Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
1ST SOURCE FOUNDATION 480008010
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1602
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTH BEND, IN46634
A Employer identification number

35-6034211
B Telephone number (see instructions)

(574) 235-2790
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$50,215,631J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 3,000,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 844,103 844,103 844,103
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,555,676
b Gross sales price for all assets on line 6a 6,611,970
7 Capital gain net income (from Part IV, line 2)... 1,555,676
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 5,399,779 2,399,779 844,103
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 155,795      
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,900 1,900 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 21,678     0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 28,311      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 207,684 1,900 0 0
25 Contributions, gifts, grants paid....... 1,981,900 1,981,900
26 Total expenses and disbursements. Add lines 24 and 25 2,189,584 1,900 0 1,981,900
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,210,195
b Net investment income (if negative, enter -0-) 2,397,879
c Adjusted net income (if negative, enter -0-)... 844,103
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 854,554 Click to see attachment698,000 698,000
b Investments—corporate stock (attach schedule)....... 19,938,849 Click to see attachment20,903,834 38,137,639
c Investments—corporate bonds (attach schedule)....... 8,719,665 Click to see attachment11,028,162 11,037,081
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment258,217 Click to see attachment342,911 Click to see attachment342,911
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 29,771,285 32,972,907 50,215,631
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 29,771,285 32,972,907
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 29,771,285 32,972,907
30 Total liabilities and net assets/fund balances (see instructions). 29,771,285 32,972,907
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
29,771,285
2
Enter amount from Part I, line 27a .....................
2
3,210,195
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
32,981,480
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
8,573
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
32,972,907
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 2000. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2015-06-22 2021-01-06
b 1755.156 T ROWE PR MID CAP GROW-I   2019-12-13 2021-01-06
c 22202.095 VANGUARD TOTAL BD MKT IDX ADM   2020-12-22 2021-01-08
d 23587.142 VANGUARD TOTAL BD MKT IDX ADM   2019-11-26 2021-01-08
e 5538.19 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-01-25
235.334 T ROWE PR MID CAP GROW-I   2020-12-14 2021-01-28
3282.911 T ROWE PR MID CAP GROW-I   2018-12-13 2021-01-28
9075.94 FHLMC SER 3745 CMO 4.000% 9/15/29   2020-11-03 2021-02-15
3607.84 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-02-25
1500. BRISTOL-MYERS SQUIBB CO   2017-06-20 2021-03-03
19293.131 MFS INTERNATIONAL GROWTH-R6   2020-11-04 2021-03-03
1000. PEPSICO INC   2012-09-17 2021-03-03
35268.792 DODGE & COX INCOME FUND   2019-09-09 2021-03-05
8613.31 FHLMC SER 3745 CMO 4.000% 9/15/29   2020-11-03 2021-03-15
1400. AMERICAN ELECTRIC POWER INC   2012-09-17 2021-03-23
4000. ISHARES IBOXX USD HIGH YIELD   2014-04-22 2021-03-23
4173. PFIZER INC   2004-06-09 2021-03-23
4672.55 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-03-25
9151.87 FHLMC SER 3745 CMO 4.000% 9/15/29   2020-11-03 2021-04-15
2000. ISHARES IBOXX USD HIGH YIELD   2012-06-14 2021-04-15
1600. NOVARTIS AG SPONS ADR   2012-09-17 2021-04-15
1300. VERIZON COMMUNICATIONS   2012-09-17 2021-04-15
8020.93 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-04-25
4737.37 FHLMC SER 3745 CMO 4.000% 9/15/29   2020-11-03 2021-05-15
994. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2015-02-26 2021-05-17
905. ISHARES TRUST-RUSSELL 2000I   2021-01-28 2021-05-17
4687.69 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-05-25
4714.18 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-06-25
1500. ISHARES RUSSELL 1000 VALUE ETF   2018-01-26 2021-07-13
1000. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2015-03-19 2021-07-13
1400. KIMBERLY-CLARK CORP   2012-09-17 2021-07-13
1600. NOVARTIS AG SPONS ADR   2004-10-08 2021-07-13
8000. ISHARES IBOXX USD HIGH YIELD   2017-02-13 2021-07-21
4841.13 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-07-25
4606.92 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-08-25
4835.67 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-09-25
4570.55 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-10-25
1200. DARDEN RESTAURANTS INC   2012-09-17 2021-11-22
1300. VERIZON COMMUNICATIONS   2011-12-02 2021-11-22
2654.77 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-11-25
4844.81 FNMA PL #MA4073 3.000% 6/01/40   2020-06-10 2021-12-25
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 478,154   203,142 275,012
b 200,000   147,460 52,540
c 255,324   246,702 8,622
d 271,252   262,500 8,752
e 5,538   5,798 -260
26,755   25,795 960
373,234   256,549 116,685
9,076   9,763 -687
3,608   3,774 -166
90,430   84,835 5,595
824,203   743,920 80,283
129,815   72,479 57,336
505,754   488,255 17,499
8,613   9,248 -635
118,581   59,814 58,767
345,614   375,684 -30,070
148,554   142,077 6,477
4,673   4,883 -210
9,152   9,807 -655
174,545   176,950 -2,405
139,851   70,784 69,067
75,019   51,824 23,195
8,021   8,375 -354
4,737   5,067 -330
248,190   100,175 148,015
199,851   191,419 8,432
4,688   4,891 -203
4,714   4,914 -200
239,185   197,157 42,028
279,997   100,655 179,342
188,860   97,518 91,342
148,012   64,531 83,481
700,716   699,378 1,338
4,841   5,042 -201
4,607   4,794 -187
4,836   5,027 -191
4,571   4,748 -177
175,637   56,099 119,538
66,400   46,680 19,720
2,655   2,756 -101
4,845   5,025 -180
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
      118,862
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       275,012
b       52,540
c       8,622
d       8,752
e       -260
      960
      116,685
      -687
      -166
      5,595
      80,283
      57,336
      17,499
      -635
      58,767
      -30,070
      6,477
      -210
      -655
      -2,405
      69,067
      23,195
      -354
      -330
      148,015
      8,432
      -203
      -200
      42,028
      179,342
      91,342
      83,481
      1,338
      -201
      -187
      -191
      -177
      119,538
      19,720
      -101
      -180
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 1,555,676
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 33,331
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 33,331
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 34,309
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 34,309
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 14
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 964
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet964 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbullet1ST SOURCE BANK Telephone no.bullet (574) 235-2119

