2024-05-14T11:11:55-05:00 2023-12-31 370267575 FAIRFIELD NATIONAL BANK 220 E MAIN ST FAIRFIELD IL 62837 990PF 2023-01-01 136115138 PUCKETT FOUNDATION FAIRFIELD NATIONAL BANK TRUSTEE PUCK 6188422107 PO BOX 429 FAIRFIELD IL 62837 RICHARD MONTGOMERY TRUST OFFICER 6188422107 2024-05-07 1 RICHARD MONTGOMERY 999009999 0 JONATHON FARMER P01772370 6188422183 2024-05-07 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X 2116642 X X 66446 66446 74559 87994 74559 141005 141005 20456 6137 7160 1500 0 750 2003 151 0 16 0 0 23975 6288 7910 92620 92620 116595 6288 100530 24410 134717 9405 46034 46034 111117 100505 758438 1248266 1246659 1312169 1 1 1 1368789 1393199 2116642 0 0 X 1368789 1393199 0 0 0 0 1368789 1393199 1368789 1393199 1368789 24410 0 1393199 0 1393199 PUBLICLY TRADED SECURITIES P 87072 13435 73637 73637 CAPITAL GAINS DIVIDENDS P 922 922 922 74559 1873 0 1873 0 1873 2584 0 0 0 2584 0 711 711 0 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A FAIRFIELD NATIONAL BANK TRUST DEPT 6188422107 220 E MAIN ST FAIRFIELD IL 62837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 FAIRFIELD NATIONAL BANK 220 E MAIN ST FAIRFIELD IL 62837 TRUSTEE 15.00 20456 0 0 DIANE ROBINSON 220 E MAIN ST FAIRFIELD IL 62837 ADVISORY COMMITTEE 1.00 0 0 0 JUDITH PUCKETT 220 E MAIN ST FAIRFIELD IL 62837 ADVISORY COMMITTEE 1.00 0 0 0 DAVID HARRISON 220 E MAIN ST FAIRFIELD IL 62837 ADVISORY COMMITTEE 1.00 0 0 0 NONE 0 NONE 0 0 2013341 45844 1 2059186 0 0 2059186 30888 2028298 101415 101415 1873 1873 99542 0 99542 0 99542 100530 0 100530 99542 91120 0 0 100530 91120 0 0 9410 0 0 0 0 0 0 0 0 90132 0 0 0 ANGIE KOONTZ - TRUST DEPARTMENT 220 E MAIN ST FAIRFIELD IL 62837 6188422109 TRUST@FNBCOMMUNITYBANK.COM COMPLETED APPLICATION WITH VERIFICATION OF CHARITABLE/GOVERNMENTAL STATUS, DOCUMENTATION OF PROPOSED USE OF GRANT FUNDS AND NAME OF RESPONSIBLE PERSON. NO SPECIFIC DEADLINE AS APPLICATIONS ARE REVIEWED ADVISORY COMMITTEE AS RECEIVED NO LIMITATIONS ON GRANTS. ADVISORY COMMITTEE DETERMINES GRANTEES AND AMOUNTS. ANGIE KOONTZ - TRUST DEPARTMENT 220 E MAIN ST FAIRFIELD IL 62837 6188422109 TRUST@FNBCOMMUNITYBANK.COM APLICATION FORM AND DOCUMENTATION TO SUPPORT APPLICANT'S ELIGIBILITY AS TO CRITERIA OF MINIMUM ACT OF 19, 4.0 OR BETTER GPA AND CLASS RANK IN TOP 25%. SCHOLARSHIP APPLICATIONS MUST BE SUBMITTED TO FCHS COUNSELING OFFICE BY MARCH 1 APPLICANT MUST BE IN CURRENT GRADUATING CLASS OF FAIRFIELD COMMUNITY HIGH SCHOOL. ADVISORY COMMITTEE WILL DETERMINE NUMBER AND AMOUNT OF SCHOLARSHIPS. ALEXIS THOMASON 1720 CR 800 N FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 1500 ANIMALS REQUESTING FRIENDS PO BOX 324 FAIRFIELD IL 62837 N/A PC SPAY AND NUETER PROGRAM 3000 EMMA FRYMIRE 80 CO HWY 6 BURNT PRAIRIE IL 62820 NONE I EDUCATION SCHOLARSHIP 4500 FAIRFIELD COMMUNITY HIGH SCHOOL 300 W KING STREET FAIRFIELD IL 62837 N/A GOV SCHOLASTIC TEAM 1000 FAIRFIELD MEMORIAL HOSPITAL FOUNDATION 303 NW 11TH ST FAIRFIELD IL 62837 N/A PC SUPPORT OF CHARITABLE HOSPITAL'S EXPANSION PROJECT 10000 FAIRFIELD PARK DISTRICT PO BOX 467 FAIRFIELD IL 62837 N/A GOV OPERATIONS 7500 FAIRFIELD PUBLIC LIBRARY FOUNDATION 300 SE 2ND ST FAIRFIELD IL 62837 N/A SO I SUPPORT OF PUBLIC LIBRARY 2000 FRONTIER COMMUNITY COLLEGE FOUNDATION 2 FRONTIER DRIVE FAIRFIELD IL 62837 N/A SO III NFI SUPPORT OF COMMUNITY COLLEGE NEW ATHLETIC CENTER 15000 HAPPY DAY EXPRESS INC 1009 NW 7TH ST FAIRFIELD IL 62837 N/A PC OPERATIONS OF DAY CARE 3120 HUNTER BIGGS 296 US HWY 45 