2018-06-21T14:26:51-05:00 2017-12-31 364049282 PASQUESI SHEPPARD LLC 585 BANK LANE LAKE FOREST IL 60045 990PF 2017-01-01 362167090 GRANT HOSPITAL OF CHICAGO D/B/A GRANT HEALTHCARE FOUNDATION GRAN 8477351590 500 NORTH WESTERN AVENUE NO 204 LAKE FOREST IL 60045 KATE O'CONNOR EXECUTIVE DIRECTOR 8477351590 2018-06-21 1 DENNIS P O'BRIEN P00008832 8472345000 50.224.107.130 2018-06-21 14:26:34 CD P D16871BC3DF7D8B2011C2CFDDE95C80531F82C57 140AC84D76119C5FE701CF29AAEA4E25A970F106 2017 2018-06-14 16:35:46Z X 16235288 X 31699 314684 314684 1030028 3988984 1030028 377 377 1376788 1345089 135000 33750 101250 6900 3450 3450 55839 55839 0 5945 0 0 36742 27707 9035 374 0 62055 6206 64884 302855 126952 178619 749000 749000 1051855 126952 927619 324933 1218137 29555 845645 845645 120697 52874 52874 996082 884712 884712 13098579 14071789 14071789 10368 8370 2372 1998 1998 587103 378270 378270 14834388 16235288 16235288 79801 76322 79801 76322 X 14303500 15673499 107197 107197 343890 378270 14754587 16158966 14834388 16235288 14754587 324933 1079446 16158966 0 16158966 TOUCHSTONE SMALL CAP 2016-12-28 2017-06-22 2209 1961 248 248 HARBOR FD INTL 2012-01-01 2017-06-22 155895 143058 12837 12837 PEAR TREE POLARIS 2016-04-18 2017-11-21 329976 259068 70908 70908 TOUCHSTONE SMALL CAP 2013-01-01 2017-06-22 602614 534825 67789 67789 HARBOR FD INTL 2014-01-01 2017-06-22 692549 648630 43919 43919 BBH FDS BBH CORE SELECT 2012-01-01 2017-11-21 1552911 966037 586874 586874 VANGUARD 500 INDEX FUND 2013-01-01 2017-09-26 199928 199928 0 0 QEP RESOURCES 2017-04-13 2017-10-04 9221 12796 -3575 -3575 RPC INC 2017-02-27 2017-09-14 3584 3114 470 470 WILLIAMS COS INC 2016-07-01 2017-03-15 27832 20315 7517 7517 CANADIAN NATURAL RESOURCES 2012-11-28 2017-05-01 3180 2794 386 386 MARATHON OIL CORP 2012-08-24 2017-02-27 11468 20345 -8877 -8877 MARATHON OIL CORP 2012-01-01 2017-08-03 7674 18754 -11080 -11080 MARATHON OIL CORP 2013-01-01 2017-11-08 8668 17496 -8828 -8828 PDC ENERGY INC 2014-01-01 2017-06-29 20705 24816 -4111 -4111 PIONEER NATURAL RESOURCES 2012-07-16 2017-02-14 5918 2555 3363 3363 QEP RESOURCES 2016-06-03 2017-10-04 8460 18920 -10460 -10460 CANADIAN NATURAL RESOURCES 2009-10-27 2017-04-13 16600 17102 -502 -502 CANADIAN NATURAL RESOURCES 2012-10-10 2017-05-01 15898 16630 -732 -732 DEVON ENERGY 2009-10-27 2017-02-27 5570 8803 -3233 -3233 HESS CORP 2009-11-02 2017-11-08 6612 7857 -1245 -1245 SCHLUMBERGER LTD 2010-02-22 2017-05-22 15840 13152 2688 2688 CAPITAL GAINS DIVIDENDS P 285672 285672 285672 1030028 0 937646 14596045 0.064240 1285938 14964850 0.085931 1318146 17255208 0.076391 1165829 16427334 0.070969 1223954 15945636 0.076758 0.374289 0.074858 15301816 1145463 12181 1157644 927619 24363 0 24363 0 24363 5809 0 0 5809 0 18554 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 WWW.GRANTHEALTHCARE.ORG KATE GRUBBS O'CONNOR 8477351590 500 N WESTERN AVE SUITE 204 LAKE FOREST IL 60045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOSEPH S CARR 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 DIRECTOR 1.00 0 0 0 GEORGE M COVINGTON 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 DIRECTOR 1.00 0 0 0 ROBERT L FRIEDLANDER 