    Located atbullet100 N MICHIGANSOUTH BENDIN ZIP+4bullet46601
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
    Yes
     
    If "Yes," list the years bullet2011, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
    Yes
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    CHRISTOPHER J MURPHY PRESIDENT
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    JAMES SEITZ DIRECTOR
    1     		0    
    100 N MICHIGAN
    SOITH BEND,IN46601
    JOHN AFFLECK GRAVES DIRECTOR
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    JOHN PHAIR DIRECTOR
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    1ST SOURCE BANK TRUSTEE
    0     		155,795    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    ANDREA SHORT VICE PRESIDENT
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    RON ZELTWANGER DIRECTOR
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    KEVIN MURPHY TREASURER
    1     		0    
    100 N MICHIGAN
    SOUTH BEND,IN46601
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    46,429,213
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    46,429,213
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    46,429,213
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    696,438
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    45,732,775
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,286,639
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    2,286,639
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    33,331
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    33,331
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,253,308
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,253,308
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    2,253,308
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 2,253,308
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 1,950,107
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,981,900
    a Applied to 2020, but not more than line 2a 1,950,107
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 31,793
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		2,221,515
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    MEN OF SCARS
    55501 MOSS ROAD
    SOUTH BEND,IN46628     		NONE PC GENERAL SUPPORT 3,000
    IVY TECH FOUNDATION
    ATTN BARB DUNCANSON
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 25,000
    UNITED WAY OF MARSHALL COUNTY
    2701 NORTH MICHIGAN STREET
    PLYMOUTH,IN46563     		NONE PC GENERAL SUPPORT 2,250
    UNITED WAY OF WHITLEY COUNTY
    PO BOX 464
    COLUMBIA CITY,IN46725     		NONE PC CHARITABLE CONTRIBUTION 855
    MARSHALL COUNTY EDC
    2864 MILLER DRIVE
    PLYMOUTH,IN46563     		NONE NONE CHARITABLE CONTRIBUTION 10,000
    SOUTH BEND PARKS FOUNDATION INC
    SOUTH BEND VENUES PARKS & ARTS
    301 S ST LOUIS BLVD
    SOUTH BEND,IN46617     		NONE PC STUDEBAKER ELECTRIC 45,000
    HOSPICE FOUNDATION
    501 COMFORT PLACE
    MISHAWAKA,IN465455234     		NONE PC HELPING HANDS AWARD DINNER 5,000
    REINS OF LIFE
    55200 QUINCE ROAD
    SOUTH BEND,IN46619     		NONE PC ROOF REPLACEMENT 10,000
    CENTER FOR HOSPICE CARE
    111 SUNNYBROOK CT
