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CAROL LAVIN BERNICK FAMILY FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CAROL LAVIN BERNICK FAMILY FOUNDATION (EIN 36-4134174)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-17
IRS object ID
201932909349100003
Schema version
2018v3.1
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)
Return2019-10-17T15:04:54-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 N CLARK ST SUITE 200AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364134174EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROL BERNICK FAMILY FOUNDATIONBusinessNameLine1Txt
Business Name Line2c/o Polished Nickel Capital MgmtBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% POLISHED NICKEL CAP MAN LInCareOfNm
Business Name ControlCAROBusinessNameControlTxt
Phone3124777600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER Suite 1680AddressLine1Txt
CitychicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAROL L BERNICKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3124777603PhoneNum
Signature2019-10-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBridget T RochePreparerPersonNm
PTINP00666837PTIN
Phone3128560200PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.220.64.52IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36941220192905000029FederalOriginalSubmissionId
Federal Original Submission Id2019-10-17FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id88C57ED83B7DBA4282236778AE35741F18CD4BACAtSubmissionCreationDeviceId
At Submission Filing Device IdFDEFB96DF6B42CA9E955E3DAC9703DCC0A435C0DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$6,671,120FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$3,000ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,059InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,059InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$164,820DividendsRevAndExpnssAmt
Dividends Net Invst Incm$163,330DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$200,935NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,075,166GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$228,996CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$370,814TotalRevAndExpnssAmt
Total Net Invst Incm$394,385TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$148LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$148LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Taxes Rev And Expnss$7,241TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,093TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$15TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$53,216OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$45,623OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$10OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$60,605TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$48,864TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$25TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$464,750ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$463,750ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$525,355TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$48,864TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$463,775TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$154,541ExcessRevenueOverExpensesAmt
Net Investment Income$345,521NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$572,101SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$409,390SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$409,390SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$5,887,924CorporateStockBOYAmt
Corporate Stock EOY$5,895,094CorporateStockEOYAmt
Corporate Stock EOYFMV$6,261,730CorporateStockEOYFMVAmt
Total Assets BOY$6,460,025TotalAssetsBOYAmt
Total Assets EOY$6,304,484TotalAssetsEOYAmt
Total Assets EOYFMV$6,671,120TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$6,460,025RetainedEarningBOYAmt
Retained Earning EOY$6,304,484RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$6,460,025TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,304,484TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,460,025TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,304,484TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,460,025TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$154,541ExcessRevenueOverExpensesAmt
Subtotal$6,305,484SubtotalAmt
Other Decreases$1,000OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,304,484TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$1,206,484GrossSalesPriceAmt
Cost Or Other Basis$978,497CostOrOtherBasisAmt
Gain Or Loss$228,996GainOrLossAmt