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 SECRETARY/TREASURER 1.00 0 0 0 RICHARD M NORTON 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 DIRECTOR 1.00 0 0 0 RICHARD M ROSS JR 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 CHAIRMAN 1.00 0 0 0 KATE GRUBBS O'CONNOR 500 NORTH WESTERN AVENUE LAKE FOREST IL 60045 EXECUTIVE DIRECTOR 40.00 135000 0 0 NONE 0 NONE 0 0 14525581 524386 484872 15534839 0 0 15534839 233023 15301816 765091 765091 24363 24363 740728 0 740728 0 740728 927619 0 927619 0 927619 740728 0 0 434890 362804 476094 555593 210995 2040376 927619 0 0 0 740728 186891 0 0 2227267 0 0 0 0 0 0 434890 1792377 362804 476094 555593 210995 186891 KATE GRUBBS O'CONNOR GRANT HEALTHCA 500 NORTH WESTERN AVENUE SUITE 204 LAKE FOREST IL 60045 8477351590 KOCONNOR@GRANTHEALTHCARE.ORG GRANT FORM USED JULY THE FIELD OF HEALTHCARE IN THE GREATER CHICAGOLAND AREA ASSOCIATION HOUSE OF CHICAGO 1116 N KEDZIE CHICAGO IL 60651 NONE PC INTEGRATED HEALTH PROGRAM 15000 BREAKTHROUGH URBAN MINISTRY 402 N ST LOUIS ST CHICAGO IL 60624 NONE PC BEHAVIORAL HEALTH FOR HOMELESS ADULTS 15000 CANINE THERAPY CORPS 1700 W IRVING PARK RD CHICAGO IL 60651 NONE PC GENERAL OPERATING SUPPORT 12000 CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO 721 N LASALLE CHICAGO IL 60654 NONE PC HOSPITAL TRANSITION PROGRAM 25000 CENTER ON HALSTED 3858 N HALSTED ST CHICAGO IL 60613 NONE PC BEHAVIORAL HEALTH SERVICES 20000 CHICAGO CHILDREN'S ADVOCACY CENTER 1240 SOUTH DAMEN AVE CHICAGO IL 60608 NONE PC FAMILY HOPE CENTER 20000 CHICAGO FAMILY HEALTH CENTER 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 NONE PC GENERAL OPERATING SUPPORT 20000 COMMUNITY COUNSELING CENTERS OF CHICAGO 4740 N CLARK CHICAGO IL 60640 NONE PC BEHAVIORAL HEALTH PRIMARY CARE 30000 COMMUNITY HEALTH 2811 W CHICAGO AVE CHICAGO IL 60622 NONE PC GENERAL OPERATING SUPPORT 20000 ERIE FAMILY HEALTH CENTER 1701 W SUPERIOR ST CHICAGO IL 60622 NONE PC PATIENT-CENTERED CARE INEGRATION (PCCI) INITIATIVE 20000 ESPERANZA HEALTH CENTERS 2001 S CALIFORNIA AVE CHICAGO IL 60608 NONE PC CARE COORDINATION PROGRAM 20000 EVERTHRIVE ILLINOIS 1256 W CHICAGO AVE CHICAGO IL 60642 NONE PC CHICAGO SAFETY NET LEARNING COLLABORATIVE 20000 FAMILY FOCUS 310 S PEORIA CHICAGO IL 60607 NONE PC TRAUMA-INFORMED THERAPEUTIC SERVICES 20000 GADS HILL CENTER 1919 W CULLERTON CHICAGO IL 60608 NONE PC HEALTHY MINDS, HEALTHY SCHOOLS 15000 GOLDIE'S PLACE 5705 N LINCOLN AVE CHICAGO IL 60659 NONE PC GENERAL OPERATING SUPPORT 20000 HOWARD AREA COMMUNITY CENTER 7648 N PAULINA ST CHICAGO IL 60626 NONE PC ELEANOR WESTER DENTAL CLINIC 10000 HOWARD BROWN HEALTH CENTER 4025 N SHERIDAN RD CHICAGO IL 60613 NONE PC HEALTHCARE OPERATIONS, SALARIES AND PROGRAMS 20000 HUMAN RESOURCES DEVELOPMENT INSTITUTE INC 222 S JEFFERSON ST CHICAGO IL 60661 NONE PC HHC - BEHAVIORAL HEALTH INTEGRATION PROGRAM 25000 ILLINOIS COLLEGE OF OPTOMETRY 3241 S MICHIGAN AVE CHICAGO IL 60616 NONE PC CHICAGO VISION OUTREACH 20000 INNER CITY MUSLIM ACTION NETWORK 2744 W 63RD ST CHICAGO IL 60629 NONE PC IMAN HEALTH CLINIC - GENERAL OPERATING SUPPORT 20000 LINCOLN PARK ZOOLOGICAL SOCIETY 2001 N CLARK ST CHICAGO IL 60614 NONE PC WILDLIFE AND HUMAN HEALTH