2022-09-15T14:54:09-05:00 2021-12-31 FOUNDATION SOURCE ONE HOLLOW LN STE 212 LAKE SUCCESS NY 11042 990PF 2021-01-01 412116698 The Berghorst Foundation Inc % Foundation Source BERG 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 DAVID THEODORE BERGHORST PRESIDENT 8008391754 2022-07-19 true DAVID THEODORE BERGHORST 999009999 Jeffrey D Haskell P01345770 8008391754 2021 2023-04-26 12:10:37Z X 10910449 X 0 X 123 123 85455 85455 -27123 0 0 58455 85578 0 65000 65000 1200 30281 30281 96481 0 95281 300835 290715 397316 0 385996 -338861 85578 326338 24721 24721 3059165 3032041 10885728 9835 3395338 3056762 10910449 0 0 X 3395338 3056762 3395338 3056762 3395338 3056762 3395338 -338861 285 3056762 3056762 Publicly-traded Securities 0 27123 -27123 -27123 -27123 1190 1190 1190 1260 0 1260 X 0 70 70 false false false false false false false true true DE true false false false false true N/A Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false true true false false false false false false false false false false false false false false false false false Alexander Berghorst Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP, Dir 1.0 0 0 0 D Theodore Berghorst Foundation Source 501 Silverside Rd Wilmington DE 198091377 Pres, Dir, Treas 1.0 0 0 0 Deborah H Berghorst Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, VP, Sec 1.0 0 0 0 Lisa Berghorst Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP, Dir 1.0 0 0 0 Sarah H Berghorst Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP, Dir 6.0 0 0 0 August Impact Partners 2137 W Schiller CHICAGO IL 60622 Philanthropic 65000 8911743 261627 0 9173370 0 9173370 137601 9035769 451788 451788 1190 1190 450598 450598 450598 385996 0 0 0 0 385996 450598 2019 2018 2017 102376 76075 112941 45473 336865 385996 385996 0 64602 64602 272263 0 37774 234489 76075 112941 45473 D Theodore Berghorst Deborah H Berghorst X AMERICAN CANCER SOCIETY INC - CHICAGO 225 N MICHIGAN AVE STE 1200 CHICAGO IL 60601 N/A PC General & Unrestricted 5000 ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO 225 EAST CHICAGO AVE BOX 4 CHICAGO IL 60611 N/A PC General & Unrestricted 10000 BOYS & GIRLS CLUB OF INDIAN RIVER COUNTY INC 1729 17TH AVE VERO BEACH FL 32960 N/A PC General & Unrestricted 9050 BRAVEN INCORPORATED 100 N LA SALLE ST STE 310 CHICAGO IL 60602 N/A PC General & Unrestricted 3000 CARA PROGRAM 237 S DESPLAINES ST CHICAGO IL 60661 N/A PC General & Unrestricted 1000 CHICAGO CHILDRENS MUSEUM 700 E GRAND AVE CHICAGO IL 60611 N/A PC General & Unrestricted 27500 CHICAGO HUMANITIES FESTIVAL 500 N DEARBORN ST STE 825 CHICAGO IL 60654 N/A PC General & Unrestricted 3000 CHICAGO SYMPHONY ORCHESTRA 220 S MICHIGAN AVE CHICAGO IL 60604 N/A PC General & Unrestricted 5000 CHRIST EPISCOPAL CHURCH OF WINNETKA 470 MAPLE ST WINNETKA IL 60093 N/A PC General & Unrestricted 15000 CLEARWATER CAMP FOUNDATION PO BOX 152 MINOCQUA WI 54548 N/A PC General & Unrestricted 300 COMMUNITY CHURCH OF VERO BEACH 1901 23RD ST VERO BEACH FL 32960 N/A PC General & Unrestricted 5000 CROSSOVER MISSION INC 4425 US HWY 1 VERO BEACH FL 32967 N/A PC General & Unrestricted 5000 CYSTIC FIBROSIS FOUNDATION - GA CHAPTER 57 EXECUTIVE PARK S STE 380 ATLANTA GA 30329 N/A PC General & Unrestricted 10000 DASIE BRIDGEWATER HOPE CENTER INC PO BOX 701483 WABASSO FL 32970 N/A PC General & Unrestricted 5000 DUKE UNIVERSITY - PRATT SCHOOL OF ENGINEERING 305 TEER BLDG BOX 90271 DURHAM NC 27708 N/A PC General & Unrestricted 5000 ENVIRONMENTAL LEARNING CENTER INC 255 LIVE OAK DR VERO BEACH FL 32963 N/A PC General & Unrestricted 2000 ERIE