Gains Minus Excess Or Losses$227,987GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$228,996CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$730,327AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$7,222,705NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.101115DistributionYr1Rt
Adjusted Qlfy Distri Yr2$690,811AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$7,175,040NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.09628DistributionYr2Rt
Adjusted Qlfy Distri Yr3$919,499AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$7,853,343NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.117084DistributionYr3Rt
Adjusted Qlfy Distri Yr4$49,500AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$8,383,866NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.005904DistributionYr4Rt
Adjusted Qlfy Distri Yr5$723,550AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$8,432,415NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.085806DistributionYr5Rt
Total Distribution0.406189TotalDistributionRt
Average Distribution0.081238AverageDistributionRt
Net Vl Noncharitable Assets$7,265,893NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$590,267AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,455NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$593,722AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$463,775QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$6,910InvestmentIncomeExciseTaxAmt
Subtotal$6,910SubtotalAmt
Tax Based On Investment Income$6,910TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,655EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$1,500ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$10,155TotalPaymentsAndCreditsAmt
Overpayment$3,245OverpaymentAmt
Applied To ES Tax$3,245AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1POLISHED NICKEL CAP MAN LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3124777600PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER DRIVE SUITE 1680AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcYes (true)TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CAROL BERNICK
155 N WACKER STE 1680CHICAGOIL60606President/Treasurer0$0$0$0
CRAIG BERNICK
155 N WACKER STE 1680CHICAGOIL60606DIRECTOR0$0$0$0
PETER BERNICK
155 N WACKER STE 1680CHICAGOIL60606DIRECTOR0$0$0$0
ELIZABETH BERNICK HUBER
155 N WACKER STE 1680CHICAGOIL60606VICE PRESIDENT/SECREtary0$0$0$0

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERRILL LYNCHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 N WACKERAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Service TypeINVEST MGTMT FEESServiceTypeTxt
Compensation$53,176CompensationAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$6,880,314AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$496,227AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,376,541TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,376,541AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$110,648CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,265,893NetVlNoncharitableAssetsAmt
Minimum Investment Return$363,295MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$363,295MinimumInvestmentReturnAmt
Tax Based On Investment Income$6,910TaxBasedOnInvestmentIncomeAmt
Total Tax$6,910TotalTaxAmt
Distributable Before Adj$356,385DistributableBeforeAdjAmt
Distributable Before Ded$356,385DistributableBeforeDedAmt
Distributable As Adjusted$356,385DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$463,775ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$463,775QualifyingDistributionsAmt
Adjusted Qualifying Distri$463,775AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$356,385DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12016PriorYear1Yr
Prior Year22015PriorYear2Yr
Prior Year32014PriorYear3Yr
Excess Distribution Cyov Yr5$305,032ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$14,917ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$534,734ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$337,977ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$378,188ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,570,848TotalExcessDistributionCyovAmt
Qualifying Distributions$463,775QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$356,385AppliedToCurrentYearAmt
Remaining Distri From Corpus$107,390RemainingDistriFromCorpusAmt
Total Corpus$1,678,238TotalCorpusAmt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$305,032ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,373,206ExcessDistriCyovToNextYrAmt
Excess From Year4$14,917ExcessFromYear4Amt
Excess From Year3$534,734ExcessFromYear3Amt
Excess From Year2$337,977ExcessFromYear2Amt
