 11968391 1 1 43363253 1651063 4284565 1076056 48222825 37214423 2901256 4448598 1201024 43363253 2787229 34459651 493 32950 37214423 3147583 40937 58384 459675 2787229 3514379 7695 374111 380 3147583 0.63390 0.36610 0 0 138448 138448 692091 213055 479036 300953 295122 5831 739539 739539 1362854 AGENCY LIABILITY 9145723 9145723 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE - LCF IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE LCF IS THE SOLE MEMBER OF THE SUBSIDIARY LLC'S WHICH ARE TREATED AS DISREGARDED ENTITIES FOR TAX PURPOSES. ACCORDINGLY, NO PROVISIONS FOR FEDERAL, STATE, OR LOCAL TAXES ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THERE WERE NO UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2017. LCF'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, AS WELL AS VARIOUS STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR THREE YEARS. 1 A CALL TO COLLEGE 314 GRANVILLE ST NEWARK OH 43055 311333812 501 (C)(3) 157647 GENERAL SUPPORT CAMP O'BANNON OF LICKING COUNTY INC 9688 BUTLER ROAD NE NEWARK OH 43055 316401440 501 (C)(3) 13668 GENERAL SUPPORT CANAL MARKET DISTRICT AND ENTERPRISE HUB PO BOX 4217 NEWARK OH 43058 473293365 501 (C)(3) 25000 THE CANAL ENTERPRISE HUB CANCER SUPPORT COMMUNITY CENTRAL OHIO 1200 OLD HENDERSON RD COLUMBUS OH 43220 201388385 501 (C)(3) 5000 GENERAL SUPPORT CAPITAL UNIVERSITY LAW SCHOOL 303 EAST BROAD ST COLUMBUS OH 43215 314379435 501 (C)(3) 15000 FOR THE 3 + 3 PROGRAM CAT WELFARE ASSOCIATION INCORPORATED 741 WETMORE RD COLUMBUS OH 43214 316049232 501 (C)(3) 15000 GENERAL SUPPORT CATHOLIC SOCIAL SERVICES 197 E GAY ST COLUMBUS OH 43215 314379437 501 (C)(3) 10500 TRANSPORTATION SERVICES CENTRAL OHIO TECHNICAL COLLEGE 1179 UNIVERSITY DRIVE NEWARK OH 43055 310802020 501 (C)(3) 1148 PROVIDE SCHOLARSHIPS CITY OF NEWARK 40 W MAIN ST NEWARK OH 43055 316400237 115 10850 RECREATIONAL UPGRADES CROTON CHURCH OF CHRIST P O BOX 206 CROTON OH 43013 311185855 501 (C)(3) 7331 GENERAL SUPPORT CROTON UNITED METHODIST CHURCH PO BOX 127 CROTON OH 43013 362167731 501 (C)(3) 7331 GENERAL SUPPORT DENISON UNIVERSITY PO BOX 810 GRANVILLE OH 430230810 314379459 501 (C)(3) 6400 ANNUAL FUND FIRST UNITED METHODIST CHURCH P O BOX 729 NEWARK OH 430580729 362167731 501 (C)(3) 27298 GENERAL SUPPORT FOUNDATION FOR HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY RD NEWARK OH 43055 550855205 501 (C)(3) 18004 GENERAL SUPPORT HABITAT FOR HUMANITY MIDOHIO 6665 BUSCH BOULEVARD COLUMBUS OH 43229 311217994 501 (C)(3) 15000 HOMEOWNER REPAIR PROGRAM HARTFORD LIBRARY ASSOCIATION 11 S PARK CROTON OH 43013 237295550 501 (C)(3) 7333 GENERAL SUPPORT LAKEWOOD LOCAL SCHOOLS 525 EAST MAIN STREET HEBRON OH 43025 316402659 115 8666 GENERAL SUPPORT