TY 2021 Form 990PF

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)
	1	Contributions, gifts, grants, etc., received (attach schedule)	52,745
2	Check .............
3	Interest on savings and temporary cash investments	0	0	0
4	Dividends and interest from securities...	0	0	0
5a	Gross rents............	0	0	0
b	Net rental income or (loss) 0
6a	Net gain or (loss) from sale of assets not on line 10		0
b	Gross sales price for all assets on line 6a 0
7	Capital gain net income (from Part IV, line 2)...		0
8	Net short-term capital gain.........
9	Income modifications...........			0
10a	Gross sales less returns and allowances	0
b	Less: Cost of goods sold....	0
c	Gross profit or (loss) (attach schedule).....		0		0
11	Other income (attach schedule).......		3,940	0	3,940
12	Total. Add lines 1 through 11........	56,685	0	3,940
	13	Compensation of officers, directors, trustees, etc.	0	0	0	0
14	Other employee salaries and wages......	0	0	0	0
15	Pension plans, employee benefits.......	0	0	0	0
16a	Legal fees (attach schedule).........		0	0	0	0
b	Accounting fees (attach schedule).......		0	0	0	0
c	Other professional fees (attach schedule)....		0	0	0	0
17	Interest...............	0	0	0	0
18	Taxes (attach schedule) (see instructions)...		0	0	0	0
19	Depreciation (attach schedule) and depletion...		0	0	0
20	Occupancy..............	0	0	0	0
21	Travel, conferences, and meetings.......	0	0	0	0
22	Printing and publications..........	0	0	0	0
23	Other expenses (attach schedule).......		6,312	0	0	0
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	6,312	0	0	0
25	Contributions, gifts, grants paid.......	34,154			34,154
26	Total expenses and disbursements. Add lines 24 and 25	40,466	0	0	34,154
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	16,219
b	Net investment income (if negative, enter -0-)		0
c	Adjusted net income (if negative, enter -0-)...			3,940

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	14,215	30,434	30,434
	2	Savings and temporary cash investments.........	0	0	0
	3	Accounts receivable 0
		Less: allowance for doubtful accounts 0	0	0	0
	4	Pledges receivable 0
		Less: allowance for doubtful accounts 0	0	0	0
	5	Grants receivable.................	0	0	0
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....	0	0
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts	0	0
	8	Inventories for sale or use..............	0	0	0
	9	Prepaid expenses and deferred charges..........	0	0	0
	10a	Investments—U.S. and state government obligations (attach schedule)		0
	b	Investments—corporate stock (attach schedule).......		0
	c	Investments—corporate bonds (attach schedule).......		0
	11	Investments—land, buildings, and equipment: basis 0
		Less: accumulated depreciation (attach schedule) 0		0
	12	Investments—mortgage loans.............	0	0	0
	13	Investments—other (attach schedule)..........		0
	14	Land, buildings, and equipment: basis 0
		Less: accumulated depreciation (attach schedule) 0		0
	15	Other assets (describe )	0	0	0
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	14,215	30,434	30,434
	17	Accounts payable and accrued expenses..........	0	0
	18	Grants payable.................	0	0
	19	Deferred revenue.................	0	0
	20	Loans from officers, directors, trustees, and other disqualified persons	0	0
	21	Mortgages and other notes payable (attach schedule)......		0
	22	Other liabilities (describe )	0	0
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	14,215	30,434
	25	Net assets with donor restrictions............	0	0
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	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).....	14,215	30,434
	30	Total liabilities and net assets/fund balances (see instructions).	14,215	30,434

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

14,215

Enter amount from Part I, line 27a .....................

16,219

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

30,434

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

30,434

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2
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 ...................	3

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	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
3	Add lines 1 and 2...........................	3
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	0
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c	0
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............	7
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.	8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......	9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...	10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax0	Refunded	11	0

(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
Dan Nichols	President 5.00	0	0	0
PO Box 1341 Centralia,IL62801
Robert Schnicker	Vice President 10.00	0	0	0
PO Box 1341 Centralia,IL62801
Linda Dabney	Secretary 4.00	0	0	0
PO Box 1341 Centralia,IL62801
Karen Brothers	Treasurer 5.00	0	0	0
16 Magnolia St Centralia,IL62801

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					0
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
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: $ 34,154
a Applied to 2020, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2021 distributable amount.....					0
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 ..........					0
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

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	(e) Total

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

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

various
16 Magnolia St
Centralia,IL62801
(618) 267-9312
jeffandkarenbros@gmail.com

bThe form in which applications should be submitted and information and materials they should include:

Centralia Helping Hand Association application. The application is available at Centralia City Hall Peoples National Bank and from any Director.

cAny submission deadlines:

12 31 2021

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

The service area is the Centralia High School District. We serve Centralia Wamac and Central City.

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

various
16 Magnolia St
Centralia,IL62801
(618) 267-9312
jeffandkarenbros@gmail.com

bThe form in which applications should be submitted and information and materials they should include:

Application used is the same as the one used for Ramps

cAny submission deadlines:

12-31-2021

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

$500 per household per calendar year. Serves the same areas as Ramp program. Applications available at Centralia City Hall Peoples National Bank and from any Director.