Excess From Year1$378,188ExcessFromYear1Amt
Excess From Current Year$107,390ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (97 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALS Association
1275 K Street NWWashingtonDC20005NONEPCGENERAL FUND$3,000
ALS TDI
300 Technology Square Suite 400CambridgeMA02139NONEPCGENERAL FUND$500
Alyssa R Pagano Memorial Foundation
200 S Wacker DrChicagoIL60606NONEPCGENERAL FUND$5,000
Alzheimer's Association
225 North Michigan Ave Suite 1700ChicagoIL60601NONEPCGENERAL FUND$1,500
Am Shalom Synagogue
840 Vernon AveGlencoeIL60022NONEPCGENERAL FUND$1,000
Ann & Robert H Lurie Children's Hospital
225 E Chicago Ave Box 282ChicagoIL60611NONEPCGENERAL FUND$100
Bear Necessities Pediatric Cancer Foundation
55 West Wacker Dr Suite 1100ChicagoIL60611NONEPCGENERAL FUND$4,700
Belvidere High School District 100 Charitable Foun
1201 5th AveBelvidereIL61008NONEGOVGENERAL FUND$1,500
Belvidere High School Music Boosters
1500 East AveBelvidereIL61008NONEPCGENERAL FUND$1,000
BelvidereBoone County Food Pantry
PO Box 35CapronIL61012NONEPCGENERAL FUND$1,250
Benedictine Sisters Of Chicago
7430 N Ridge BlvdChicagoIL60645NONEPCGENERAL FUND$2,500
Benet Academy
2200 Maple AveLisleIL60532NONEPCGENERAL FUND$3,000
Big Shoulders Fund
212 W Van Buren StChicagoIL60607NONEPCGENERAL FUND$1,000
Boys & Girls Club Of Chicago
550 W Van Buren Ste Suite 350ChicagoIL60607NONEPCGENERAL FUND$1,000
Brother Rice High School
10001 South Pulaski RdChicagoIL60655NONEPCGENERAL FUND$30,000
By The Hand Club
PO Box 10043ChicagoIL60610NONEPCGENERAL FUND$2,500
California Youth Services
23282 Mill Creek DriveLaguna HillsCA92653NONEPCGENERAL FUND$1,500
Center Stage
400 E Illinois RdLake ForestIL60045NONEPCGENERAL FUND$3,000
Chicago Foundation For Women
140 S Dearborn St Ste 400ChicagoIL60603NONEPCGENERAL FUND$7,500
Christmas Without Cancer
9735 S Utica AveEvergreen ParkIL60805NONEPCGENERAL FUND$150
Crohn's & Colitis Foundation
733 Third Avenue Suite 510New YorkNY10017NONEPCGENERAL FUND$500
Dare2Tri
516 N Ogden Ave 172ChicagoIL60642NONEPCGENERAL FUND$1,400
DownLine Ministries
PO Box 7700296MemphisTN38177NONEPCGENERAL FUND$2,500
Enchanted Backpack
155 N Wacker Dr 1680ChicagoIL60606NONEEOFGENERAL FUND$5,000
Evans Scholars Foundation
One Briar RdGolfIL60029NONEPCGENERAL FUND$2,500
Evanston Scholars
1234 Sherman Ave STE 213EvanstonIL60202NONEPCGENERAL FUND$300
Fayette Alliance Foundation
603 W Short StLexingtonKY40508NONEPCGENERAL FUND$5,000
Foodstock COOL
800 W Glen Flora AveWaukeganIL60085NONEPCGENERAL FUND$1,000
Free Spirit Media
906 S Homan AvenueChicagoIL60624NONEPCGENERAL FUND$5,000
Friends Of Prentice
251 E Huron StChicagoIL60611NONESO III NFIGENERAL FUND$1,500
Geneva Lake Association Inc
PO Box 412Lake GenevaWI53147NONEPCGENERAL FUND$250
Geneva Lake Conservancy
398 Mill StFontanaWI53125NONEPCGENERAL FUND$5,000
Geneva Lake Water Safety Committee Inc
PO Box 548Williams BayWI53191NONEPCGENERAL FUND$5,000
George Williams College Of Aurora University
347 South Gladstone AveAuroraIL60506NONEPCSIMMS NURSING CENTER$5,000
Girl Scouts GCNWI
420 Fifth AvenueNew YorkNY10018NONEPCGENERAL FUND$500
Gordon Community Center
801 Percy Warner BoulevardNashvilleTN37205NONEPCGENERAL FUND$1,000
Grayson-Jockey Club Research Foundation
40 East 52nd St 15th FloorNew YorkNY10022NONEPCGENERAL FUND$2,000
Greater Chicago Food Depository
4100 W Ann Lurie PLChicagoIL60632NONEPCGENERAL FUND$500
Harold Grinspoon Foundation
67 Hunt Street suite 100AgawamMA01001NONESO IGENERAL FUND$5,000
Illinois YMCA Youth & Government
1315 Butterfield Rd Suite 218Downers GroveIL60515NONEPCGENERAL FUND$1,000
Jackson Chance Foundation
230 N Michigan Ave 37th FloorChicagoIL60601NONEPCGENERAL FUND$500
JDRF
26 Broadway 14th FloorNew YorkNY10004NONEPCGENERAL FUND$150
Jewish United Fund
30 S Wells StChicagoIL60606NONEPCGENERAL FUND$100,000
Lemont Baseball & Softball Club
PO Box 261LemontIL60439NONEPCGENERAL FUND$750
Lemont Park District Foundation
16028 W 127th StLemontIL60439NONEPCGENERAL FUND$500
Lewy Body Dementia Assoc
912 Killian Hill Rd SW Suite 204/2LilburnGA30047NONEPCGENERAL FUND$500
LGGC Foundation
946 S Lakeshore DrFonatanaWI53125NONEPCGENERAL FUND$2,500
Linn Presbyterian Church
W 3335 Willow RoadLake GenevaWI53147NONEPCGENERAL FUND$1,000
Little Brothers - Friends Of The Elderly
355 N Ashland AveChicagoIL60607NONEPCGENERAL FUND$5,000
Live Like Jake
14283 Ardel DrPalm Beach GardensFL33410NONEPCGENERAL FUND$900
Malnati Brain Tumor Institute
633 Clark StEvanstonIL60208NONEPCGENERAL FUND$10,000
Marwen
833 N OrleansChicagoIL60610NONEPCGENERAL FUND$1,100
Mary Beth Richmond Scholarship Fund At Northwester