LICKING COUNTY AGING PROGRAM 1058 EAST MAIN STREET NEWARK OH 43055 310787851 115 21378 HEARING FUND LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES 195 UNION STREET NEWARK OH 43055 316400074 115 25000 TO SERVE THE UNMET NEEDS OF DEVELOPMENTALLY DISABLED CHILDREN IN LICKING COUNTY LICKING COUNTY CENTER FOR THE VISUALLY IMPAIRED INC 67 N FIFTH ST NEWARK OH 43055 311081258 115 30000 CVI NON-SENIOR EYE CARE SERVICES PROGRAM LICKING COUNTY COALITION FOR HOUSING 23 S PARK PLACE SUITE 200 NEWARK OH 430580613 311369756 115 26240 LICKING COUNTY COORDINATED ACCESS LICKING COUNTY COALITION OF CARE 105 JEFFERSON ST NEWARK OH 430588663 510522123 115 9013 GENERAL SUPPORT LICKING COUNTY COMMUNITY HEALTH CARE 144 W MAIN ST NEWARK OH 43055 311340169 501 (C)(3) 5500 GENERAL SUPPORT LICKING COUNTY FAMILY YMCA 470 W CHURCH ST NEWARK OH 43055 316053101 501 (C)(3) 32697 GENERAL SUPPORT LICKING COUNTY HEALTH DEPARTMENT 675 PRICE RD NEWARK OH 43055 316400074 501 (C)(3) 25500 GENERAL SUPPORT LICKING COUNTY HISTORICAL SOCIETY P O BOX 785 NEWARK OH 430580785 310713996 501 (C)(3) 15786 GENERAL SUPPORT LICKING COUNTY HUMANE SOCIETY 825 THORNWOOD DR HEATH OH 430569320 316062704 501 (C)(3) 16137 GENERAL SUPPORT LICKING COUNTY PLAYERS 30 N 2ND STREET NEWARK OH 430584212 310739013 501 (C)(3) 10030 GENERAL SUPPORT LICKINGKNOX GOODWILL INDUSTRIES 55 S 5TH ST NEWARK OH 430580828 310921782 501 (C)(3) 13904 GENERAL SUPPORT MARSHALL UNIVERSITY FOUNDATION INC 519 JOHN MARSHALL DRIVE HUNTINGTON WV 25703 556011111 501 (C)(3) 6482 GRADUATE SCHOLARSHIPS MENTAL HEALTH AMERICA OF LICKING COUNTY INC 65 MESSIMER DR NEWARK OH 43055 314421855 501 (C)(3) 7317 GENERAL SUPPORT MONROE TOWNSHIP 7621 JOHNSTOWN-ALEXANDRIA RD JOHNSTOWN OH 43031 115 7500 GAZEBO MORE LIFE CHURCH 1718 EAST MAIN ST NEWARK OH 43055 201476342 501 (C)(3) 30000 GENERAL SUPPORT NEW YORK ZEN CENTER FOR CONTEMPLATIVE CARE 110 W 23RD ST NEW YORK NY 10011 208452673 501 (C)(3) 10000 GENERAL SUPPORT NEWARK CITY SCHOOLS 621 MOUNT VERNON ROAD NEWARK OH 430554615 316400796 115 11456 GENERAL SUPPORT NEWARK MIDLAND THEATRE ASSOCIATION PO BOX 550 NEWARK OH 430580550 311734034 501 (C)(3) 59318 GENERAL SUPPORT NEWARK SPORT AND EVENT COMMISSION 936 SHARON VALLEY ROAD NEWARK OH 43055 203793039 501 (C)(3) 327832 GENERAL SUPPORT NEWARK-GRANVILLE SYMPHONY ORCHESTRA INC PO BOX 566 GRANVILLE OH 43023 202823408 501 (C)(3) 11000 GENERAL SUPPORT OHIO STATE UNIVERSITY FOUNDATION 1480 WEST LANE AVENUE COLUMBUS OH 43221 311145986 115 18226 GENERAL SUPPORT OHIO UNIVERSITY SOUTHERN 1804 LIBERTY AVENUE IRONTON OH 45638 316402269 115 19455 GENERAL SUPPORT PAR EXCELLENCE ACADEMY 1350 GRANVILLE RD NEWARK OH 43055 311250790 501 (C)(3) 32577 GENERAL SUPPORT PATASKALA RECREATION