BARNHILL IL 62809 NONE I EDUCATION SCHOLARSHIP 3000 JACOB BRITT 412 SE 4TH ST FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 1500 JASON WRIGHT 2103 IL HWY 15 E FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 3000 FEED MY SHEEP SOUP KITCHEN 200 W MAIN ST FAIRFIELD IL 62837 N/A PC SOUP KITCHEN 1000 JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVE EVANSVILLE IN 47711 N/A PC OPERATIONS 3500 KATE BOOK 1784 CO RD 350 N FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 3000 MIDWEST FOOD BANK 2031 WAREHOUSE ROAD NORMAL IL 61761 N/A PC FOOD PANTRY 3000 NOAH MCELRAVY 26 KINCAID DRIVE FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 3000 SARA MCGEHEE 1091 US HWY 45 FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 1500 SOUTHEASTERN ILLINOIS COMM FOUNDATION PO BOX 1211 EFFINGHAM IL 62401 NONE PC WAYNE COUNTY CEO 1000 WABASH AREA DEVELOPMENT INC 2004 W DELAWARE FAIRFIELD IL 62837 N/A PC FOOD PANTRY 3000 WAYNE CITY PUBLIC LIBRARY 102 S MAIN ST WAYNE CITY IL 62895 N/A SO I SUPPORT OF PUBLIC LIBRARY 1000 WAYNE COUNTY AMBULANCE SERVICE PO BOX 92 FAIRFIELD IL 62837 N/A PC OPERATIONS 4500 WAYNE COUNTY HUMANE SOCIETY 518 SE 4TH ST FAIRFIELD IL 62837 N/A PC OPERATIONS OF ANIMAL SHELTER 3500 WAYNE-WHITE ROUND UP KARE & SHARE DENNIS SCRANTON MEMORIAL CANCER FUND PO BOX 700 FAIRFIELD IL 62837 N/A PC CANCER PATIENT TRANSPORTATION 5000 WYATT GILBERT 989 CO RD 2050 E FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 4500 92620 ALEXIS THOMASON 1720 CR 800 N FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 7500 EMMA FRYMIRE 80 CO HWY 6 BURNT PRAIRIE IL 62820 NONE I EDUCATION SCHOLARSHIP 6000 HUNTER BIGGS 296 US HWY 45 BARNHILL IL 62809 NONE I EDUCATION SCHOLARSHIP 7500 JACOB BRITT 412 SE 4TH ST FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 7500 JASON WRIGHT 2103 IL HWY 15 E FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 1500 KATE BOOK 1784 CO RD 350 N FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 10500 MICHAEL LANE HARVEY 432 CO RD 1800 E FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 4500 NOAH MCELRAVY 26 KINCAID DRIVE FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 4500 PHOEBE AUGUST 1936 CO RD 690 N FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 4500 SARA MCGEHEE 1091 US HWY 45 FAIRFIELD IL 62837 NONE I EDUCATION SCHOLARSHIP 10500 64500 14 66446 18 74559 0 141005 0 141005 0 0 0 0 0 0 0 0 0 0 FNB FINANCIAL - PREP OF FORM 990-PF 1500 0 750 ALLSTATE CORP 5732 104705 CISCO SYSTEMS, INC 13616 50520 NORFOLK SOUTHERN CORP 5764 131191 MCDONALDS CORP 2967 140842 ORACLE CORP 11447 88035 MORGAN STANLEY 4591 72735 CARRIER GLOBAL CORPORATION COM 513 45960 OTIS WORLDWIDE CORP COM 718 35788 RAYTHEON TECHNOLOGIES CORP 757 33656 ISHARES 54400 55006 AMERICAN FUNDS - CAP INC BUILD CL F2 AT COST 282279 305751 AMERICAN FUNDS - BALANCE CL F2 AT COST 216542 346928 LORD ABBETT SHORT DURATION CL C AT COST 159176 140554 PIMCO INCOME FUND INSTITUTIONAL CL AT COST 50000 43668 FRANKLIN US GOVT ADVISOR CLASS AT COST 278646 242874 VANGUARD SCOTTDALE FDSLT CORP BD AT COST 40998 29495 VANGUARD SCOTTSDALE FDS INT CORP AT COST 40987 34544 AMERICAN CAPITAL WORLD GR & INC AT COST 40000 37118 VANGUARD INDEX FUNDS S&P 500 ETF AT COST 40294 43680 VANGUARD SMALL CAP VIPERS AT COST 29737 29013 FRANKLIN TOTAL RETURN AT COST 68000 58544 OIL ROYALTY 1 1 1 ILLINOIS CHARITY FUND - ANNUAL STATE FILING FEE 15 0 0 INVESTMENT FEES 1 0 0 FEDERAL 1852 0 0 FOREIGN TAX 151 151 0