    SOUTH BEND,IN46637     		NONE PC GENERAL SUPPORT 200,000
    UNITED WAY OF WELLS COUNTY
    122 LAMAR STREET SUITE 118
    BLUFFTON,IN46714     		NONE PC CHARITABLE CONTRIBUTION 180
    SCIENCE CENTRAL INC
    1950 NORTH CLINTON STREET
    FORT WAYNE,IN46805     		NONE PC GENERAL SUPPORT 2,500
    CRIME STOPPERS INC
    OFFICER KAYLA MILLER
    COORDINATOR
    SOUTH BEND,IN46601     		NONE PC CHARITABLE CONTRIBUTION 1,000
    URBAN ENTERPRISE ASSOCIATION
    CITY OF SOUTH BEND
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 25,000
    UNITED WAY OF LAPORTE COUNTY
    115 EAST 4TH STREET
    MICHIGAN CITY,IN46360     		NONE PC CHARITABLE CONTRIBUTION 7,475
    SOUTH BEND MUSEUM OF ART
    120 S DR MARTIN LUTHER KING JR B
    SOUTH BEND,IN46601     		NONE PC LEADER SPONSOR/ARTLIGHT 2,000
    ST VINCENT DEPAUL SOCIETY
    OF ST JOSEPH COUNTY
    520 CRESCENT AVENUE
    SOUTH BEND,IN466171920     		NONE PC VINTAGE SPONSOR 2,500
    UNITED WAY OF ALLEN COUNTY
    334 E BERRY STREET
    FORT WAYNE,IN468022708     		NONE PC CHARITABLE CONTRIBUTION 3,540
    LASALLE COUNCIL
    BOY SCOUTS OF AMERICA
    SOUTH BEND,IN46617     		NONE PC GENERAL SUPPORT 5,000
    GIRL SCOUTS OF NORTHERN INDIANA
    10008 DUPONT CIRCLE DRIVE EAST
    FORT WAYNE,IN46825     		NONE PC CHARITABLE CONTRIBUTION 10,000
    ST MARY'S COLLEGE
    ATTN BURSAR'S OFFICE
    141 LEMANS HALL
    NOTRE DAME,IN46556     		NONE PC GENERAL SUPPORT 37,500
    UNIVERSITY OF NOTRE DAME
    ATTN NICK SWISHER
    1400 EAST ANGELA BLVD UNIT 148
    SOUTH BEND,IN46617     		NONE GROUP CHARITABLE CONTRIBUTION 30,000
    YWCA NORTHEAST INDIANA INC
    5920 DECATUR ROAD
    FORT WAYNE,IN46816     		NONE NONE CHARITABLE CONTRIBUTION 100,000
    YWCA NORTH CENTRAL INDIANA
    ATTN SUSAN TYBON
    1102 S FELLOWS ST
    SOUTH BEND,IN46601     		NONE PC CHARITABLE CONTRIBUTION 50,000
    FAMILY & CHILDREN'S CENTER
    300 S SAINT LOUIS BLVD STE 100
    SOUTH BEND,IN466173094     		NONE NONE CHARITABLE CONTRIBUTIONA 5,000
    CHILDREN'S DISPENSARY & HOSP ASSN
    812 E LASALLE AVENUE
    SOUTH BEND,IN46617     		NONE PC CHARITABLE DISTRIBUTION 1,000
    UNITED WAY OF GREATER LAFAYETTE
    1114 EAST STATE STREET
    LAFAYETTE,IN47905     		NONE PC CHARITABLE CONTRIBUTION 450
    JUNIOR ACHIEVEMENT OF NO INDIANA
    550 E WALLEN ROAD
    FORT WAYNE,IN46825     		NONE NONE CHARITABLE CONTRIBUTION 110,000
    UNITED WAY OF ELKHART & LAGRANGE
    P O BOX 3048
    ELKHART,IN46515     		NONE PC CHARITABLE CONTRIBUTION 5,460
    LOGAN CENTER
    2505 EAST JEFFERSON BLVD
    SOUTH BEND,IN46615     		NONE PC CHARITABLE CONTRIBUTION 77,500
    THE STANLEY CLARK SCHOOL
    3123 MIAMI STREET
    SOUTH BEND,IN46614     		NONE PC KALEIDOSCOPE DINNER & 5,000
    UNITED WAY OF KOSCIUSKO COUNTY
    PO BOX 923
    WARSAW,IN46581     		NONE PC CHARITABLE CONTRIBUTION 765
    FORT WAYNE RESCUE MISSION MINISTRIES
    404 E WASHINGTON BLVD
    FORT WAYNE,IN46802     		NONE PC GENERAL SUPPORT 34,000
    UNITED WAY OF ST JOSEPH COUNTY
    P O BOX 6396
    SOUTH BEND,IN46660     		NONE PC CHARITABLE CONTRIBUTION 149,000
    UNITED WAY OF DEKALB COUNTY
    208 S JACKSON
    AUBURN,IN46706     		NONE PC SUPPORT 135
