2013-05-06T15:16:33-05:00 2012-12-31 363168081 SIKICH LLP 1415 W DIEHL RD SUITE 400 NAPERVILLE IL 605632349 990PF 2012-01-01 364486386 FAULSTICH FAMILY CHARITABLE FOUNDATION FAUL 6309864105 1751 CREEKSIDE LANE W CARMEL IN 46032 GEORGE FAULSTICH 6309864105 2013-04-30 1 SHEILA A MATHRE CPA P01251788 6305668400 2012 2016-02-24 21:20:13Z X 224862 X 25000 7141 7141 1010 30243 1010 33151 8151 0 0 0 1200 600 600 87 0 0 2070 1983 87 3357 2583 687 9250 9250 12607 2583 9937 20544 5568 2531 16982 16982 4783 5463 5463 90469 91909 132045 63805 67778 70372 161588 182132 224862 0 0 X 0 0 0 0 161588 182132 161588 182132 161588 182132 161588 20544 0 182132 0 182132 BERWYN INCOME FUND, BERIX P 2012-11-15 159 160 -1 -1 FPA CRESCENT INSTL, FPACX P 2012-11-15 65 64 1 1 BERWYN INCOME FUND, BERIX P 2012-11-15 7321 7274 47 47 FPA CRESCENT INSTL, FPACX P 2012-11-15 7492 7170 322 322 IVA WORLDWIDE FUND CL I P 2012-11-15 7358 7458 -100 -100 PERMANENT PORTFOLIO P 2012-11-15 7288 7107 181 181 CAPITAL GAINS DIVIDENDS P 560 560 560 1010 0 9500 188637 0.050361 39490 198108 0.199336 33682 204305 0.164861 20475 249360 0.082110 19134 240922 0.079420 0.576088 0.115218 205140 23636 56 23692 9937 111 0 111 0 111 0 111 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A GEORGE L FAULSTICH JR 6309864105 1751 W CREEKSIDE LANE W CARMEL IN 46032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GEORGE L FAULSTICH JR 1751 CREEKSIDE LANE W CARMEL IN 46032 0.00 0 0 0 ANNE S FAULSTICH 1751 CREEKSIDE LANE W CARMEL IN 46032 0.00 0 0 0 KENDALL P FAULSTICH 267 BROAD ST PORTSMOUTH NH 03801 0.00 0 0 0 BLAIR D FAULSTICH 3 SHERMAN AVENUE BRONXVILLE NY 10708 0.00 0 0 0 AMY LYNN FAULSTICH 13494 DALLAS LANE CARMEL IN 46033 0.00 0 0 0 NONE 0 NONE 0 0 196564 11700 0 208264 0 0 208264 3124 205140 10257 10257 111 111 10146 0 10146 0 10146 9937 0 9937 0 9937 10146 0 0 6270 8122 23743 29929 140 68204 9937 0 0 0 9937 0 209 209 67995 0 0 0 0 0 0 6061 61934 8122 23743 29929 140 GEORGE L FAULSTICH JR ANNE S FAULSTICH X ARDENWOOD 445 WAWONA STREET SAN FRANCISCO CA 94116 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 25 CAMP KOHANA & LEELANAU 1653 PORT ONEIDA ROAD MAPLE CITY MI 49664 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 1200 CAMP OWATONNA 4 CAMP NEWFOUND ROAD HARRISON ME 04040 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 1250 CHESTNUT HILL BENEVOLENT ASSOCIATION 910 BOYLSTON STREET CHESTNUT HILL MA 02467 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 25 CROSSROADS HOUSE 600 LAFAYETTE ROAD PORTSMOUTH NH 03801 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 100 FIRST CHURCH OF CHRIST SCIENTIST BOSTON MASS 210 MASSACHUSETTS AVE BOSTON MA 02115 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 200 FIRST CHURCH OF CHRIST SCIENTIST GLEN ARBOR MICHIGAN 6153 W RIVER ROAD GLEN ARBOR MI 49636 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 200 FIRST CHURCH OF CHRIST SCIENTIST CARMEL INDIANA 11580 HAVERSTICK ROAD CARMEL IN 46033 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 2000 GIFT OF WARMTH 111 NEW HAMPSHIRE AVENUE PORTSMOUTH NH 03801 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 100 HOMECARE FOR CHRISTIAN SCIENTISTS 16 BEALE STREET QUINCY MA 02170 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 25 LONGYEAR MUSEUM 1125 BOYLSTON STREET CHESTNUT HILL MA 02467 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 50 SALT CREEK BALLET 98 EAST CHICAGO AVE WESTMONT IL 60559 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 350 SAVE THE CHILDREN 54 WILTON ROAD WESTPORT CT 06881 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 100 SAVE THE INDOOR PORTSMOUTH POOL 48 ANDREW JARVIS DRIVE PORTSMOUTH NH 03801 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 250 SEVENTEENTH CHURCH OF CHRIST 35 EAST WACKER DRIVE CHICAGO IL 60601 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 200 THE BOOKMARK PO BOX 801143 SANTA CLARITA CA 91380 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 25 THE CHAPEL SCHOOL 172 WHITE PLAINS ROAD BRONXVILLE NY 10708 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 1000 THE CLIPPER FOUNDATION PO BOX 1577 PORTSMOUTH NH 03801 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 1000 THE MUSIC HALL 104 CONGRESS STREET PORTSMOUTH NH 03801 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 150 THE PRINCIPIA 13201 CLAYTON ROAD ST LOUIS MO 631311002 NONE PUBLIC CHARITY UNRESTRICTED CONTRIBUTION 1000 9250 0 14 7141 18 1010 0 8151 0 8151 0 0 0 0 0 0 0 0 0 0 X X 1 HORIZON FIVE STAR ENTERPRISES INC 1751 CREEKSIDE LANE W CARMEL IN 46032 25000 X ACCOUNTING 1200 600 600 FIXED INCOME SECURITIES 67778 70372 COMMON STOCKS 91909 132045 INVESTMENT MANAGEMENT FEES 1983 1983 0 ILLINOIS CHARITY BUREAU FEE 87 0 87 TAX BASED ON INVESTMENT INCOME 87 0 0