2017-11-01T11:11:42-05:00 2016-12-31 320077509 HARRISON & HELD LLP 333 W WACKER DR SUITE 1700 CHICAGO IL 60606 990PF 2016-01-01 466976292 THE GOSTOMSKI FOUNDATION C/O ROBERT T NAPIER HARRISON & HELD GOST 3123321111 333 W WACKER DRIVE NO 1700 CHICAGO IL 60606 MICHAEL M GOSTOMSKI TRUSTEE 3123321111 2017-11-01 1 MARGARET A NAGELA P00439254 3123321111 38.104.243.90 2017-11-01 11:07:10 CD P 02374B44CFED657A389FA1F0857AA3CA1AD63B3A 02374B44CFED657A389FA1F0857AA3CA1AD63B3A 2016 2021-01-29 14:40:06Z X 5874731 X X 42841 42841 64586 64586 949873 3133882 949873 6896 6896 1064196 1064196 0 0 0 11044 11044 0 10082 10082 0 148 148 0 36840 36840 0 58114 58114 0 461488 461488 519602 58114 461488 544594 1006082 320171 414078 414078 3367307 2962738 2949906 1813024 2623682 2510747 -40760 3838 0 5459742 6004336 5874731 0 0 X 0 0 0 0 5459742 6004336 5459742 6004336 5459742 6004336 5459742 544594 0 6004336 0 6004336 25,000 CREDIT SUISSE - A/C 14615 2015-01-16 2016-07-20 250000 250000 0 0 22,000 FASTENAL CO - A/C 14615 985594 220 985374 985374 UBS A/C 14616 - DETAILS PROVIDED UPON REQUEST 399701 401311 -1610 -1610 UBS A/C 14616 - DETAILS PROVIDED UPON REQUEST 50704 54364 -3660 -3660 UBS A/C 14616 - FNMA PRINCIPAL PAYMENTS 57 57 57 UBS A/C 14618 - DETAILS PROVIDED UPON REQUEST 1231409 1246106 -13959 -13959 UBS A/C 14618 - DETAILS PROVIDED UPON REQUEST 113517 123447 -9584 -9584 UBS A/C 16116 - DETAILS PROVIDED UPON REQUEST 7123 6313 810 810 UBS A/C 16116 - DETAILS PROVIDED UPON REQUEST 92580 91369 1211 1211 AXONIC CREDIT OPPORTUNITIES FUND, LP P -4196 -4196 AXONIC CREDIT OPPORTUNITIES FUND, LP P -6208 -6208 SPECIAL CREDIT OPPORTUNITIES, L.P. 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P -2026 -2026 CAPITAL GAINS DIVIDENDS P 3197 3197 3197 949873 0 797022 4451217 0.179057 598590 3545794 0.168817 230000 3601321 0.063865 0.411739 0.137246 6654867 913354 10061 923415 461488 20122 0 20122 0 20122 4824 20000 24824 4702 4702 0 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A ROBERT T NAPIER HARRISON & HELD LLP 3123321111 333 W WACKER DRIVE SUITE 1700 CHICAGO IL 60606 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL M GOSTOMSKI C/O HH 333 W WACKER DR STE 1700 CHICAGO IL 60606 TRUSTEE 1.00 0 0 0 NONE 0 NONE 0 0 4340247 828971 1586992 6756210 0 0 6756210 101343 6654867 332743 332743 20122 20122 312621 0 312621 0 312621 461488 0 461488 0 461488 312621 0 0 161279 426340 575731 1163350 461488 0 0 0 312621 148867 0 0 1312217 0 0 0 0 0 0 0 1312217 161279 426340 575731 148867 MICHAEL M GOSTOMSKI X ALMOST HOME KIDS 7S721 ROUTE 53 NAPERVILLE IL 60540 NONE PUBLIC CHARITY GENERAL PURPOSES 1000 BASILICA OF ST STANISLAUS KOSTKA 625 E 4TH STREET WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 10500 BOYS & GIRLS CLUBS OF GREATER LA CROSSE 1331 CLINTON STREET LA CROSSE WI 54603 NONE PUBLIC CHARITY GENERAL PURPOSES 25000 CATHOLIC CHARITIES OF WINONA 111 MARKET STREET SUITE 2B WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 25000 CHRISTIAN BROTHERS OF THE MIDWEST 7650 COUNTY LINE ROAD BURR RIDGE IL 60527 NONE PUBLIC CHARITY GENERAL PURPOSES 15000 EAGLE BLUFF ENVIRONMENTAL LEARNING CENTER 28097 GOODVIEW DRIVE LANESBORO MN 55949 NONE PUBLIC CHARITY GENERAL