WALTER W AND THELMA M BORN FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WALTER W AND THELMA M BORN FOUNDATION (EIN 55-0869606)
Tax period
2010-05-01 to 2011-04-30
Filed
2011-08-08
IRS object ID
201122209349100617
Schema version
2010v3.4
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)
Timestamp2011-08-08T16:10:51-05:00Timestamp
Tax Period End Date2011-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BROCKMAN COATS GEDELIAN & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11735 MERRIMAN ROADAddressLine1
CityAKRONCity
StateOHState
ZIP Code443139007ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2010-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550869606EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WALTER W BORN FOUNDATION 14676-00BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWALTNameControl
Phone3303847302Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1FIRSTMERIT BANK 106 S MAIN ST 16THAddressLine1
Address Line2FLAddressLine2
CityAKRONCity
StateOHState
ZIP Code44308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTOBY BLOSSOMName
TitleTRUST ADVISORTitle
Phone3303847302Phone
Date Signed2011-07-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA B CULPName
Phone3308646661Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY5482233FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Dividends Rev And Expnss127774DividendsRevAndExpnss
Dividends Net Invst Incm127774DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss-23750NetGainSaleAssetsRevAndExpnss
Gross Sales Price2029567GrossSalesPrice
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss108OtherIncomeRevAndExpnss
Other Income Net Invst Incm108OtherIncomeNetInvstIncm
Total Revenue And Expenses104132TotalRevenueAndExpenses
Total Net Investment Income127882TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss37272CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm27954CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps9318CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss930AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm698AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps232AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss2832TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss200OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps200OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss41234TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm28652TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps9750TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss295000ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps295000ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss336234TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm28652TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps304750TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-232102ExcessOfRevenueOverExpenses
Net Investment Income99230NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY331391SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY96212SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV96212SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY704121InvestmentsGovtObligBOY
Investments Govt Oblig EOY654570InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV693831InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY3249060InvestmentsCorpStockBOY
Investments Corp Stock EOY2898102InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV3828558InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY434375InvestmentsCorpBondsBOY
Investments Corp Bonds EOY837961InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV863632InvestmentsCorpBondsEOYFMV
Total Assets BOY4718947TotalAssetsBOY
Total Assets EOY4486845TotalAssetsEOY
Total Assets EOYFMV5482233TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY4718947CapitalStockBOY
Capital Stock EOY4486845CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY0RetainedEarningsBOY
Retained Earnings EOY0RetainedEarningsEOY
Total Net Assets BOY4718947TotalNetAssetsBOY
Total Net Assets EOY4486845TotalNetAssetsEOY