633 Clark StEvanstonIL60208NONEPCGENERAL FUND$10,000
Mercy Development Foundation
1320 Mercy Drive NWCantonOH44708NONESO IGENERAL FUND$5,000
Merit School Of Music
38 S Peoria StChicagoIL60607NONEPCGENERAL FUND$5,000
METAvivor
1783 Forest Drive 184AnnapolisMD21401NONEPCGENERAL FUND$5,000
Metropolitan Planning Council
140 S Dearborn St Suite 1400ChicagoIL60603NONEPCGENERAL FUND$15,000
Multiplier
405 14th Street Suite 164OaklandCA94612NONEPCGENERAL FUND$3,000
Mundelein Junior Football League
PO Box 374MundeleinIL600600374NONEPCGENERAL FUND$1,000
National Kidney Foundation
30 E 33rd StNew YorkNY10016NONEPCGENERAL FUND$1,000
Noble Network Of Charter Schools
1 North State Stree 7-LowerChicagoIL60602NONEPCGENERAL FUND$100
Northwestern Memorial Foundation
633 Clark StEvanstonIL60208NONESO III FIGENERAL FUND$25,000
Northwestern Memorial Hospital
633 Clark StEvanstonIL60208NONESO III FIGENERAL FUND$2,500
Northwestern University
633 Clark StEvanstonIL60208NONEPCKELLOGG SCHOOL OF MANAGEMENT$25,000
Ocala Aquatics
430 SW 43rd PLOcalaFL34471NONEPCGENERAL FUND$1,000
Off The Street Club
25 N Karlov AveChicagoIL60624NONEPCGENERAL FUND$5,000
Old St Patrick's Church
700 W Adams 711 W MonroeChicagoIL60661NONEPCGENERAL FUND$2,500
Opportunity Knocks
8020 Madison StRiver ForestIL60305NONEPCGENERAL FUND$10,000
OPRF Women Leaders Of Philanthropy
1049 Lake St Suite 204Oak ParkIL60301NONEPCGENERAL FUND$1,000
Permanently Disabled Jockey Fund
PO Box 803ElmhurstIL60126NONEPCGENERAL FUND$5,000
Recipe For Change
1266 N MilwaukeeChicagoIL60622NONEPCGENERAL FUND$5,000
Remedies Renewing Lives
220 Easton ParkwayRockfordIL61108NONEPCGENERAL FUND$1,250
Rerun Inc
236A Waters RoadEast GreenbushNY12061NONEPCGENERAL FUND$1,000
Sarah's Inn
309 Harrison StOak ParkIL60304NONEPCGENERAL FUND$5,300
Sing To Live Community Chorus
3028 Lexington LaneGlenviewIL60026NONEPCGENERAL FUND$500
St Alphonsus
210 E Logan StLemontIL60439NONEPCGENERAL FUND$1,000
St Baldrick's Foundation
1333 South Mayflower Ave Suite 400MonroviaCA91016NONEPCGENERAL FUND$500
St CatherineSt Lucy
38 N Austin BlvdOak ParkIL60302NONEPCGENERAL FUND$5,000
St Cyril
9415 Rochester AveBrookfieldIL60513NONEPCGENERAL FUND$500
St Juliana
7200 N Osceola AveChicagoIL60631NONEPCGENERAL FUND$1,000
TAPSSAFE
3033 Wilson Blvd Suite 300ArlingtonVA22201NONEPCGENERAL FUND$10,000
The Chicago Community Trust
225 North Michigan Ave Suite 2200ChicagoIL60601NONEPCGENERAL FUND$300
The Leukemia And Lymphoma Society
3 International DriveRye BrookNY10573NONEPCGENERAL FUND$3,000
The Rock School For Dance Education
1101 South Broad StPhiladelphiaPA191474410NONEPCGENERAL FUND$5,000
The Shirley Ryan Ability Lab
355 East Erie StChicagoIL60611NONEPCGENERAL FUND$1,500
Town Of Linn Professioanl Police Association
W3728 Franklin Walsh StZendaWI53195NONEPCGENERAL FUND$500
Trinity High School
7574 West Division StRiver ForestIL60305NONEPCGENERAL FUND$5,000
Triton College Foundation
2000 Fifth Ave Room A-325Rover GroveIL60171NONEPCGENERAL FUND$5,000
US Olympic And Paraolympic Foundation
1 Olympic PlazaColorado SpringsCO80909NONEPCGENERAL FUND$5,000
Vanderbilt University
PMB 406310 2301 Vanderbilt PlaceNashvilleTN372406310NONEGOVGENERAL FUND$25,000
Vocel
5317 West Chicago AvenueChicagoIL60651NONEPCGENERAL FUND$1,500
Walsh Elementary School
2015 S Peoria StChicagoIL60608NONEPCGENERAL FUND$6,000
Wittenburg Village
1200 Luther DrCrown PointIN46307NONEPCGENERAL FUND$5,000
WJHS H&S
203 W HillsideNapervilleIL60540NONEPCGENERAL FUND$250
Womens Board Of Rush UMC
1700 West Van Buren St No 153ChicagoIL60612NONEPCGENERAL FUND$1,000
Wreaths Across America
PO Box 249Columbia DallsME04623NONEPCGENERAL FUND$500
Young Life North Shore
PO Box 520Colorado SpringsCO80901NONEPCGENERAL FUND$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$464,750TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,059ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$164,820ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$200,935ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$367,814ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$367,814TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockPUBLICLY TRADED SECURITIESStockNm
EOY Book Value$5,895,094EOYBookValueAmt
EOYFMV$6,261,730EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$148LegalFeesAmt
Net Investment Income$148NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescPRIOR PERIOD ADJUSTMENTDesc
Amt$1,000Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SECRETARY OF STATE LICENSE$10$0$0$10
INVESTMENT EXPENSES$53,206$45,623$0$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAXES$4,618$0$0$0
STATE CHARITABLE FEE$15$0$0$15
FOREIGN TAXES$2,608$3,093$0$0