FIRST BANCSHARES INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FIRST BANCSHARES INC (EIN 37-1339718)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-14
IRS object ID
201431349349102008
Schema version
2013v3.0
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)
Return2014-05-14T13:08:47-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN370980065PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEST & COMPANY LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1613 BROADWAY AVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371339718EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIRST MID-ILLINOIS BANCSHARES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlFIRSBusinessNameControlTxt
Phone2172347454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 529AddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARBARA HUISINGAPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2172354747PhoneNum
Signature2014-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD C WESTPreparerPersonNm
PTINP00036586PTIN
Phone2172354747PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$452,508FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$110,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$10,263DividendsRevAndExpnssAmt
Dividends Net Invst Incm$10,263DividendsNetInvstIncmAmt
Dividends Adj Net Incm$10,263DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$15,469NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$198,732GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$15,469CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$135,732TotalRevAndExpnssAmt
Total Net Invst Incm$25,732TotalNetInvstIncmAmt
Total Adj Net Incm$10,263TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$5,698CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$3,799CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$3,799CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$1,899CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,350AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$900AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$900AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$450AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$330TaxesRevAndExpnssAmt
Taxes Net Invst Incm$41TaxesNetInvstIncmAmt
Taxes Adj Net Incm$41TaxesAdjNetIncmAmt
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$7,393TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,740TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$4,740TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,364TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$157,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$157,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$164,393TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,740TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$4,740TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$159,364TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$28,661ExcessRevenueOverExpensesAmt
Net Investment Income$20,992NetInvestmentIncomeAmt
Adjusted Net Income$5,523AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$33,529SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$109,984SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$109,984SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$78,211USGovernmentObligationsBOYAmt
US Government Obligations EOY$46,104USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$43,912USGovtObligationsEOYFMVAmt
Corporate Stock BOY$93,689CorporateStockBOYAmt
Corporate Stock EOY$61,036CorporateStockEOYAmt
Corporate Stock EOYFMV$77,731CorporateStockEOYFMVAmt
Corporate Bonds BOY$237,178CorporateBondsBOYAmt
Corporate Bonds EOY$204,761CorporateBondsEOYAmt
Corporate Bonds EOYFMV$201,177CorporateBondsEOYFMVAmt
Other Investments BOY$27,320OtherInvestmentsBOYAmt
Other Investments EOY$19,399OtherInvestmentsEOYAmt
Other Investments EOYFMV$19,041OtherInvestmentsEOYFMVAmt
Other Assets BOY$681OtherAssetsBOYAmt
Other Assets EOY$663OtherAssetsEOYAmt
Other Assets EOYFMV$663OtherAssetsEOYFMVAmt
Total Assets BOY$470,608TotalAssetsBOYAmt
Total Assets EOY$441,947TotalAssetsEOYAmt
Total Assets EOYFMV$452,508TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$968,344CapitalStockBOYAmt
Capital Stock EOY$1,093,813CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY-$497,736RetainedEarningBOYAmt
Retained Earning EOY-$651,866RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$470,608TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$441,947TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$470,608TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$441,947TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$470,608TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$28,661ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$441,947SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$441,947TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (18 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
NEUBERGER BERMAN GENESISP2013-09-262013-10-01$1,538$1,455$83$83
PERKINS MID CAP VALUE CLASS I #1167P2012-12-122013-09-26$3,954$3,447$507$507
AMERICAN CENTURY VALUEP2009-10-022013-06-04$7,492$5,247$2,245$2,245
CLEARBRIDGE APPRECIATION #444P2009-10-012013-06-10$9,239$5,906$3,333$3,333
EAGLE SMALL CAP GROWTH FUNDP2012-04-112013-06-04$2,664$2,074$590$590
PERKINS MID CAP VALUE CLASS I #1167P2009-12-072013-05-28$12,573$10,353$2,220$2,220
PRINCIPAL REAL ESTATE FUND #4934P2010-01-262013-07-02$3,373$2,464$909$909
RS GLOBAL NATURAL RESOUCES #1474P2011-02-182013-08-01$6,450$6,974-$524-$524
T ROWE PRICE BLUE CHIP GROWTH FUNDP2012-04-022013-12-02$9,904$8,069$1,835$1,835
AMERICAN FUNDS CAPITAL WRLD BND F-2 #631P2009-12-092013-09-03$8,366$8,568-$202-$202
DODGE & COX INCOME FUND #147P2012-01-032013-06-10$30,131$29,555$576$576
PIMCO TOTAL RETURN CLASS I #35P2010-12-082013-06-24$37,097$36,881$216$216
PRINCIPAL HIGH YIELD INST #4585P2009-12-092013-06-04$11,068$10,975$93$93
VANGUARD GNMA ADMIRAL SHARES #536P2009-12-092013-07-02$40,066$41,586-$1,520-$1,520
AMERICAN FUNDS EUROPACIFIC GROWTH F-2 #616P2010-04-262013-07-02$9,002$7,941$1,061$1,061
COLUMBIA ACORN INTERNAL FUND - ZP2012-01-032013-05-28$2,298$1,768$530$530
RS EMERGING MARKETS FUND #126P$0$0
CAPITAL GAINS DIVIDENDSP$3,517$3,517$3,517
FieldValueIRS element (for citing)
Capital Gain Net Income$15,469CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$590NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$58,173AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$398,215NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.146084DistributionYr1Rt
Adjusted Qlfy Distri Yr2$45,437AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$367,507NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.123636DistributionYr2Rt
Adjusted Qlfy Distri Yr3$68,758AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$345,323NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.199112DistributionYr3Rt
Adjusted Qlfy Distri Yr4$120,484AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$338,078NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.356379DistributionYr4Rt
Adjusted Qlfy Distri Yr5$177,784AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$485,684NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.366049DistributionYr5Rt
Total Distribution1.191260TotalDistributionRt
Average Distribution0.238252AverageDistributionRt
Net Vl Noncharitable Assets$422,753NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$100,722AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$210NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$100,932AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$159,364QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$210InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$210SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$210TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$320EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$320TotalPaymentsAndCreditsAmt
Overpayment$110OverpaymentAmt
Applied To ES Tax$110AppliedToESTaxAmt
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 Line1BARBARA HUISINGA FIRST MID-IL BK & TRBusinessNameLine1
FieldValueIRS element (for citing)
Phone2172347454PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11515 CHARLESTON AVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
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 AVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1.00AverageHrsPerWkDevotedToPosRt
Compensation$5,698CompensationAmt
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$409,879AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$19,312AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$429,191TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$429,191AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$6,438CashDeemedCharitableAmt
Net Vl Noncharitable Assets$422,753NetVlNoncharitableAssetsAmt
Minimum Investment Return$21,138MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$21,138MinimumInvestmentReturnAmt
Tax Based On Investment Income$210TaxBasedOnInvestmentIncomeAmt
Total Tax$210TotalTaxAmt
Distributable Before Adj$20,928DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$20,928DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$20,928DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$159,364ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$159,364QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$210PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$159,154AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$20,928DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$153,916ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$103,906ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$51,840ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$27,350ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$38,551ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$375,563TotalExcessDistributionCyovAmt
Qualifying Distributions$159,364QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$20,928AppliedToCurrentYearAmt
Remaining Distri From Corpus$138,436RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$513,999TotalCorpusAmt
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$153,916ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$360,083ExcessDistriCyovToNextYrAmt
Excess From Year4$103,906ExcessFromYear4Amt
Excess From Year3$51,840ExcessFromYear3Amt
Excess From Year2$27,350ExcessFromYear2Amt
Excess From Year1$38,551ExcessFromYear1Amt
Excess From Current Year$138,436ExcessFromCurrentYearAmt

