FIRST BANCSHARES INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FIRST BANCSHARES INC (EIN 37-1339718)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-05
IRS object ID
201711259349100311
Schema version
2016v3.0
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)
Return2017-05-05T09:08:39-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN370980065PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEST & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1613 BROADWAY AVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371339718EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIRST MID-ILLINOIS BANCSHARES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIRSBusinessNameControlTxt
Phone2172347454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 529AddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA WALKPersonNm
Person TitleASSISTANT VP & TRUST OFFICERPersonTitleTxt
Phone2172354747PhoneNum
Signature2017-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD C WESTPreparerPersonNm
PTINP00036586PTIN
Phone2172354747PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.116.56.51IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-05IPDt
IP Tm09:11:03IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionCreationDeviceId
At Submission Filing Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$514,711FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$60,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$11,302DividendsRevAndExpnssAmt
Dividends Net Invst Incm$11,302DividendsNetInvstIncmAmt
Dividends Adj Net Incm$11,302DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$3,294NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$96,281GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$3,294CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$74,596TotalRevAndExpnssAmt
Total Net Invst Incm$14,596TotalNetInvstIncmAmt
Total Adj Net Incm$11,302TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$6,152CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$4,102CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$4,102CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,050CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,475AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$983AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$983AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$492AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$310TaxesRevAndExpnssAmt
Taxes Net Invst Incm$61TaxesNetInvstIncmAmt
Taxes Adj Net Incm$61TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$15OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,952TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,146TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$5,146TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,557TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$36,556ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$36,556ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$44,508TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,146TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$5,146TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$39,113TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$30,088ExcessRevenueOverExpensesAmt
Net Investment Income$9,450NetInvestmentIncomeAmt
Adjusted Net Income$6,156AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$13,307SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$67,274SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$67,274SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$90,588USGovernmentObligationsBOYAmt
US Government Obligations EOY$88,637USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$86,541USGovtObligationsEOYFMVAmt
Corporate Stock BOY$125,658CorporateStockBOYAmt
Corporate Stock EOY$114,019CorporateStockEOYAmt
Corporate Stock EOYFMV$115,314CorporateStockEOYFMVAmt
Corporate Bonds BOY$255,661CorporateBondsBOYAmt
Corporate Bonds EOY$245,890CorporateBondsEOYAmt
Corporate Bonds EOYFMV$241,888CorporateBondsEOYFMVAmt
Other Investments BOY$3,509OtherInvestmentsBOYAmt
Other Investments EOY$3,323OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,414OtherInvestmentsEOYFMVAmt
Other Assets BOY$612OtherAssetsBOYAmt
Other Assets EOY$280OtherAssetsEOYAmt
Other Assets EOYFMV$280OtherAssetsEOYFMVAmt
Total Assets BOY$489,335TotalAssetsBOYAmt
Total Assets EOY$519,423TotalAssetsEOYAmt
Total Assets EOYFMV$514,711TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$1,236,177CapitalStockBOYAmt
Capital Stock EOY$1,299,471CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY-$746,842RetainedEarningBOYAmt
Retained Earning EOY-$780,048RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$489,335TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$519,423TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$489,335TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$519,423TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$489,335TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$30,088ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$519,423SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$519,423TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (23 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
METROPOLITAN WEST TOTAL RETURNP2014-10-022016-01-15$5,750$5,744$6$6
MAINGATE MLP FUND IP2015-08-262016-12-06$273$310-$37-$37
COLUMBIA ACORN INTERNATIONAL FUND - ZP2012-06-062016-08-29$1,045$1,114-$69-$69
DODGE & COX INCOME FUNDP2013-09-262016-01-15$6,754$6,659$95$95
EAGLE SMALL CAP GROWTH FUND CLASS IP2012-12-122016-12-06$6,683$6,312$371$371
AMERICAN FUNDS EUROPACIFIC GROWTH F-2P2011-12-292016-12-06$3,239$3,186$53$53
CLEARBRIDGE APPRECIATIONP2013-12-112016-12-06$10,578$8,950$1,628$1,628
LOOMIS SAYLES VALUE - Y SHARESP2014-06-182016-03-31$10,593$15,051-$4,458-$4,458
NEUBERGER BERMAN GENESISP2013-12-172016-12-06$4,397$4,718-$321-$321
OPPENHEIMER DEV MKT YP2015-02-242016-03-31$2,107$2,351-$244-$244
OPPENHEIMER DEVELOPING MKTSP2015-02-242016-12-06$118$132-$14-$14
PRINCIPAL REAL ESTATE FUND INSTP2013-12-182016-01-15$787$617$170$170
PRINCIPAL HIGH YIELD INSTP2011-12-142016-12-06$4,904$5,278-$374-$374
T ROWE PRICE BLUE CHIP GROWTH FUNDP2012-12-122016-12-06$13,590$10,170$3,420$3,420
VANGUARD GNMA ADMIRAL SHARESP2012-12-012016-09-19$6,789$6,733$56$56
EAGLE SMALL CAP GROWTH FUND CLASS IP2015-12-282016-12-06$2,265$1,973$292$292
GOTHAM ABSOLUTE RETURNP2015-02-242016-09-19$471$513-$42-$42
LOOMIS SAYLES VALUE - Y SHARESP2015-12-242016-03-31$6,289$6,618-$329-$329
MAINGATE MLP FUND IP2015-08-262016-07-18$1,063$1,253-$190-$190
WELLS FARGO DISCIPLINED US COREP2016-03-302016-12-06$1,413$1,342$71$71
TEMPLETON GLOBAL BOND FUNDP2015-02-242016-01-15$844$924-$80-$80
TEMPLETON GLOBAL BOND FUNDP2015-02-242016-12-06$2,800$3,039-$239-$239
CAPITAL GAINS DIVIDENDSP$3,529$3,529$3,529
FieldValueIRS element (for citing)
Capital Gain Net Income$3,294CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$236NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$52,981AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$443,931NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.119345DistributionYr1Rt
Adjusted Qlfy Distri Yr2$52,827AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$437,806NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.120663DistributionYr2Rt
Adjusted Qlfy Distri Yr3$159,154AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$422,753NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.376470DistributionYr3Rt
Adjusted Qlfy Distri Yr4$58,173AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$398,215NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.146084DistributionYr4Rt
Adjusted Qlfy Distri Yr5$45,437AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$367,507NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.123636DistributionYr5Rt
Total Distribution0.886198TotalDistributionRt
Average Distribution0.177240AverageDistributionRt
Net Vl Noncharitable Assets$461,514NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$81,799AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$95NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$81,894AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$39,113QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$189InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$189SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$189TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$280EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$280TotalPaymentsAndCreditsAmt
Overpayment$91OverpaymentAmt
Applied To ES Tax$91AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1LAURA WALK FIRST MID-IL BK & TRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2172347454PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11515 CHARLESTON AVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonFIRST MID-ILLINOIS BANK TRUSTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 CHARLESTON AVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1.00AverageHrsPerWkDevotedToPosRt
Compensation$6,152CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$456,224AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$12,318AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$468,542TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$468,542AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,028CashDeemedCharitableAmt
Net Vl Noncharitable Assets$461,514NetVlNoncharitableAssetsAmt
Minimum Investment Return$23,076MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$23,076MinimumInvestmentReturnAmt
Tax Based On Investment Income$189TaxBasedOnInvestmentIncomeAmt
Total Tax$189TotalTaxAmt
Distributable Before Adj$22,887DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$22,887DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$22,887DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$39,113ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$39,113QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$39,113AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$22,887DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$27,350ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$38,551ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$138,436ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$31,365ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$31,033ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$266,735TotalExcessDistributionCyovAmt
Qualifying Distributions$39,113QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$22,887AppliedToCurrentYearAmt
Remaining Distri From Corpus$16,226RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$282,961TotalCorpusAmt
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$27,350ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$255,611ExcessDistriCyovToNextYrAmt
Excess From Year4$38,551ExcessFromYear4Amt
Excess From Year3$138,436ExcessFromYear3Amt
Excess From Year2$31,365ExcessFromYear2Amt
Excess From Year1$31,033ExcessFromYear1Amt
Excess From Current Year$16,226ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJOSEPH R DIVELYRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 499AddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Recipient Phone2172347454RecipientPhoneNum
Form And Info And MaterialsLETTER OF APPLICATION DESCRIBING ORGANIZATION AND PURPOSE OF GRANTFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsAWARDS INCLUDE ONLY RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF 501(C)(3) WITHIN THE UNITED STATESRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ARCOLA FOUNDATION - ONE ON ONE
127 SOUTH OAK STARCOLAIL61910NONEPUBLICUNRESTRICTED GIFT$5,000
DECATUR AREA ARTS COUNCIL
125 NORTH WATER STDECATURIL62523NONEPUBLICUNRESTRICTED GIFT$5,000
SARAH BUSH LINCOLN HEALTH FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938NONEPUBLICUNRESTRICTED GIFT$5,000
SOUTHEASTERN IL COMMUNITY FOUNDATION
300 E WASHINGTONEFFINGHAMIL62401NONEPUBLICUNRESTRICTED GIFT$15,556
THE KIRBY FOUNDATION
1000 MEDICAL CENTER DRIVEMONTICELLOIL61856NONEPUBLICUNRESTRICTED GIFT$6,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$36,556TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$11,302ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$3,294ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$14,596ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$14,596TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1FIRST MID-ILLINOIS BANCSHARESBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 499AddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Total Contributions$60,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEECategoryTxt
Amt$1,475Amt
Net Investment Income$983NetInvestmentIncomeAmt
Adjusted Net Income$983AdjustedNetIncomeAmt
Disbursements Charitable Prps$492DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PRINCIPAL HIGH YIELD INST #4585$34,241$33,449
DODGE & COX INCOME FUND #147$87,636$87,251
METROPOLITAN WEST TOTAL RETURN BOND I$89,120$86,766
TEMPLETON GLOBAL BOND FUND$34,893$34,422