Total Liabilities Net Assets BOY4718947TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY4486845TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY4718947TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-232102ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal4486845Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY4486845TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (127 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
990 RAYTHEON COMPANYP2010-04-222010-12-094541258836-13424-13424
40 AUTOMATIC DATA PROCESSING INCP2010-02-112010-09-1616401644-4-4
50 CELGENE CORPP2010-02-112010-09-1627282853-125-125
210 CHEVRON CORPORATIONP2010-02-112010-07-2115203151238080
80 DANAHER CORPP2010-02-112010-09-1632022865337337
70 DUKE ENERGY HOLDING CORPP2010-02-112010-09-16122111358686
130 ILLINOIS TOOL WKS INCP2010-02-112010-09-1660415664377377
90 JOHNSON & JOHNSONP2010-02-112010-06-1853175673-356-356
160 JP MORGAN CHASE & COP2010-02-112010-11-16628662394747
100 PRAXAIR INCP2010-02-112010-07-02766776234444
110 NUCOR CORPP2010-02-112010-09-2340804502-422-422
1055 NUCOR CORPP2009-09-012010-09-233913446444-7310-7310
50 PROCTER & GAMBLE COP2010-02-112010-09-1630443099-55-55
1210 MEDTRONIC INCP2010-03-102010-10-264348454172-10688-10688
1305 MERCK & CO INCP2010-03-102011-02-144277847949-5171-5171
3010 ISHARES MSCI EAFE INDEX FUNDP2008-08-012010-09-23162619197615-34996-34996
40 T ROWE PRICE GROUP INCP2010-02-112010-09-161971196388
40 THE VANGUARD GROUP INC ENERGY ETFP2010-02-112010-05-2630503240-190-190
40 COCA COLA COP2010-02-112010-09-1622902165125125
15 JP MORGAN CHASE & COP2008-07-012010-11-165895098080
1285 QUALCOMM INCP2008-08-012010-06-184590870815-24907-24907
210 XTO ENERGY INCP2008-08-012010-05-26887910117-1238-1238
240 JP MORGAN CHASE & COP2008-08-012010-11-1694299721-292-292
30 MCDONALDS CORPP2008-08-012010-09-1622411817424424
20 GOOGLE INC - CL AP2008-08-012010-07-0287719450-679-679
40 CAMERON INTERNATIONAL CORPP2008-08-012010-09-1615581917-359-359
60 APACHE CORPP2008-08-012010-09-1656366889-1253-1253
40 VANGUARD MSCI EMERGING MARKETS ETFP2008-07-012011-02-1418381669169169
360 THE VANGUARD GROUP INC ENERGY ETFP2008-08-012010-05-262744839943-12495-12495
260 THE VANGUARD GROUP INC ENERGY ETFP2008-07-012010-05-261982433662-13838-13838
1420 VANGUARD MSCI EMERGING MARKETS ETFP2008-08-012011-02-14652335924059935993
165 XTO ENERGY INCP2008-05-192010-05-26697611268-4292-4292
1300 JP MORGAN CHASE & COP2008-04-082010-11-165107658817-7741-7741
1140 GENERAL MLS INCP2008-01-312011-02-03396183401156075607
1036 GILEAD SCIENCES INCP2007-08-242010-06-183736838322-954-954
50000 COCA-COLA ENTER 4.250% 9/15/10P2003-09-292010-09-155000050655-655-655
703 DANAHER CORPP2006-08-222011-02-2334749223591239012390
929 BAXTER INTL INCP2006-08-172010-05-1740106400525454
1287 AUTOMATIC DATA PROCESSING INCP2006-01-232010-09-30542145252216921692
445 ISHARES MSCI EAFE INDEX FUNDP2008-07-012010-09-232404229978-5936-5936
105 CHEVRON CORPORATIONP2009-06-292010-07-2176017033568568
2060 WELLS FARGO & COP2009-07-142010-11-16556405019854425442
30 XTO ENERGY INCP2009-06-292010-05-2612681147121121
65 EXXON MOBIL CORPORATIONP2009-06-292010-09-1639354574-639-639
235 VANGUARD MSCI EMERGING MARKETS ETFP2009-06-292011-02-14107969804992992
60 THE VANGUARD GROUP INC ENERGY ETFP2009-06-292010-05-2645754236339339
60 T ROWE PRICE GROUP INCP2009-06-292010-09-1629572511446446
20 PRAXAIR INCP2009-06-292010-07-02153314528181
10 GOOGLE INC - CL AP2009-06-292010-07-0243854252133133
60 AMERICAN EXPRESS COP2010-08-102010-09-1624532619-166-166
115 ISHARES MSCI EAFE INDEX FUNDP2009-06-292010-09-2362135343870870
100000 FHLMC MTN 4.000% 7/20/16P2009-07-062010-07-20100000100688-688-688
310 COVIDIEN PLCP2009-06-292010-07-021228411620664664
285 UNITED TECHNOLOGIES CORPP2009-06-152010-07-02182901557727132713
520 COVIDIEN PLCP2009-02-022010-07-022060619889717717
550 XTO ENERGY INCP2009-05-122010-05-2623254231926262
10 GOOGLE INC - CL AP2009-05-052010-07-0243854020365365
3183 DUKE ENERGY HOLDING CORPP2009-03-132011-01-2457797409281686916869
580 CELGENE CORPP2009-02-122011-01-24329383027126672667
105 MCDONALDS CORPP2008-10-082010-09-167843579420492049
125 GENERAL ELECTRIC CORPP2009-06-292010-09-1620151480535535
125 MERCK & CO INCP2010-03-102010-09-1645294593-64-64
95 PRUDENTIAL FINL INCP2010-05-262010-09-1652505367-117-117
70 PROCTER & GAMBLE COP2009-06-292010-09-1642613654607607
125 PEPSICO INCP2010-05-262010-09-1682847761523523