    PLYMOUTH COMMUNITY SCHOOL CORP
    LINCOLN JUNIOR HIGH SCHOOL
    PLYMOUTH,IN46563     		NONE PC GENERAL SUPPORT 30,000
    PATHFINDER SERVICES
    ATTN MICHELLE BANKS
    2824 THEATER AVENUE
    HUNTINGTON,IN46750     		NONE PC VITA PROGRAM 5,000
    THE HISTORY MUSEUM
    808 W WASHINGTON
    SOUTH BEND,IN46601     		NONE PC CHARITABLE CONTRIBUTION 10,000
    UNITED WAY OF HUNTINGTON COUNTY
    PO BOX 347
    HUNTINGTON,IN46750     		NONE PC CHARITABLE CONTRIBUTION 315
    REAL SERVICES INC
    1151 S MICHIGAN STREET
    SOUTH BEND,IN46634     		NONE PC CATERING FOOD TRUCK 2,500
    BIG BROTHERS BIG SISTERS
    OF ST JOSEPH COUNTY
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 10,000
    BOYS & GIRLS CLUB GREATER NW INDIANA
    3691 WILLOWCREEK ROAD SUITE 200
    PORTAGE,IN46368     		NONE PC GENERAL SUPPORT 50,000
    BOYS & GIRLS CLUB OF ST JOSEPH CO
    DEVELOPMENT OFFICE
    315 W JEFFERSON BOULEVARD
    SOUTH BEND,IN46601     		NONE PC GREATEST KIDS SPONSOR 50,000
    ST JOSEPH COUNTY PUBLIC LIBRARY
    304 S MAIN STREET
    SOUTH BEND,IN46601     		NONE NONE CHARITABLE CONTRIBUTION 25,000
    THE STUDEBAKER NATIONAL MUSEUM
    201 S CHAPIN STREET
    SOUTH BEND,IN46601     		NONE PC HALL OF CHAMPIONS DINNER 5,000
    SAINT JOSEPH REGIONAL MEDICAL CENTER
    810 EAST PARK PLACE
    MISHAWAKA,IN46545     		NONE PC SUPPORT 150,000
    FISCHOFF NAT'L CHAMBER MUSIC ASSN
    ATTN KARA KANE
    NOTRE DAME,IN46556     		NONE PC GENERAL SUPPORT 3,500
    THE FOUNDATION OF SJHS CENTER INC
    THE FOUNDATION OF SAINT JOSEPH
    HEALTH SYSTEM
    SOUTH BEND,IN46617     		NONE NONE CHARITABLE CONTRIBUTION 2,500
    LAPORTE COUNTY HABITAT FOR HUMANITY
    225 EAST GARFIELD STREET
    MICHIGAN CITY,IN463618874     		NONE NONE CHARITABLE CONTRIBUTION 10,000
    HABITAT FOR HUMANITY OF ELKHART CTY
    P O BOX 950
    GOSHEN,IN46527     		NONE PC CHARITABLE CONTRIBUTION 10,000
    HABITAT FOR HUMANITY GRTR FT WAYNE
    2020 E WASHINGTON BLVD
    FORT WAYNE,IN46603     		NONE NONE CHARITABLE CONTRIBUTION 20,000
    NEIGHBORS CORPORATION
    1158 W LINCOLNWAY
    VALPARAISO,IN46383     		NONE PC GENERAL SUPPORT 50,000
    IBA FOUNDATION INC
    8425 WOODFIELD CROSSING BLVD
    INDIANAPOLIS,IN46240     		NONE SOUNK GENERAL SUPPORT 2,000
    SOUTH BEND-ELKHART REGIONAL FDN INC
    635 S LAFAYETTE BLVD SUITE 123
    SOUTH BEND,IN46601     		NONE SO GENERAL SUPPORT 200,000
    UNITED WAY OF STARKE COUNTY
    C/O NORTHERN INDIANA COMMUNITY FDN
    P O BOX 807
    ROCHESTER,IN46975     		NONE PC CHARITABLE CONTRIBUTION 945
    REBUILDING TOGETHER
    803 LINCOLNWAY WEST
    SOUTH BEND,IN46616     		NONE PC CHRISTMAS IN APRIL 3,500
    FRANCISCAN ALLIANCE FOUNDATION
    CORPORATE FOUNDATION OFFICE
    MISHAWAKA,IN46545     		NONE PC GENERAL SUPPORT 15,000
    FAMILY CHRISTIAN DEVELOPMENT CENTER
    151 S LOCKE ST
    NAPPANEE,IN46550     		NONE NONE CHARITABLE CONTRIBUTION 10,000
    JUST NEIGHBORS INTERFAITH HOMELESS
    2925 E STATE BLVD
    FORT WAYNE,IN46805     		NONE PC GENERAL SUPPORT 10,000
    HEALTHLINC INC
    2401 VALLEY DRIVE
    VALPARAISO,IN46383     		NONE PC GENERAL SUPPORT 25,000
    SHIRLEY HEINZE LAND TRUST