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Walmart in Centralia IL 1212 W McCord St Centralia,IL62801	No Relationship	N A	window air units to donate for needy families	285
Ameren Illinois 300 Liberty Peoria,IL61602	No Relationship	N A	utility bills paid for needy families	2,049
City of Centralia IL 101 S Locust St Centralia,IL62801	No Relationship	N A	water bills paid for needy families	1,790
Pennington Ford of Centralia 848 E Noleman St Centralia,IL62801	No Relationship	N A	vehicle repairs for a needy family	500
Monken Buick GMC 1421 W McCord St Centralia,IL62801	No Relationship	N A	vehicle repairs for a family in need	360
Doug Loy Auto 118 N Chestnut St Centralia,IL62801	No Relationship	N A	vehicle repairs for family in need	500
Denita Mueller-landlord PO Box 1341 Centralia,IL62801	No Relationship	N A	Rent paid to landlord on behalf of a family in need	500
Marion County Savings Bank 301 W Main St Salem,IL62881	No Relationship	N A	Mortgage payment made on behalf of a family in need	1,330
PJ Labelle PO Box 1341 Centralia,IL62801	No Relationship	N A	donation made on labor on flooring repairs after flood damage to her home	500
Alpha and Omega Construction 2436 W Main Salem,IL62881	No Relationship	N A	roof repairs paid for a family in need	500
Bandy Pharmacy Inc 1413 W Whittaker St Salem,IL62881	No Relationship	N A	prescription bill paid for family in need	476
Illinois Secretary of State 418 S Poplar St Centralia,IL62801	No Relationship	N A	title paperwork fees paid on behalf of family in need	175
Illinois Department of Revenue PO Box 1388 Springfield,IL62701	No Relationship	N A	Sales tax due on vehicle purchase paid on behalf of family in need	65
Centralia Motel 215 S Poplar St Centralia,IL62801	No Relationship	N A	Room rent due paid on behalf of family in need	190
BCMW Community Services 909 E Rexford ST Centralia,IL62801	No Relationship	N A	Moving expenses paid on behalf of a family in need	110
Hickory Ridge Apartments 500 Hickory Ridge Ct Centralia,IL62801	No Relationship	N A	Rent paid on behalf of family in need	400
Caseys Convenience Store 802 W McCord St Centralia,IL62801	No Relationship	N A	gas card purchased to benefit a family in need	100
Centralia Home Center 1325 W Broadway St Centralia,IL62801	No Relationship	N A	Materials to build ramps and handrails	8,077
Quad County Ready Mix Co 100 Rhodes St Centralia,IL62801	No Relationship	N A	materials used to build ramps and handrails for families in need	263
RP Lumber 1519 E Poplar St Odin,IL62870	No Relationship	N A	materials for ramps and handrails	15,984
Total ................................. 3a				34,154

(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.)
1a
b
c
d
e

(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
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
b
c
d
e

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

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	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....		0		0	0
3 Interest on savings and temporary cash investments ...........		0		0	0
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......		0		0	0
bNot debt-financed property.....		0		0	0
6 Net rental income or (loss) from personal property		0		0	0
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............		0		0	0
9 Net income or (loss) from special events:		0		0	0
10 Gross profit or (loss) from sales of inventory		0		0	0
11 Other revenue: a		0		0	0
b		0		0	0
c		0		0	0
d		0		0	0
e		0		0	0
12 Subtotal. Add columns (b), (d), and (e) ..		0		0	0


(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










Total number of other employees paid over $50,000...................

bApproved for future payment

Total ................................. 3b

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Name of organization CENTRALIA HELPING HAND ASSOCIATION

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	Modern Woodmen of America 219 E Schwartz Salem, IL62881	$ 10,218	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
2	Hindman Charitable Trust 641 Meadowbrook Lane Ce, IL62801	$ 15,000	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization CENTRALIA HELPING HAND ASSOCIATION		Employer identification number 47-5528964

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
		$
(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)


Name of organization CENTRALIA HELPING HAND ASSOCIATION			Employer identification number 47-5528964
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.) $ Use duplicate copies of Part III if additional space is needed.

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Postage- United States Postal Servicestamps for thank you notes and Post Office Box rental	323	0	0	0
Westbend Mutual Insurace - Insurance expense D&O Coverage	450	0	0	0
Chaney and Karch Insurance - General Liability Coverage and Tools Coverage	523	0	0	0
Rose Printing - Receipt Booklets for Donors	25	0	0	0
Illinois Secretary of State - Annual Filing	13	0	0	0
Illinois Attorney General - Registration and Annual Filing	315	0	0	0
Menards- Tool Stand	254	0	0	0
Jeremy Wagner - Trailer for hauling materials	1,900	0	0	0
Robert Schnicker - Tools for use in building ramps	2,472	0	0	0
Harland Checks - check printing	37	0	0	0

Name	Address
Modern Woodmen of America	219 E Schwartz Salem,IL62881
Hindman Charitable Trust	641 Meadowbrook Lane Centralia,IL62801

Software ID:	21013404
Software Version:	V1.0