PURPOSES 20000 GOOD SHEPHERD LUTHERAN SCHOOL 3201 COURT STREET PEKIN IL 61554 NONE PUBLIC CHARITY GENERAL PURPOSES 8000 GREAT RIVER SHAKESPEARE FESTIVAL 450 JOHNSON STREET WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 10000 GUNDERSON LUTHERAN MEDICAL FOUNDATION 1836 SOUTH AVENUE LA CROSSE WI 54601 NONE PUBLIC CHARITY GENERAL PURPOSESGENERAL PURPOSES 70000 MINNESOTA MARINE ART MUSEUM 800 RIVERVIEW DRIVE WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 20000 MORRIE MILLER ATHLETIC FOUNDATION 580 E FRONT STREET WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 10000 PAULIST FATHERS - BOSTON FOUNDATION 5 PARK STREET BOSTON MA 02108 NONE PUBLIC CHARITY GENERAL PURPOSES 40000 POLISH CULTURAL INSTITUTE 350 5TH AVENUE SUITE 4621 NEW YORK NY 10118 NONE PUBLIC CHARITY GENERAL PURPOSES 3000 SAINT ELIZABETH'S COMMUNITY DEVELOPMENT FOUNDATION 1200 GRANT BOULEVARD WEST WABASHA MN 55981 NONE PUBLIC CHARITY GENERAL PURPOSES 20000 SAINT JOHN PAUL II NATIONAL SHRINE 3900 HAREWOOD ROAD NE WASHINGTON DC 20017 NONE PUBLIC CHARITY GENERAL PURPOSES 5000 SAINT MARY'S UNIVERSITY OF MINNESOTA 700 TERRACE HEIGHTS WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 10000 THE ISLANDER FOUNDATION 25 GROVE STREET MINNEAPOLIS MN 55401 NONE PUBLIC CHARITY GENERAL PURPOSES 27000 UNIVERSITY OF WISCONSIN - RIVER FALLS 410 S 3RD STREET RIVER FALLS MN 54022 NONE PUBLIC CHARITY GENERAL PURPOSES 113888 WINONA ATHLETIC CLUB 5TH STREET WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 18100 WINONA STATE UNIVERSITY 175 W MARK STREET WINONA MN 55987 NONE PUBLIC CHARITY GENERAL PURPOSES 10000 461488 0 14 42841 14 64586 14 6896 18 949873 0 1064196 0 1064196 0 0 0 0 0 0 0 0 0 0 UBS A/C Y4 14615 - EQUITIES 1486044 1343980 UBS A/C Y4 14618 - EQUITIES 1011680 1095386 UBS A/C Y4 16116 - EQUITIES 465014 510540 UBS A/C Y4 14615 - PRIVATE EQUITY AT COST 1755474 1673969 UBS A/C Y4 14616 - FIXED INCOME AT COST 347671 349819 AXONIC CREDIT OPPORTUNITIES FUND AT COST 0 0 LOCUPLETO II - AI, LLC AT COST 33578 0 SPECIAL CREDIT OPPORTUNITIES FUND AT COST 424805 424805 BRIGHTWATER HOLDINGS SERIES D AT COST 62154 62154 HARRISON & HELD, LLP 11044 11044 0 ADJUSTMENT TO BASIS FOR THE VARIOUS INVESTMENTS -40760 3838 0 UBS INVESTMENT EXPENSES 1 1 0 AXONIC CREDIT OPPORTUNITIES FUND, LP 3930 3930 0 ALPHAKEYS KKR ENERGY INCOME FUND, L.L.C. 19154 19154 0 SPECIAL CREDIT OPPORTUNITIES L.P. 13755 13755 0 UBS A/C Y4 14615 - OTHER INCOME 72288 72288 72288 UBS A/C Y4 14616 - NONDIVIDEND DISTRIBUTIONS 54 54 54 UBS A/C Y4 16116 - NONDIVIDEND DISTRIBUTIONS 105 105 105 UBS A/C Y4 14618 - NONDIVIDEND DISTRIBUTIONS 10786 10786 10786 UBS A/C Y4 14618 - SECTION 1250 GAIN 5 5 5 AXONIC CREDIT OPPORTUNITIES FUND, LP -13481 -13481 -13481 ALPHAKEYS KKR ENERGY INCOME FUND, L.L.C. 19621 19621 19621 ALPHAKEYS KKR ENERGY INCOME FUND, L.L.C. 5202 5202 5202 BRIGHTWATER HOLDINGS SERIES D -6373 -6373 -6373 SPECIAL CREDIT OPPORTUNITIES, L.P. 26 26 26 SPECIAL CREDIT OPPORTUNITIES, L.P. 5597 5597 5597 LOCUPLETO II - AI, LLC -86934 -86934 -86934 UBS ACCOUNT FEES (14616) 1793 1793 0 UBS ACCOUNT FEES (14618) 5608 5608 0 UBS ACCOUNT FEES (16116) 2681 2681 0 FOREIGN TAX UBS 14618 106 106 0 SPECIAL CREDIT FOREIGN TAX 42 42 0