ASSOCIATION PO BOX 93 PATASKALA OH 43062 501 (C)(3) 7500 GENERAL SUPPORT PATHWAYS OF CENTRAL OHIO 1627 BRYN MAWR DRIVE NEWARK OH 43055 310836725 501 (C)(3) 9308 GENERAL SUPPORT PROSPECT PARK YOUTH RUNNING CLUB 317 GREENWOOD AVE BROOKLYN NY 11218 272124967 501 (C)(3) 5000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF CENTRAL OHIO 711 E LIVINGSTON AVE COLUMBUS OH 43205 310890152 501 (C)(3) 10000 GENERAL SUPPORT SALVATION ARMY 250 E MAIN ST NEWARK OH 430580774 340714378 501 (C)(3) 79692 GENERAL SUPPORT SECOND PRESBYTERIAN CHURCH PO BOX 428 NEWARK OH 430580428 314444526 501 (C)(3) 66305 GENERAL SUPPORT ST FRANCIS DE SALES CHURCH 66 GRANVILLE ST NEWARK OH 43055 314379546 501 (C)(3) 12000 GENERAL SUPPORT ST VINCENT DE PAUL HOUSING FACILITIES INC 115 WILSON STREET NEWARK OH 43055 800191758 501 (C)(3) 26700 GENERAL SUPPORT THE WORKS OHIO CENTER FOR HISTORY ART & TECHNOLOGY 55 S FIRST ST NEWARK OH 43055 311395941 501 (C)(3) 41334 GENERAL SUPPORT TOGETHER WE GROW INC 434 EASTERN AVE NEWARK OH 43055 464936087 501 (C)(3) 5000 GENERAL SUPPORT TRINITY EPISCOPAL CHURCH 76 E MAIN ST NEWARK OH 43055 310537481 501 (C)(3) 19050 GENERAL SUPPORT UNITED WAY OF LEE COUNTY 7273 CONCOURSE DR FORT MYERS FL 33908 591005169 501 (C)(3) 5150 GENERAL SUPPORT UNITED WAY OF LICKING COUNTY OHIO P O BOX 4490 NEWARK OH 43058 314379455 501 (C)(3) 18555 GENERAL SUPPORT 55 SCHOLARSHIPS 332 997910 PART I, LINE 2: MONITORING USE OF GRANT FUNDS - THE FOUNDATION REQUIRES AN INTERIM REPORT AND FINAL GRANT REPORT FROM GRANT RECIPIENTS TO DOCUMENT THE USE OF THE FUNDS AND TO ASSESS COMMUNITY IMPACT AND VALUE. ANY FUNDS NOT USED FOR THE APPROVED PROJECT MUST BE RETURNED. FOR SCHOLARSHIPS, THE FOUNDATION MAKES PAYMENTS DIRECTLY TO THE COLLEGE OR UNIVERSITY AND THUS ENSURES THAT ITS FUNDS ARE USED FOR EDUCATIONAL PURPOSES. DAVID TRAUTMAN TIM LEHMAN SEE PART V 251491 INVESTMENT MANAGEMENT FEES 0 PART IV, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID TRAUTMAN WAS THE PAST CHAIRMAN OF THE FOUNDATION AND ALSO AN OFFICER OF PARK NATIONAL BANK. TIM LEHMAN IS A BOARD MEMBER OF THE FOUNDATION AND AN OFFICER OF PARK NATIONAL BANK. PARK NATIONAL BANK'S TRUST DEPARTMENT MANAGED A MAJORITY OF THE FOUNDATION'S INVESTMENT PORTFOLIO. X 4 59732 FMV 0 1 1 PART I, LINE 32B: USE OF THIRD PARTIES - THE FOUNDATION USES ITS BANK OR OTHER INVESTMENT BROKERS TO SELL DONATED SECURITIES. THE FEES CHARGED FOR SUCH SERVICES ARE AT OR BELOW FAIR MARKET VALUE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW - FORM 990 IS REVIEWED BY THE GOVERNING COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - ANNUALLY, THE DIRECTOR PROVIDES THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST STATEMENT AND DISCLOSURE TO EACH