FIRST BANCSHARES INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FIRST BANCSHARES INC (EIN 37-1339718)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-11
- IRS object ID
- 201821319349102032
- Schema version
- 2017v2.2
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-11T14:51:02-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 370980065 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 613 BROADWAY AVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371339718 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST MID-ILLINOIS BANCSHARES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
| Phone | 2172347454 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 529 | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA WALK | PersonNm |
| Person Title | ASSISTANT VP & TRUST OFFICER | PersonTitleTxt |
| Phone | 2172354747 | PhoneNum |
| Signature | 2018-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALEX HAGEN | PreparerPersonNm |
| PTIN | P01275388 | PTIN |
| Phone | 2172354747 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $585,597 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $60,000 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $13,151 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $13,151 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $13,151 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $10,100 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $102,059 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $10,100 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $83,251 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $23,251 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $13,151 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $7,471 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $4,981 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $4,981 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $2,490 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,475 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $983 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $983 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $492 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $283 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $94 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $94 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $15 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $15 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $9,244 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $6,058 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $6,058 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $2,997 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $20,555 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $20,555 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $29,799 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $6,058 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $6,058 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $23,552 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $53,452 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $17,193 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $7,093 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $67,274 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $7,290 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $7,290 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $88,637 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $114,658 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $112,051 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $114,019 | CorporateStockBOYAmt |
| Corporate Stock EOY | $135,294 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $150,461 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $245,890 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $310,431 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $310,417 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $3,323 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,971 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,147 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $280 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,231 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,231 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $519,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $572,875 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $585,597 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $1,299,471 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,369,571 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | -$780,048 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$796,696 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $519,423 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $572,875 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $519,423 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $572,875 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $519,423 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $53,452 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $572,875 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $572,875 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (27 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| METROPOLITAN WEST TOTAL RETURN | P | 2014-10-02 | 2017-09-05 | $4,320 | $4,375 | -$55 | -$55 |
| MAINGATE MLP FUND I | P | 2015-08-26 | 2017-03-06 | $245 | $229 | $16 | $16 |
| COLUMBIA ACORN INTERNATIONAL FUND - Z | P | 2014-10-02 | 2017-03-06 | $8,181 | $8,570 | -$389 | -$389 |
| DODGE & COX INCOME FUND | P | 2013-12-03 | 2017-09-05 | $4,189 | $4,128 | $61 | $61 |
| AMERICAN FUNDS EUROPACIFIC GROWTH F-2 | P | 2015-08-26 | 2017-11-20 | $12,712 | $11,112 | $1,600 | $1,600 |
| CLEARBRIDGE APPRECIATION | P | 2014-12-10 | 2017-03-06 | $8,282 | $7,537 | $745 | $745 |
| NEUBERGER BERMAN GENESIS | P | 2013-12-17 | 2017-03-06 | $2,443 | $2,288 | $155 | $155 |
| OPPENHEIMER DEV MKT Y | P | 2015-02-24 | 2017-03-06 | $7,047 | $6,976 | $71 | $71 |
| PRINCIPAL REAL ESTATE FUND INST | P | 2013-12-18 | 2017-03-06 | $513 | $403 | $110 | $110 |
| PRINCIPAL HIGH YIELD INST | P | 2011-12-14 | 2017-03-06 | $2,753 | $2,759 | -$6 | -$6 |
| T ROWE PRICE BLUE CHIP GROWTH FUND | P | 2014-12-22 | 2017-09-05 | $2,593 | $1,978 | $615 | $615 |
| VANGUARD GNMA ADMIRAL SHARES | P | 2012-12-01 | 2017-09-19 | $3,890 | $4,044 | -$154 | -$154 |
| GOTHAM ABSOLUTE RETURN | P | 2015-02-24 | 2017-03-06 | $3,222 | $3,174 | $48 | $48 |
| GOTHAM ABSOLUTE RETURN | P | 2016-07-15 | 2017-03-06 | $478 | $466 | $12 | $12 |
| GOTHAM INDEX PLUS | P | 2017-03-07 | 2017-09-19 | $703 | $655 | $48 | $48 |
| WELLS FARGO DISCIPLINED US CORE | P | 2016-03-30 | 2017-04-19 | $16,357 | $14,689 | $1,668 | $1,668 |
| TEMPLETON GLOBAL BOND FUND | P | 2015-02-24 | 2017-03-06 | $3,390 | $3,286 | $104 | $104 |
| BRANDES INT'L SMALL CAP | P | 2017-03-06 | 2017-09-05 | $548 | $527 | $21 | $21 |
| CAUSEWAY EMERGING MKTS | P | 2017-03-06 | 2017-09-05 | $1,815 | $1,524 | $291 | $291 |
| COLUMBIA ACORN INTERNATIONAL FUND - Z | P | 2016-06-07 | 2017-03-06 | $1,704 | $1,660 | $44 | $44 |
| CLEARBRIDGE APPRECIATION | P | 2016-12-07 | 2017-03-06 | $1,405 | $1,351 | $54 | $54 |
| BOSTON PARTNERS ALL CAP | P | 2017-03-06 | 2017-09-19 | $1,773 | $1,658 | $115 | $115 |
| ROYCE SPECIAL EQUITY INS | P | 2016-12-05 | 2017-03-06 | $1,621 | $1,599 | $22 | $22 |
| VANGUARD 500 INDEX FUND | P | 2016-12-05 | 2017-09-05 | $3,478 | $3,107 | $371 | $371 |
| WELLS FARGO DISCIPLINED US CORE | P | 2016-12-13 | 2017-04-19 | $2,608 | $2,560 | $48 | $48 |
| CAUSEWAY INTL VALUE | P | 2017-03-06 | 2017-09-05 | $1,486 | $1,304 | $182 | $182 |