100 OCCIDENTAL PETE CORPP2009-12-102010-09-1676347695-61-61
115 NUCOR CORPP2009-09-012010-09-1644755063-588-588
155 AUTOMATIC DATA PROCESSING INCP2006-01-232010-09-16635763263131
220 MICROSOFT CORPP2009-07-242010-09-1655335116417417
105 SPDR DOW JONES REIT ETFP2008-08-012010-09-1661237011-888-888
5 MCDONALDS CORPP2008-01-312010-09-16373266107107
25 COCA COLA COP2008-07-012010-09-1614311279152152
300 JP MORGAN CHASE & COP2008-04-082010-09-161225513573-1318-1318
250 JOHNSON & JOHNSONP2006-01-232010-09-1615270151977373
345 ISHARES RUSSELL MIDCAP INDEX FUNDP2008-07-012010-09-163044732706-2259-2259
45 ILLINOIS TOOL WKS INCP2009-07-242010-09-1620911823268268
200 NIKE INC-CLASS BP2009-05-122010-09-16153081017451345134
530 VANGUARD MSCI EMERGING MARKETS ETFP2008-07-012010-09-162307224136-1064-1064
202 DANAHER CORPP2009-06-152011-02-239985642535603560
170 VANGUARD MSCI EMERGING MARKETS ETFP2010-06-182011-02-1478107092718718
250 NIKE INC-CLASS BP2009-05-122010-12-09218881271891709170
940 KOHLS CORPP2010-12-092011-04-214889050840-1950-1950
40 PRAXAIR INCP2006-08-312010-09-163554229712571257
285 WELLS FARGO & COP2009-07-142010-09-1673736945428428
120 RAYTHEON COMPANYP2010-04-222010-09-1654647132-1668-1668
30 UNITED TECHNOLOGIES CORPP2006-01-232010-09-1620521635417417
70 T ROWE PRICE GROUP INCP2006-01-232010-09-1634502679771771
115 STATE STREET CORPP2010-07-212010-09-16443243874545
20 SCHLUMBERGER LTDP2010-06-182010-09-1611581206-48-48
165 SPDR DJ WILSHIRE INTL REAL ESTATEP2008-08-012010-09-1661467660-1514-1514
50 HEWLETT PACKARD COP2009-09-012010-09-1620012210-209-209
130 EXXON MOBIL CORPORATIONP1989-08-282010-09-167870142464466446
273 CHEVRON CORPORATIONP2006-01-232010-07-21197631699427692769
235 INTEL CORPP2008-05-202010-09-1643865682-1296-1296
10 BOEING COP2010-08-102010-09-16625683-58-58
50 APACHE CORPP2007-06-282010-09-1646974058639639
130 ABBOTT LABSP2009-06-292010-09-1666906206484484
20 APPLE INCP2007-11-292010-09-165443367717661766
20 MEDTRONIC INCP2010-09-162010-10-267196734646
35 CAMERON INTERNATIONAL CORPP2009-06-292010-09-1613641015349349
593 ECOLAB INCP2009-04-172010-07-21284772229761806180
40 CELGENE CORPP2009-02-122010-09-16218220889494
300 UNITED TECHNOLOGIES CORPP2006-01-232010-07-02192531634829052905
75 GOOGLE INC - CL AP2006-06-152010-07-02328912932935623562
410 PRAXAIR INCP2006-08-312010-07-02314362354278947894
435 JOHNSON & JOHNSONP2006-01-232010-06-182569826442-744-744
125 APPLE INCP2007-11-292010-06-1834147229801116711167
660 ISHARES MSCI EAFE INDEX FUNDP2010-06-182010-09-23356573349121662166
490 BOEING COP2010-08-102011-02-233441033480930930
60 ECOLAB INCP2009-04-172010-09-1630022256746746
510 GENERAL MLS INCP2010-05-262011-02-03177241521525092509
245 HOME DEPOT INCP2009-06-162010-09-167311577615351535
5 GOOGLE INC - CL AP2006-06-152010-09-1624041955449449
250 GENERAL MLS INCP2010-05-262010-09-1691458872273273
210 GENERAL ELECTRIC CORPP1989-08-282010-09-163386102223642364
115 FLUOR CORP NEWP2009-10-092010-09-1655465615-69-69
60 BED BATH & BEYOND INCP2010-06-182010-09-1625022545-43-43
630 ISHARES MSCI EAFE INDEX FUNDP2008-07-012010-09-163387642441-8565-8565
395 ISHARES S&P SMALLCAP 600P2008-08-012010-09-162242124327-1906-1906
315 DUKE ENERGY HOLDING CORPP2009-03-132010-09-165494405014441444
205 DANAHER CORPP2006-08-222010-09-168204676414401440
85 DU PONT E I DE NEMOURS & COP2010-05-172010-09-1636563244412412
50 CHEVRON CORPORATIONP2006-01-232010-09-1639353113822822
150 CISCO SYSTEMS INCP1998-12-222010-09-1632613523-262-262
115 CONOCOPHILLIPSP2010-08-192010-09-16633863003838
100 EMERSON ELEC COP1995-10-112010-09-165049175932903290
CAPITAL GAINS DIVIDENDSP271271271
FieldValueIRS element (for citing)
Capital Gain Net Income-23750CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1172205QualifyingDistributionsYear1
Noncharitable Assets Year14851106NoncharitableAssetsYear1
Distribution Ratio Year10.035498DistributionRatioYear1
Qualifying Distributions Year2288623QualifyingDistributionsYear2
Noncharitable Assets Year24697133NoncharitableAssetsYear2
Distribution Ratio Year20.061447DistributionRatioYear2
Qualifying Distributions Year3389832QualifyingDistributionsYear3
Noncharitable Assets Year36145182NoncharitableAssetsYear3
Distribution Ratio Year30.063437DistributionRatioYear3
Qualifying Distributions Year4268624QualifyingDistributionsYear4