INITIATIVE 40000 LUSTER LEARNING INSTITUTE 1126 HILLCREST HIGHLAND PARK IL 60035 NONE PC GENERAL OPERATING SUPPORT 20000 MIDWEST ACCESS PROJECT PO BOX 13173 CHICAGO IL 60613 NONE PC GENERAL OPERATING SUPPORT 15000 NEW MOMS INC 5317 W CHICAGO AVE CHICAGO IL 60651 NONE PC FAMILY SUPPORT PROGRAM 20000 OLD IRVING PARK COMMUNITY CLINIC 5425 W ADDISON ST CHICAGO IL 60641 NONE PC GENERAL OPERATING SUPPORT 20000 PCC COMMUNITY WELLNESS CENTER 14 LAKE ST OAK PARK IL 60302 NONE PC GENERAL OPERATING SUPPORT 20000 PRIMECARE COMMUNITY HEALTH 2232 N CLYBOURNE AVE CHICAGO IL 60614 NONE PC PSYCHIATRIC CONSULTATION IN PRIMARY CARE 17000 PRIMO CENTER FOR WOMEN AND CHILDREN 4241 W WASHINGTON BLVD CHICAGO IL 60624 NONE PC TRAUMA-INFORMED MENTAL HEALTH SERVICES IN CONGREGATE CARE 25000 RUSH UNIVERSITY MEDICAL CENTER 1700 W VAN BUREN CHICAGO IL 60612 NONE PC RUSH ADOLESCENT FAMILY CENTER 20000 SECOND SENSE 65 E WACKER DR CHICAGO IL 60601 NONE PC SUPPORT FOR VISION REHABILITATION TO MOVE BEYOND VISION LOSS 10000 SISTERHOUSE 851 N LEAMINGTON AVE CHICAGO IL 60651 NONE PC GENERAL OPERATING SUPPORT 15000 ST JAMES CATHEDRAL COUNSELING CENTER 50 E WASHINGTON ST CHICAGO IL 60602 NONE PC PEDIATRIC ASTHMA PROJECT 10000 THE BOULEVARD OF CHICAGO 3456 W FRANKLIN BLVD CHICAGO IL 60624 NONE PC GENERAL OPERATING SUPPORT 10000 THE NIGHT MINISTRY 4711 N RAVENSWOOD AVE CHICAGO IL 60640 NONE PC OUTREACH AND HEALTH MINISTRY 15000 THE UNIVERSITY OF CHICAGO 5801 S ELLIS AVE CHICAGO IL 60637 NONE PC URBAN HEALTHCARE INNOVATION BUILDING BEHAVIORAL HEALTH CAPACITY FOR VUNERABLE COMMUNITIES 30000 THRESHOLDS 4101 N RAVENSWOOD AVE CHICAGO IL 60613 NONE PC SUBSTANCE USE TREATMENT AND DIVERSION PROGRAM 25000 UCAN (UHLICH CHILDREN'S ADVANTAGE NETWORK) 3737 N MOZART ST CHICAGO IL 60618 NONE PC UCAN NORTH LAWDALE CAMPUS - CAPITAL REQUEST 25000 WOMEN'S REPRODUCTIVE RIGHTS ASSISTANCE PROJECT 2934 1/2 BEVERLY GLEN CIRCLE 169 LOS ANGELES CA 90077 NONE PC GENERAL OPERATING SUPPORT 25000 749000 0 14 314684 14 377 18 1030028 0 1345089 0 1345089 0 0 0 0 0 0 0 0 0 0 X X 1 WILLIAM C MADLENER TRUST 135 S LASALLE ST CHICAGO IL 60603 21486 X 2 ILLINOIS HEALTH & HOSPITAL ASSOC 222 S RIVERSIDE PLAZA CHICAGO IL 60606 10213 X ACCOUNTING FEES 6900 3450 3450 OFFICE EQUIPMENT 2006-09-01 7548 7548 SL 7.000000000000 0 0 LAP TOP COMPUTER 2012-05-16 653 293 SL 10.000000000000 65 0 LENOVO IDEACENTER COMPUTER 2016-04-11 917 92 SL 5.000000000000 183 0 DESK AND CONFERENCE TABLE 2016-06-14 1250 63 SL 10.000000000000 125 0 EQUITIES 884712 884712 MUTUAL FUNDS FMV 12351433 12351433 PARTNERSHIPS AT COST 922594 922594 EXCHANGE TRADED FUNDS FMV 797762 797762 OFFICE EQUIPMENT 7548 7548 0 LAP TOP COMPUTER 653 358 295 LENOVO IDEACENTER COMPUTER 917 275 642 DESK AND CONFERENCE TABLE 1250 188 1062 CASH SURRENDER VALUE - INSURANCE 243213 BENEFICAL INTEREST IN A PERPETUAL TRUST 343890 378270 378270 OFFICE EXPENSE 62055 6206 64884 OTHER INCOME 377 377 377 UNREALIZED GAIN(LOSS) ON INVESTMENTS 488279 UNREALIZED GAIN(LOSS) ON INVESTMENTS 34380 LIFE INSURANCE DEATH BENEFIT, NET 556787 INVESTMENT MANAGEMENT FEES 55839 55839 0 PAYROLL TAXES 12046 3011 9035 FEDERAL EXCISE TAX 18932 18932 0 FOREIGN TAXES 5764 5764 0