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (13 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMERICAN FUNDS EUROPACIFIC GROWTH F-2 #616$15,862$16,484
COLUMBIA ACORN INTERNATIONAL FUND - Z$9,139$8,230
CLEARBRIDE APPRECIATION #444$7,827$8,114
EAGLE SMALL CAP GROWTH FUND CLASS I$0$0
T ROWE PRICE BLUE CHIP GROWTH FUND$6,627$6,899
NEUBERGER BERMAN GENESIS$12,110$12,515
LOOMIS SAYLES VALUE-Y SHARES$0$0
GOTHAM ABSOLUTE RETURN INST$3,219$3,161
MAINGATE MLP FUND I$2,912$3,300
OPPENHEIMER DEV MKT Y$11,011$10,608
ROYCE SPECIAL EQYITY INST ROYCE$13,117$12,598
VANGUARD 500 INDEX FUND$17,068$17,246
WELLS FARGO DISCIPLINED US CORE$15,127$16,159

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$88,637USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$86,541USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemPRINCIPAL REAL ESTATE FUND INST #4934CategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$3,323BookValueAmt
EOYFMV$3,414EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DIVIDENDS RECEIVABLE$172$0$0
PREPAID EXCISE TAX$440$280$280

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE FILING FEEDesc
Revenue And Expenses Per Books$15RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$15DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$249$0$0$0
FOREIGN TAX WITHHELD$61$61$61$0

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