Noncharitable Assets Year46047180NoncharitableAssetsYear4
Distribution Ratio Year40.044421DistributionRatioYear4
Qualifying Distributions Year5314103QualifyingDistributionsYear5
Noncharitable Assets Year55780619NoncharitableAssetsYear5
Distribution Ratio Year50.054337DistributionRatioYear5
Total Distribution Ratio0.259140TotalDistributionRatio
Average Distribution Ratio0.051828AverageDistributionRatio
Net Noncharitable Assets5009841NetNoncharitableAssets
Adjusted Noncharitable Assets259650AdjustedNoncharitableAssets
One Percent Net Investment Income992OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One260642AdjNonchrtblAssetsAndOnePct
Qualifying Distributions304750QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax992InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal992Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income992TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment1900EstTaxPaymentsAndOverpayment
Total Credits And Payments1900TotalCreditsAndPayments
Overpayment908Overpayment
Amount Credited To Next Year908AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithOHStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameFIRSTMERIT BANK NABooksInCareOfPersonName
Books In Care Of Phone Number3303847302BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1106 S MAIN ST 5TH FLAddressLine1
CityAKRONCity
StateOHState
ZIP Code44308ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

FieldValueIRS element (for citing)
Person NameFIRSTMERIT BANK NAPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 S MAIN ST 5TH FLAddressLine1
CityAKRONCity
StateOHState
ZIP Code44308ZIPCode
FieldValueIRS element (for citing)
TitleTRUSTEETitle
Avg Hours Per Wk Devoted To Position3.00AvgHoursPerWkDevotedToPosition
Compensation37272Compensation
Contri To Empl Benefit Plans Etc0ContriToEmplBenefitPlansEtc
Expense Account Other Allowances0ExpenseAccountOtherAllowances
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities4896268AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances189865AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets5086133TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets5086133AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable76292CashDeemedCharitable
Net Noncharitable Assets5009841NetNoncharitableAssets
Minimum Investment Return250492MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return250492MinimumInvestmentReturn
Tax Based On Investment Income992TaxBasedOnInvestmentIncome
Total Tax992TotalTax
Distributable Amount Before Adj249500DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded249500DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted249500DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions304750ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions304750QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm992OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions303758AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted249500DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year364897ExcessDistriCarryoverYear3
Excess Distri Carryover Year255652ExcessDistriCarryoverYear2
Total Excess Distri Carryover120549TotalExcessDistriCarryover
Qualifying Distributions304750QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year249500AppliedToCurrentYear
Remaining Distri From Corpus55250RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus175799TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year175799ExcessDistriCyovToNextYear
Excess From Year364897ExcessFromYear3
Excess From Year255652ExcessFromYear2
Excess From Current Year55250ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameTOBY BLOSSOMRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1FIRSTMERIT BANK NA 106 S MAIN STAddressLine1
Address Line25TH FLAddressLine2
CityAKRONCity
StateOHState
ZIP Code44308ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number3303847302RecipientPhoneNumber
Form And Info And MaterialsHOSPITALS IN CLEVELAND, CANTON, AND AKRON, OHIO MUST DEMONSTRATE A FINANCIAL NEED.FormAndInfoAndMaterials
Submission DeadlinesNONESubmissionDeadlines
Restrictions On AwardsFUNDS MUST BE USED FOR SPECIFICALLY DESIGNATED PROJECTS OR EQUIPMENT WHICH IS INTENDED TO MAINTAIN OR IMPROVE THE QUALITY OF PATIENT CARE.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (5 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AKRON CHILDREN'S HOSPITAL