GOVERNING COMMITTEE MEMBER, STAFF MEMBER, AND COMMITTEE MEMBER (WHO IS NOT A BOARD MEMBER) TO READ AND COMPLETE THE CONFLICT OF INTEREST STATEMENT. DISCLOSURE DOCUMENTS ARE REVIEWED BY THE DIRECTOR. ANY POTENTIAL CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE GOVERNING COMMITTEE FOR ENFORCEMENT. A NOTEBOOK IS COMPILED OF ALL STATEMENTS AND DISCLOSURES FOR READY ACCESS AND REFERENCE. AT THE BEGINNING OF EACH BOARD MEETING, GOVERNING COMMITTEE MEMBERS ARE ASKED TO DISCLOSE ANY NEW INTERESTS OR AFFILIATIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL - IN 2017, THE HUMAN RESOURCES COMMITTEE REVIEWED THE ANNUAL SALARY SURVEY PROVIDED BY THE COUNCIL ON FOUNDATIONS FOR RECOMMENDING THE COMPENSATION OF THE DIRECTOR, FINANCIAL OFFICER, PROGRAM OFFICER, DONOR SERVICES OFFICER, AND OFFICE ADMINISTRATOR. THE GOVERNING COMMITTEE ALSO REVIEWED THIS COMPARABILITY DATA FOR APPROVING THE COMPENSATION FOR THESE POSITIONS. ALL OF THESE DELIBERATIONS WERE DOCUMENTED IN THE COMMITTEE AND BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AS STATED ON THE ORGANIZATION'S WEBSITE. FORM 990, PART XII, LINE 2C: SUPPLEMENTAL INFO. FOR THE AUDIT COMMITTEE - THE AUDIT COMMITTEE IS CHAIRED BY A BOARD MEMBER AND IS COMPRISED OF BOARD MEMBER AND NON-BOARD MEMBER VOLUNTEERS. THE COMMITTEE PROVIDES OVERSIGHT INTO THE ORGANIZATION'S ACCOUNTING AND FINANCIAL REPORTING, AND OVERSEES THE ORGANIZATION'S ANNUAL AUDITS, SELECTION OF AN INDEPENDENT AUDITOR, FORM 990 PREPARATION, ETHICS, ADEQUACY OF INTERNAL CONTROLS, PROPER AUTHORIZATION OF ACTIVITIES AND EXPENDITURES, COMPLIANCE WITH POLICIES, AND DEVELOPMENT OF NEW POLICIES. FORM 990, PART VI, LINE 11A: PROVIDING FORM 990 TO BOARD MEMBERS - THE FOUNDATION BELIEVES THAT DONOR INFORMATION IS CONFIDENTIAL AND HAS CHOSEN TO REDACT THE NAMES AND ADDRESSES OF DONORS FROM SCHEDULE B FOR THE VERSION OF FORM 990 THAT IS GIVEN TO THE BOARD. AS SUCH, WE ARE REQUIRED TO RESPOND "NO" TO THE QUESTION ON LINE 11A OF PART VI EVEN THROUGH FORM 990 WAS DISTRIBUTED TO THE BOARD MEMBERS WITH INFORMATION REDACTED FROM SCHEDULE B. LICKING COUNTY FOUNDATION PARKS LLC 30 N SECOND ST NEWARK OH 43058 REAL ESTATE OH 840956 LCF LICKING COUNTY FOUNDATION INVEST I LLC 30 N SECOND ST NEWARK OH 43058 REAL ESTATE OH 32393 2201236 LCF LICKING COUNTY FND INVEST II LLC 30 N SECOND ST NEWARK OH 43058 REAL ESTATE OH 7835 397750 LCF LICKING COUNTY FOUNDATION PROGRAMS LLC 30 N SECOND ST NEWARK OH 43058 REAL ESTATE OH 734141 LCF LICKING COUNTY FOUNDATION PRESERVATION 30 N SECOND ST NEWARK OH 43058 REAL ESTATE OH 279819 LCF LICKING COUNTY FOUNDATION 30 N 2ND STREET NEWARK OH 43058 316018618 COMMUN.FDN. OH 501 (C)(3) LINE 8 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0