| CAPITAL GAINS DIVIDENDS | P | $4,303 | $4,303 | $4,303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $10,100 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $1,208 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $39,113 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $461,514 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.084749 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $52,981 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $443,931 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.119345 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $52,827 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $437,806 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.120663 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $159,154 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $422,753 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.376470 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $58,173 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $398,215 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.146084 | DistributionYr5Rt |
| Total Distribution | 0.847311 | TotalDistributionRt |
| Average Distribution | 0.169462 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $524,943 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $88,958 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $172 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $89,130 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $23,552 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $344 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $344 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $344 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $200 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $200 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $144 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURA WALK FIRST MID-IL BK & TR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2172347454 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 CHARLESTON AVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FIRST MID-ILLINOIS BANK TRUST | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 CHARLESTON AVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $7,471 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| 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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $518,245 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $14,692 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $532,937 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $532,937 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $7,994 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $524,943 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $26,247 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $26,247 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $344 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $344 | TotalTaxAmt |
| Distributable Before Adj | $25,903 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $25,903 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $25,903 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $23,552 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $23,552 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $23,552 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $25,903 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $38,551 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $138,436 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $31,365 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $31,033 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $16,226 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $255,611 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $23,552 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $23,552 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $2,351 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $2,351 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $253,260 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $36,200 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $217,060 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $138,436 | ExcessFromYear4Amt |
| Excess From Year3 | $31,365 | ExcessFromYear3Amt |
| Excess From Year2 | $31,033 | ExcessFromYear2Amt |
| Excess From Year1 | $16,226 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JOSEPH R DIVELY | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 499 | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 2172347454 | RecipientPhoneNum |
| Form And Info And Materials | LETTER OF APPLICATION DESCRIBING ORGANIZATION AND PURPOSE OF GRANT | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | AWARDS INCLUDE ONLY RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF 501(C)(3) WITHIN THE UNITED STATES | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| SARAH BUSH LINCOLN HEALTH FOUNDATION | |||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | NONE | PUBLIC | UNRESTRICTED GIFT | $5,000 |
| SOUTHEASTERN IL COMMUNITY FOUNDATION | |||||||
| 300 E WASHINGTON | EFFINGHAM | IL | 62401 | NONE | PUBLIC | UNRESTRICTED GIFT | $15,555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $20,555 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $13,151 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $10,100 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $23,251 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $23,251 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST MID-ILLINOIS BANCSHARES | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 499 | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $60,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE | CategoryTxt |
| Amt | $1,475 | Amt |
| Net Investment Income | $983 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $983 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $492 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| PRINCIPAL HIGH YIELD INST #4585 | $42,866 | $43,018 |
| DODGE & COX INCOME FUND #147 | $111,739 | $112,557 |
| METROPOLITAN WEST TOTAL RETURN BOND I | $113,340 | $112,345 |
| TEMPLETON GLOBAL BOND FUND | $42,486 | $42,497 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICAN FUNDS EUROPACIFIC GROWTH F-2 #616 | $8,563 | $10,145 |
| T ROWE PRICE BLUE CHIP GROWTH FUND | $6,760 | $8,653 |
| NEUBERGER BERMAN GENESIS | $15,433 | $16,006 |
| GOTHAM ABSOLUTE RETURN INST | $6,737 | $7,762 |
| MAINGATE MLP FUND I | $4,347 | $4,466 |
| OPPENHEIMER DEV MKT Y | $6,497 | $8,666 |
| ROYCE SPECIAL EQYITY INST ROYCE | $16,416 | $15,865 |
| VANGUARD 500 INDEX FUND | $27,647 | $32,052 |
| BOSTON PARTNERS ALL CAP VALUE INSTL | $17,197 | $18,428 |
| BRANDES INT'L SMALL CAP EQUITY | $10,244 | $10,034 |
| CAUSEWAY EMERGING MKTS INSTL CL | $7,205 | $8,727 |
| CAUSEWAY INT'L VALUE FUND INSTL | $8,248 | $9,657 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $114,658 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $112,051 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | PRINCIPAL REAL ESTATE FUND INST #4934 | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $3,971 | BookValueAmt |
| EOYFMV | $4,147 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| PREPAID EXCISE TAX | $280 | $200 | $200 |
| DIVIDENDS RECEIVABLE | $0 | $1,031 | $1,031 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE FILING FEE | Desc |
| Revenue And Expenses Per Books | $15 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $15 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| EXCISE TAX | $189 | $0 | $0 | $0 |
| FOREIGN TAX WITHHELD | $94 | $94 | $94 | $0 |
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