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          <ZIPCode>61401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>370673513</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>47000</AmountOfCashGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF KNOXVILLE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>33 NORTH PUBLIC SQUARE</AddressLine1>
          <City>KNOXVILLE</City>
          <State>IL</State>
          <ZIPCode>61448</ZIPCode>
        </AddressUS>
        <EINOfRecipient>376001178</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>I1</Identifier>
        <ReturnReference>Monitoring procedures Part I line 2</ReturnReference>
        <Explanation>GALESBURG COMMUNITY FOUNDATION ISSUES CHECKS DIRECTLY TO THE ORGANIZATION FOR USE AT THEIR DISCRETION. FOR SCHOLARSHIP FUNDS, DISBURSEMENTS ARE MADE DIRECTLY TO THE EDUCATIONAL INSTITUTION FOR APPLICATION TO THE STUDENT9S ACCOUNT.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="990L">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARK KLEINE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>272683</AmountOfTransaction>
        <DescriptionOfTransaction>CONSTRUCTION COSTS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARK KLEINE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>15285</AmountOfTransaction>
        <DescriptionOfTransaction>RENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>O01</Identifier>
        <ReturnReference>Form 990 governing body review Part VI line 11</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF GALESBURG COMMUNITY FOUNDATION WILL PERFORM AN OVERALL REVIEW OF THE 990 PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O02</Identifier>
        <ReturnReference>Conflict of interest policy compliance Part VI line 12c</ReturnReference>
        <Explanation>EACH BOARD OF DIRECTOR, COMMITTEE AND STAFF MEMEBER WILL SUBMIT A WRITTEN STATEMENT RELATED TO CONFLICTS OF INTEREST ON A YEARLY BASIS. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILAR WITH THE STATEMENTS OF ALL BOARD MEMBERS IN ORDER TO GUIDE HIS/HER CONDUCT SHOULD A CONFLICT ARISE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O03</Identifier>
        <ReturnReference>CEO executive director top management comp Part VI line 15a</ReturnReference>
        <Explanation>ANNUALLY THE BOARD OF DIRECTORS COMPLETE AN EVALUATION FOR THE EXECUTIVE DIRECTOR, COMPENSATION IS THEN COMPARED TO OTHER ILLINOIS COMMUNITY FOUNDATIONS AND THE BOARD THEN DISCUSSES THE PERFORMANCE AND COMPENSATION PACKAGE AND DETERMINES THE EXECUTIVE DIRECTOR COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O04</Identifier>
        <ReturnReference>Governing documents etc available to public Part VI line 19</ReturnReference>
        <Explanation>THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O05</Identifier>
        <ReturnReference>Explanation of other changes in net assets or fund balances Part XI line 9</ReturnReference>
        <Explanation>UNREALIZED LOSS ON INVESTMENTS ($3,704) CHANGE IN VALUE IN PERPETUAL INTEREST IN TRUSTS 233,000</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COTTAGE HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>246 E MAIN STREET</AddressLine1>
          <City>GALESBURG</City>
          <State>IL</State>
          <ZIPCode>61401</ZIPCode>
        </AddressUS>
        <EIN>370661205</EIN>
        <PrimaryActivities>SUPPORT GALESBURG COMMUNITY FO</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GALESBURG COTTAGE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>MALPRACTICE TRUST</AddressLine1>
          <City>GALESBURG</City>
          <State>IL</State>
          <ZIPCode>61401</ZIPCode>
        </AddressUS>
        <EIN>376186283</EIN>
        <PrimaryActivities>PAY MALPRACTICE CLAIMS</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COTTAGE HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>250000</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>