    109 WEST 700 NORTH
    VALPARAISO,IN46385     		NONE PC CHARITABLE CONTRIBUTION 25,000
    INDIANA SCHOOL OF MEDICINE-SO BEND
    1234 N NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE PC CHARITABLE CONTRIBUTION 2,500
    UNITED WAY OF NORTHWEST INDIANA
    C/O ACCOUNTS RECEIVABLE
    951 EASTPORT CENTRE DRIVE
    VALPARAISO,IN46383     		NONE PC CHARITABLE CONTRIBUTION 3,300
    SOUTH BEND SYMPHONY ORCHESTRA
    127 N MICHIGAN ST
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 5,000
    TRUSTEES OF PURDUE UNIVERSITY
    PULASKI COUNTY 4-H COMMUNITY FAIR
    WINAMAC,IN46996     		NONE PC GENERAL SUPPORT 20,000
    UNITED WAY OF FULTON COUNTY
    P O BOX 583
    ROCHESTER,IN46975     		NONE PC CHARITABLE CONTRIBUTION 540
    YMCA OF GREATER MICHIANA
    905 N FRONT ST
    NILES,MI49120     		NONE PC CHARITABLE CONTRIBUTION 2,500
    UNITED WAY OF SOUTHWEST MICHIGAN
    2015 LAKEVIEW AVE
    ST JOSEPH,MI49085     		NONE PC CHARITABLE CONTRIBUTION 5,130
    UNITED WAY OF BATTLE CREEKKALAMAZOO
    709 S WESTNEDGE AVENUE
    KALAMAZOO,MI49007     		NONE PC CHARITABLE CONTRIBUTION 360
    YMCA OF GREATER KALAMAZOO
    1001 WEST MAPLE STREET
    KALAMAZOO,MI49008     		NONE PC CHARITABLE CONTRIBUTION 10,000
    JUNIOR ACHIEVEMENT MI GREAT LAKES
    741 KENMOOR AVE SE SUITE C
    GRAND RAPIDS,MI49546     		NONE PC GENERAL SUPPORT 1,200
    SOUTHWESTERN MICHIGAN COLLEGE
    ATTN SUSAN B COULSTON
    VP CHIEF BUSINESS OFFICER
    DOWAGIAC,MI49047     		NONE SOUNK CHARITABLE CONTRIBUTION 105,000
    LAKELAND HEALTH FOUNDATION
    1234 NAPIER AVENUE
    ST JOSEPH,MI49085     		NONE PC CHARITABLE DONTRIBUTION 25,000
    LAKESHORE EXCELLENCE FOUNDATION
    5771 CLEVELAND AVENUE
    STEVENSVILLE,MI49127     		NONE PC STEM CURRICULUM 30,000
    BOYS & GIRLS CLUB OF BENTON HARBOR
    600 NATE WELLS SENIOR DR
    BENTON HARBOR,MI49022     		NONE NONE CHARITABLE CONTRIBUTION 10,000
    THE MUSIC VILLAGE
    PO BOX 11004
    SOUTH BEND,IN46634     		NONE PC GENERAL SUPPORT 10,000
    THE BRANDON FOUNDATION
    PO BOX 15966
    FORT WAYNE,IN46885     		NONE PC GENERAL SUPPORT 5,000
    COUNCIL ON AGING OF ELKHART COUNTY
    131 WEST TYLER ST STE 1A
    ELKHART,IN46516     		NONE PC CHARITABLE CONTRIBUTION 20,000
    ABA FOUNDATION
    1120 CONNECTICUT AVE NW
    WASHINGTON,DC20036     		NONE PC GENERAL SUPPORT 5,000
    CULTIVATE CULINARY SCHOOL & CATERING
    1403 PRAIRIE AVENUE
    SOUTH BEND,IN46613     		NONE PC CHARITABLE CONTRIBUTION 10,000
    AFRICAN AMERICAN HIST & LIT GALLERY
    725 BROADWAY AVE
    BENTON HARBOR,MI49022     		NONE PC GENERAL SUPPORT 5,000
    DUSNTINS PLACE INC
    11802 LINCOLN HIGHWAY
    PLYMOUTH,IN46563     		NONE PC GENERAL SUPPORT 5,000
    CRYSTAL VALLEY CONCERT SERIES INC
    PO BOX 347
    MIDDLEBURY,IN46540     		NONE PC GENERAL SUPPORT 10,000
    Total .................................bullet 3a 1,981,900
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 1,555,676  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   2,399,779  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,399,779
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    1ST SOURCE FOUNDATION 480008010
     