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 499AddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
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 (7 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MATTOON AREA FAMILY YMCA
221 N 16TH STMATTOONIL61938NONEPUBLICUNRESTRICTED GIFT$50,000
SOUTHEASTERN IL COMMUNITY FOUNDATION
300 E WASHINGTONEFFINGHAMIL62401NONEPUBLICUNRESTRICTED GIFT$15,000
THE KIRBY FOUNDATION
1000 MEDICAL CENTER DRIVEMONTICELLOIL61856NONEPUBLICUNRESTRICTED GIFT$6,000
MATTOON ARTS COUNCIL
CITY HALLMATTOONIL61938NONEPUBLICUNRESTRICTED GIFT$10,000
EASTERN ILLINOIS UNIVERSITY
600 LINCOLN AVENUECHARLESTONIL61920NONEPUBLICUNRESTRICTED GIFT$65,000
SARAH BUSH LINCOLN FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938NONEPUBLICUNRESTRICTED GIFT$6,000
COLES COUNTY COUNCIL ON AGING
11021 E CO RD 800NCHARLESTONIL61920NONEPUBLICUNRESTRICTED GIFT$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$157,000TotalGrantOrContriPdDurYrAmt
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$10,263ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$15,469ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$25,732ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$25,732TotalIncomeProducingActyAmt

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 BANCSHARESBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 499AddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Total Contributions$110,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEECategoryTxt
Amt$1,350Amt
Net Investment Income$900NetInvestmentIncomeAmt
Adjusted Net Income$900AdjustedNetIncomeAmt
Disbursements Charitable Prps$450DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PRINCIPAL HIGH YIELD INST #4585$23,949$23,727
AMERICAN FUNDS CAPITAL WORLD BOND FUND$20,463$19,797
PIMCO TOTAL RETURN CLASS I #35$80,955$78,434
DODGE & COX INCOME FUND #147$79,394$79,219

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (9 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PERKINS MID CAP VALUE CLASS I #1167$0$0
AMERICAN FUNDS EUROPACIFIC GROWTH F-2 #616$10,998$14,138
OPPENHEIMER DEV MKT Y #00788$4,254$5,339
COLUMBIA ACORN INTERNATIONAL FUND - Z$2,832$3,494
AMERICAN CENTURY VALUE$7,808$10,727
CLEARBRIDE APPRECIATION #444$11,083$14,519
EAGLE SMALL CAP GROWTH FUND CLASS I$2,571$3,542
T ROWE PRICE BLUE CHIP GROWTH FUND$10,766$15,127
NEUBERGER BERMAN GENESIS$10,724$10,845

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$46,104USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$43,912USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
PRINCIPAL REAL ESTATE FUND INST #4934AT COST$6,581$6,502
RS GLOBAL NATURAL RESOURCES #1474AT COST$12,818$12,539

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DIVIDENDS RECEIVABLE$433$343$343
PREPAID EXCISE TAX$248$320$320

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$289$0$0$0
FOREIGN TAX WITHHELD$41$41$41$0

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