| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION | 1,500 | 1,125 | 1,125 | 375 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| General Explanation Supplemental Information for Form 990-PF | PART XV, SUPPLMENTARY INFORMATION---------------------------------IN COMPLIANCE WITH REGS. SECTION 53.4945-5(D), CONCERNING REPORTING TO THE INTERNAL REVENUE SERVICE REGARDING EXPENDITURE RESPONSIBILITY FOR GRANTS TO A PRIVATE FOUNDATION, THE FOUNDATION PROVIDES THE FOLLOWING INFORMATION:1) NAME AND ADDRESS OF THE GRANTEE: BRENT TAYLOR PERPETUAL CHARITABLE TRUSTMERCANTILE BANK, TRUSTEE200 N. 33RDQUINCY, IL 623052) DATE AND AMOUNT OF GRANT:AUGUST 7, 2012$17,683.22 REMAINING OF $220,000 TO BE EXPENSEDJULY 26, 2013$200,000 3) PURPOSE OF THE GRANTS:PROVIDE FUNDING FOR BRENT TAYLOR MEMORIAL SCHOLARSHIPS, WITH RECIPIENTS TO BE SELECTED BY A COMMITTEE ESTABLISHED BY THE GRANTEE.4) AMOUNTS EXPENDED BY THE GRANTEE IN 2013 (BASED ON THE MOST RECENT REPORT FROM THE GRANTEE): $ 79.73 ON JANUARY 3, 2013 $ 1,000.00 ON JANUARY 11, 2013 $ 1,000.00 ON FEBRUARY 2, 2013 $ 50.00 ON FEBRUARY 22, 2013 $ 1,912.82 ON MAY 22, 2013 $ 5,000.65 ON SEPTEMBER 25, 2013 $ 1,000.00 ON NOVEMBER 1, 2013 $ 1,000.00 ON DECEMBER 12, 2013 $ 11,043.20 TOTAL FOR GRANT RECEIVED IN 2012 $ 197,000.00 ON AUGUST 1, 2013 $ 1,000.00 ON AUGUST 23, 2013 $ 2,000.00 ON SEPTEMBER 4, 2013 $ 200,000.00 TOTAL FOR GRANT RECEIVED IN 20135) WHETHER THE GRANTEE HAS DIVERTED ANY PORTION OF THE FUNDS FROM THE PURPOSE OF THE GRANT:THE GRANTEE'S WRITTEN REPORTS DEMONSTRATE THAT THE MAJORITY OF GRANT FUNDS WERE EXPENDED FOR THE PURPOSES OF THE GRANT ON THE DATES IDENTIFIED ABOVE. THE REMAINING $6,640.02 OF GRANT FUNDS WILL BE EXPENDED FOR THE PURPOSES OF THE 2012 GRANT BY AUGUST 7, 2014, AS DIRECTED BY THE GRANT AGREEMENT.6) DATE OF WRITTEN REPORT RECEIVED FROM THE GRANTEE:MARCH 25, 20147) DATE OF VERIFICATION OF GRANTEE'S REPORT UNDERTAKEN BY OTHERS AT THE DIRECTION OF THE GRANTOR:ON APRIL 28, 2014, THE GRANTOR'S ACCOUNTANTS, GRAY HUNTER STENN LLP, EXAMINED THE 2013 FORM 990-PF OF THE GRANTEE, WHICH AGREES TO THE INFORMATION IN THE GRANTOR'S WRITTEN REPORT. |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 32,155 NEENAH CORPORATION 15.00% 7/29/15 | ||
| 5,257 GOLDMAN SACHS NEW MONEY SER D PERP | 100,292 | 96,676 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 1,575 VANGUARD LARGE-CAP ETF | 100,280 | 133,560 |
| 1,465 VANGUARD VALUE ETF | 99,928 | 111,911 |
| 3,269 FIDELITY ADV LEVERAGED CO STK FD C | 104,046 | 164,076 |
| 8,400 GOLDMAN SACHS GROWTH STRAT C | 115,578 | 107,945 |
| 362 GOLDMAN SACHS GROUP INC | 49,971 | 64,168 |
| 5,388 NEENAH ENTERPRISES INC NEW | 60,506 | |
| 857 GENERAL MOTORS CO COMMON SHARES | 89,661 | 35,026 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| 780 GENERAL MOTORS SER-B WARRANTS | AT COST | 44,075 | 18,034 |
| 780 GENERAL MOTORS SER-A WARRANTS | AT COST | 57,889 | 24,289 |
| 204 MOTOR LIQ CO GUC TR UNIT BEN INT | AT COST | 6,559 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| IL CHARITIES BUREAU | 100 | |||
| ILLINOIS CHARITABLE ANNUAL REPORT | 15 | |||
| INVESTMENT EXPENSES | 150 | 113 | 113 | 37 |
| WIRE TRANSFER FEES | 30 | 22 | 22 | 8 |