    Employer identification number

    35-6034211
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    1ST SOURCE FOUNDATION 480008010
          		Employer identification number
    35-6034211
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    1ST SOURCE BANK
     
    100 N MICHIGAN ST
     
    SOUTH BEND, IN466011600

    		$ 3,000,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    1ST SOURCE FOUNDATION 480008010
          		Employer identification number

    35-6034211
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 Sell of Stock $ 3,000,000  
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    1ST SOURCE FOUNDATION 480008010
          		Employer identification number

    35-6034211
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 1,900 1,900    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BLACKROCK STRAT INC OPP-INS 739,831 745,488
    FEDERATED INST HI YLD BOND FUN    
    ISHARES IBOXX USD HIGH YIELD    
    VANGUARD S/T INVEST GR-ADM 2,520,372 2,516,886
    AVALONBAY COMMUN MTN 101,021 105,477
    CAPITAL ONE FINL 3.050% 109,812 110,288
    HARLEY-DAVIDSON 3.550%    
    DODGE & COX INCOME FUND 1,956,580 1,981,789
    JPMORGAN CHASE 3.900% 101,627 108,228
    NEW YORK LIFE GLOBAL 3.000% 154,712 159,729
    NIAGARA MOHAWK POWER 151,915 156,921
    PNC BANK NA 4.200% 155,851 164,858
    TOYOTA MOTOR CRT MTN 100,742 104,497
    LORD ABBETT SHRT DUR INC-I 2,108,798 2,083,927
    VANGUARD TOTAL BD MKT IDX    
    BIOGEN INC 103,392 98,459
    FHLMC SER 3745 CMO 72,306 71,960
    FNMA PL #MA4073 84,420 84,907
    JP MORGAN CHASE& CO 3.625% 163,838 161,628
    BALTIMORE GAS & ELEC 2.400% 210,218 205,108
    INTERCONTINENTAL EXC 3.750% 277,813 277,883
    STATE STREET CORP 2.200% 153,474 148,685
    FED HER OPP HIGH YIELD BD-IN 1,300,160 1,291,195
    PIMCO REAL RETURN FUND-INST 200,000 199,838
    SOUTH DAKOTA ST BLD 2.491% 261,280 259,330

