2018-05-11T14:51:02-05:00 2017-12-31 370980065 WEST & COMPANY LLC 613 BROADWAY AVE MATTOON IL 61938 990PF 2017-01-01 371339718 FIRST MID-ILLINOIS BANCSHARES INC FIRS 2172347454 PO BOX 529 MATTOON IL 61938 LAURA WALK ASSISTANT VP & TRUST OFFICER 2172354747 2018-05-11 1 ALEX HAGEN P01275388 2172354747 2017 2022-09-23 18:48:47Z X 585597 X 60000 13151 13151 13151 10100 102059 10100 83251 23251 13151 7471 4981 4981 2490 1475 983 983 492 283 94 94 0 15 0 0 15 9244 6058 6058 2997 20555 20555 29799 6058 6058 23552 53452 17193 7093 67274 7290 7290 88637 114658 112051 114019 135294 150461 245890 310431 310417 3323 3971 4147 280 1231 1231 519423 572875 585597 0 0 X 1299471 1369571 0 0 -780048 -796696 519423 572875 519423 572875 519423 53452 0 572875 0 572875 METROPOLITAN WEST TOTAL RETURN P 2014-10-02 2017-09-05 4320 4375 -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 8181 8570 -389 -389 DODGE & COX INCOME FUND P 2013-12-03 2017-09-05 4189 4128 61 61 AMERICAN FUNDS EUROPACIFIC GROWTH F-2 P 2015-08-26 2017-11-20 12712 11112 1600 1600 CLEARBRIDGE APPRECIATION P 2014-12-10 2017-03-06 8282 7537 745 745 NEUBERGER BERMAN GENESIS P 2013-12-17 2017-03-06 2443 2288 155 155 OPPENHEIMER DEV MKT Y P 2015-02-24 2017-03-06 7047 6976 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 2753 2759 -6 -6 T ROWE PRICE BLUE CHIP GROWTH FUND P 2014-12-22 2017-09-05 2593 1978 615 615 VANGUARD GNMA ADMIRAL SHARES P 2012-12-01 2017-09-19 3890 4044 -154 -154 GOTHAM ABSOLUTE RETURN P 2015-02-24 2017-03-06 3222 3174 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 16357 14689 1668 1668 TEMPLETON GLOBAL BOND FUND P 2015-02-24 2017-03-06 3390 3286 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 1815 1524 291 291 COLUMBIA ACORN INTERNATIONAL FUND - Z P 2016-06-07 2017-03-06 1704 1660 44 44 CLEARBRIDGE APPRECIATION P 2016-12-07 2017-03-06 1405 1351 54 54 BOSTON PARTNERS ALL CAP P 2017-03-06 2017-09-19 1773 1658 115 115 ROYCE SPECIAL EQUITY INS P 2016-12-05 2017-03-06 1621 1599 22 22 VANGUARD 500 INDEX FUND P 2016-12-05 2017-09-05 3478 3107 371 371 WELLS FARGO DISCIPLINED US CORE P 2016-12-13 2017-04-19 2608 2560 48 48 CAUSEWAY INTL VALUE P 2017-03-06 2017-09-05 1486 1304 182 182 CAPITAL GAINS DIVIDENDS P 4303 4303 4303 10100 1208 0 39113 461514 0.084749 52981 443931 0.119345 52827 437806 0.120663 159154 422753 0.376470 58173 398215 0.146084 0.847311 0.169462 524943 88958 172 89130 23552 344 0 344 0 344 200 0 0 200 0 144 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A LAURA WALK FIRST MID-IL BK & TR 2172347454 1515 CHARLESTON AVE MATTOON IL 61938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FIRST MID-ILLINOIS BANK TRUST 1515 CHARLESTON AVE MATTOON IL 61938 TRUSTEE 1.00 7471 0 0 NONE 0 NONE 0 0 518245 14692 0 532937 0 0 532937 7994 524943 26247 26247 344 344 25903 0 25903 0 25903 23552 0 23552 0 23552 25903 0 0 38551 138436 31365 31033 16226 255611 23552 0 0 0 23552 0 2351 2351 253260 0 0 0 0 0 0 36200 217060 138436 31365 31033 16226 JOSEPH R DIVELY PO BOX 499 MATTOON IL 61938 2172347454 LETTER OF APPLICATION DESCRIBING ORGANIZATION AND PURPOSE OF GRANT NONE AWARDS INCLUDE ONLY RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF 501(C)(3) WITHIN THE UNITED STATES SARAH BUSH LINCOLN HEALTH FOUNDATION 1000 HEALTH CENTER DRIVE MATTOON IL 61938 NONE PUBLIC UNRESTRICTED GIFT 5000 SOUTHEASTERN IL COMMUNITY FOUNDATION 300 E WASHINGTON EFFINGHAM IL 62401 NONE PUBLIC UNRESTRICTED GIFT 15555 20555 0 14 13151 18 10100 0 23251 0 23251 0 0 0 0 0 0 0 0 0 0 X X 1 FIRST MID-ILLINOIS BANCSHARES PO BOX 499 MATTOON IL 61938 60000 X TAX PREPARATION FEE 1475 983 983 492 PRINCIPAL HIGH YIELD INST #4585 42866 43018 DODGE & COX INCOME FUND #147 111739 112557 METROPOLITAN WEST TOTAL RETURN BOND I 113340 112345 TEMPLETON GLOBAL BOND FUND 42486 42497 AMERICAN FUNDS EUROPACIFIC GROWTH F-2 #616 8563 10145 T ROWE PRICE BLUE CHIP GROWTH FUND 6760 8653 NEUBERGER BERMAN GENESIS 15433 16006 GOTHAM ABSOLUTE RETURN INST 6737 7762 MAINGATE MLP FUND I 4347 4466 OPPENHEIMER DEV MKT Y 6497 8666 ROYCE SPECIAL EQYITY INST ROYCE 16416 15865 VANGUARD 500 INDEX FUND 27647 32052 BOSTON PARTNERS ALL CAP VALUE INSTL 17197 18428 BRANDES INT'L SMALL CAP EQUITY 10244 10034 CAUSEWAY EMERGING MKTS INSTL CL 7205 8727 CAUSEWAY INT'L VALUE FUND INSTL 8248 9657 114658 112051 0 0 PRINCIPAL REAL ESTATE FUND INST #4934 AT COST 3971 4147 PREPAID EXCISE TAX 280 200 200 DIVIDENDS RECEIVABLE 0 1031 1031 STATE FILING FEE 15 0 0 15 EXCISE TAX 189 0 0 0 FOREIGN TAX WITHHELD 94 94 94 0