1 PERKINS SQAKRONOH44308NONE501(C)(3)GENERAL SUPPORT$80,000
SUMMA HEALTH SYSTEM
444 N MAIN STAKRONOH44310NONE501(C)(3)EQUIPMENT & SOFTWARE$80,000
AKRON GENERAL MEDICAL CENTER
400 WABASH AVEAKRONOH44307NONE501(C)(3)EQUIPMENT & SOFTWARE FOR WOUND CARE CENTER$80,000
HOSPICE OF VNS & JUSTIN T ROGERS CARE CENTER
3358 RIDGEWOOD RDAKRONOH44333NONE501(C)(3)CONSTRUCTION$10,000
METROHEALTH SYSTEM
2500 METROHEALTH DRCLEVELANDOH44109NONE501(C)(3)PURCHASE OF EQUIPMENT$45,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year295000TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$127,774ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion-$23,750ExclusionAmount

Other Revenue Described OtherRevenueDescribed

FieldValueIRS element (for citing)
DescriptionLITIGATION PROCEEDSDescription
Exclusion Code01ExclusionCode
Exclusion$108ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$104,132ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA104132TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEECategory
Amount$930Amount
Net Investment Income698NetInvestmentIncome
Disbursements Charitable Prps232DisbursementsCharitablePrps

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (7 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
AT&T INC 2.500% 8/15/15152363150392
BANK OF AMERICA 4.875% 9/15/125137552360
DELL INC 2.300% 9/10/15150570149136
JOHN DEERE CAP MTN 2.800% 9/18/17151308148370
LOOMIS SAYLES BOND FUND230225255552
WAL-MART STORES 4.550% 5/01/135076553684
WELLS FARGO & CO 5.000% 11/15/145135554138

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (52 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
ABBOTT LABS5455060731
AMERICAN EXPRESS CO6612776074
APACHE CORP3757763084
APPLE INC3983084381
AUTOMATIC DATA PROCESSING INC7145376376
BED BATH & BEYOND INC6573385598
CAMERON INTERNATIONAL CORP3399465373
CHEVRON CORPORATION2406543448
CISCO SYSTEMS INC6022751088
COCA COLA CO3505846210
CONOCOPHILLIPS6108487962
DANAHER CORP2315440215
DU PONT E I DE NEMOURS & CO5133476383
ECOLAB INC2244731498
EMC CORP/MASS6700078360
EMERSON ELEC CO1479351108
EXXON MOBIL CORPORATION1059185077
FLUOR CORP NEW4663266793
GENERAL ELECTRIC CORP1054644336
GOOGLE INC - CL A5427265292
HEWLETT PACKARD CO6736861766
HOME DEPOT INC4338268356
ILLINOIS TOOL WKS INC3180245852
INTEL CORP7494676279
ISHARES RUSSELL MIDCAP INDEX FUND223625269376
ISHARES S&P SMALLCAP 600201646252514
JOHNSON & JOHNSON3957242784
MCDONALDS CORP4126660690
MEDCO HEALTH SOLUTIONS INC3268132632
MICROSOFT CORP5267658709
NAVISTAR INTERNATIONAL CORP3774639626
NIKE INC-CLASS B3001548569
OCCIDENTAL PETE CORP4770870860
ORACLE CORPORATION6799481629
PEPSICO INC2994465721
PRAXAIR INC2210640972
PROCTER & GAMBLE CO2570362953
PRUDENTIAL FINL INC4726570079
SCHLUMBERGER LTD5063975390
SPDR DJ WILSHIRE INTL REAL ESTATE4038940216
SPDR DOW JONES REIT ETF4637654076
STATE STREET CORP5733369965
T ROWE PRICE GROUP INC4729679413
THE VANGUARD GROUP INC ENERGY ETF9216398605
UNION PAC CORP4749760013
UNITED TECHNOLOGIES CORP2485040848
US BANCORP NEW7249168294
VANGUARD FTSE ALL WO X-US SC5812369667
VANGUARD FTSE ALL-WORLD EX-US221950258750
VANGUARD MSCI EMERGING MARKETS ETF84271102212
YUM! BRANDS INC3331935939
TEVA PHARMACEUTICAL INDS LTD ADR5349346416

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value654570USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV693831USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val0StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV0StateLocalSecuritiesEOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOHIO FILING FEEDescription
Revenue And Expenses Per Books200RevenueAndExpensesPerBooks
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps200DisbursementsCharitablePrps

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionLITIGATION PROCEEDSDescription
Revenue And Expenses Per Books108RevenueAndExpensesPerBooks
Net Investment Income108NetInvestmentIncome
Adjusted Net Income108AdjustedNetIncome

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryFEDERAL TAXESCategory
Amount$2,832Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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