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AIR PRODUCTS & CHEMICALS INC 45,303 182,556
    AMERICAN ELEC PWR INC    
    BRITOL MYERS SQUIBB CO    
    AUTOMATIC DATA PROCESSING INC 57,023 246,580
    CISCO SYSTEMS INC 69,066 228,132
    DARDEN RESTAURANTS INC    
    HONEYWELL INTERNATIONAL INC 67,894 250,212
    HORIZON BANCORP INC 26,173 938,250
    JOHNSON & JOHNSON 170,991 513,210
    KIMBERLY CLARK CORP    
    LAKELAND FINL CORP 30,708 881,540
    LOWES COS INC 73,116 232,632
    MCDONALDS CORP 85,918 254,667
    METLIFE INC 62,857 275,643
    MICROSOFT CORP 53,865 605,376
    NIKE INC-CLASS B 58,000 166,670
    NORFOLK SOUTHERN CORP 65,655 297,710
    NOVARTIS AG SPONS ADR    
    PEPSICO INC    
    PFIZER INC    
    PROCTER & GAMBLE CO 79,404 196,296
    VERIZON COMMUNICATIONS    
    ZOETIS INC 47,712 320,655
    GOLDMAN SACHS US EQ DIV/PR-I 499,890 611,734
    ISHARES CORE S&P MID CAP ETF 354,651 537,852
    ISHARES NASDAQ BIOTECH ETF 238,853 320,502
    ISHARES RUSSELL 1000 VALUE ETF 5,074,206 7,808,745
    T ROWE PR MID CAP GROW-I    
    VANGUARD MSCI EMERGING MARKETS 2,818,259 3,221,874
    ISHARES MSCI EAFE ETF 796,364 1,154,865
    ISHARES RUSSELL 1000 GROWTH ET 4,094,371 11,614,254
    MICROCHIP TECHNOLOGY INC 61,534 174,120
    SPDR S&P DIVIDEND ETF 2,004,927 2,461,931
    ISHARES RUSSELL 2000 ETF 1,131,344 1,289,320
    MFS INTERNATIONAL GROWTH-R6 1,305,822 1,802,418
    REAL ESTATE SELECT SECT SPDR 200,188 214,960
    FT CBOE VEST US DEEP BUFF 500,770 506,624
    ISHARES MSCI EAFE VALUE ETF 828,970 828,311

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    US Government Securities - End of Year Book Value:

    698,000
    US Government Securities - End of Year Fair Market Value:

    698,000
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 OtherAssetsSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    LAPORTE COMM DEVPMT PTRSHP LLC 29,014 4,154 4,154
    NOTRE DAME PIT 209,203 338,757 338,757


    TY 2021 OtherDecreasesSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Description Amount
    DIFFERENCE DUE TO TIMING/ROUNDING 8,573


    TY 2021 OtherExpensesSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSES 28,311 0   0


    TY 2021 SubstantialContributorsSch
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Name Address
    1ST SOURCE BANK
          		100 N MICHIGAN ST
    SOUTH BEND,IN466011600


    TY 2021 TaxesSchedule
    Name:
    1ST SOURCE FOUNDATION 480008010
    EIN:
    35-6034211
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 3,583 0   0
    FEDERAL ESTIMATES - PRINCIPAL 5,000 0   0
    FOREIGN TAXES ON QUALIFIED FOR 8,082 0   0
    FOREIGN TAXES ON NONQUALIFIED 5,013 0   0