| Category | Amount |
|---|---|
| NONE |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
Friends of Prentice |
251 EAST HURON ST GALTER PAV 3-200 CHICAGO,IL60611 |
2018-09-25 | 1,010 | GENERAL FUNDING FOR GRANT TO NORTHWESTERN MEMORIAL HOSPITAL AND PRENTICE WOMEN'S HOSPITAL | 1,010 | NO | 07/11/2019 | 2019-07-11 | TO THE KNOWLEDGE OF THE FOUNDATION, AND BASED ON THE REPORT FURNISHED BY THE GRANTEE, NO PART OF THE GRANT HAS BEEN USED FOR ANYTHING OTHER THAN ITS INTENDED PURPOSE. |
|
NCH HEALTHCARE SYSTEM |
350 7TH ST NORTH NAPLES,FL34102 |
2018-04-02 | 250,000 | FUNDING THE COST OF DESIGNING, CONSTRUCTING, AND EQUIPPING THE BAKER DOWNTOWN EMERGENCY DEPT. | 83,333 | NO | 05/01/2019 | 2019-05-01 | TO THE KNOWLEDGE OF THE FOUNDATION, AND BASED ON THE REPORT FURNISHED BY THE GRANTEE, NO PART OF THE GRANT HAS BEEN USED FOR ANYTHING OTHER THAN ITS INTENDED PURPOSE. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| PUBLICLY TRADED SECURITIES | 31,892,160 | 38,308,907 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FOREIGN CORPORATION | AT COST | 10,072,265 | 9,802,872 |
| FOREIGN PARTNERSHIP | 232,299 | 23,367 | |
| DOMESTIC LP | 2,880,167 | 2,974,957 | |
| DOMESTIC CORPORATION | 1,090,467 | 1,137,197 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 627 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| PRI - CALVERT NOTE | 2,000,000 | 2,000,000 | 2,000,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MANAGEMENT FEES | 434,735 | 388,175 | ||
| OTHER EXPENSES | 306 | 55,264 | ||
| SECRETARY OF STATE FILING FEE | 15 | 15 | 15 | |
| INVESTMENT MANAGEMENT FEE | 4,306 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Other Income | 6,451 | 6,451 | |
| K-1 INCOME | -1,174,089 | 15,280 | |
| LP INVESTMENT UBI | -14,878 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 36,822 | 32,699 | ||
| FEDERAL TAXES | 17,698 |