ELEMENTARY CHARTER SCHOOL 1405 N WASHTENAW AVE CHICAGO IL 60622 N/A PC General & Unrestricted 5000 ERIKAS LIGHTHOUSE A BEACON OF HOPE FOR ADOLESCENT PO BOX 616 WINNETKA IL 60093 N/A PC General & Unrestricted 5000 GENEVA SCHOOL OF MANHATTAN 138 W 90TH ST NEW YORK NY 10024 N/A PC General & Unrestricted 3000 GET US PPE INC 2300 18TH ST NW UNIT 21289 WASHINGTON DC 20009 N/A PC General & Unrestricted (SEE GENERAL EXPLANATION) 10120 GIFFORD YOUTH ACHIEVEMENT CENTER INC 4875 43RD AVE VERO BEACH FL 32967 N/A PC General & Unrestricted 8000 IMPACT 100 OF INDIAN RIVER COUNTY INC PO BOX 643425 VERO BEACH FL 32964 N/A PC General & Unrestricted 1000 INDIAN RIVER HOSPITAL FOUNDATION INC - CLEVELAND C PO BOX 128 VERO BEACH FL 32961 N/A SO I General & Unrestricted 10000 INDIAN RIVER LAND TRUST INC 80 ROYAL PALM POINTE STE 301 VERO BEACH FL 32960 N/A PC General & Unrestricted 2000 JOHN'S ISLAND FOUNDATION INC 6001 HWY A1A PMB 8323 INDIAN RIVER SHORES FL 32963 N/A PC General & Unrestricted 5000 JOHNS ISLAND COMMUNITY SERVICE LEAGUE 4445 N HWY A1A VERO BEACH FL 32963 N/A PC General & Unrestricted 1000 JOHNS ISLAND EMPLOYEE RELIEF FUND INC 3 JOHNS ISLAND DR VERO BEACH FL 32963 N/A PC General & Unrestricted 3000 JOURNEYCARE FOUNDATION INC 2050 CLAIRE CT GLENVIEW IL 60025 N/A PC General & Unrestricted 5000 JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONA 1 E WACKER DR STE 1400 CHICAGO IL 60601 N/A PC General & Unrestricted 2000 LINCOLN PARK ZOOLOGICAL SOCIETY 2001 N CLARK ST CHICAGO IL 60614 N/A PC General & Unrestricted 365 LYRIC OPERA OF CHICAGO 20 N WACKER DR STE 860 CHICAGO IL 60606 N/A PC General & Unrestricted 7500 MCKEE BOTANICAL GARDEN INC 350 US HWY 1 VERO BEACH FL 32962 N/A PC General & Unrestricted 1500 MISERICORDIA FOUNDATION 6300 N RIDGE AVE CHICAGO IL 60660 N/A PC General & Unrestricted 2000 NEAR NORTH MONTESSORI SCHOOL 1434 W DIVISION ST CHICAGO IL 60642 N/A PC General & Unrestricted 3000 NORTH SHORE SENIOR CENTER 161 NORTHFIELD RD NORTHFIELD IL 60093 N/A PC General & Unrestricted 1000 NORTHSHORE UNIVERSITY HEALTHSYSTEM 1033 UNIVERSITY PLACE STE 450 EVANSTON IL 60201 N/A PC General & Unrestricted 20000 NORTHWESTERN UNIVERSITY - KELLOGG SCHOOL OF MANAGE 1007 CHURCH ST STE 400 EVANSTON IL 60201 N/A PC General & Unrestricted 10000 NORTHWESTERN UNIVERSITY SETTLEMENT 1400 W AUGUSTA BLVD CHICAGO IL 60642 N/A PC General & Unrestricted 500 ON COURSE FOUNDATION USA 6649 WESTWOOD BLVD STE 500 ORLANDO FL 32821 N/A PC General & Unrestricted 5000 ONEGOAL 180 N WABASH AVE STE 800 CHICAGO IL 60601 N/A PC General & Unrestricted 20000 PICKLES GROUP INC 120 MEADOW LN WINNETKA IL 60093 N/A PC General & Unrestricted 1000 RIVERSIDE THEATRE INC 3250 RIVERSIDE PARK DR VERO BEACH FL 32963 N/A PC Patron Producer 10000 SCLERODERMA FOUNDATION OF GREATER CHICAGO 125 S CLARK ST 17TH FL CHICAGO IL 60603 N/A PC General & Unrestricted 2000 SKOKIE COUNTRY CLUB EDUCATIONAL FOUNDATION 785 LINCOLN AVE WINNETKA IL 60093 N/A PC General & Unrestricted 2000 STEPHEN M ROSS SCHOOL OF BUSINESS UNIVERSITY OF 3003 S STATE ST STE 9000 ANN ARBOR MI 48109 N/A PC General & Unrestricted 5000 THE CLEVELAND CLINIC FOUNDATION PO BOX 931517 CLEVELAND OH 44193 N/A PC General & Unrestricted 500 THE LEARNING ALLIANCE INC 2066 14TH AVE STE 102 VERO BEACH FL 32960 N/A PC General & Unrestricted 10000 UNITED AGAINST POVERTY INC 1400 27TH ST VERO BEACH FL 32960 N/A PC General & Unrestricted 8000 UNIVERSITY OF CHICAGO CELIAC DISEASE PROGRAM 5235 S HARPER COURT 4TH FL CHICAGO IL 60615 N/A PC General & Unrestricted 10000 VERO BEACH MUSEUM OF ART INC 3001 RIVERSIDE PARK DR VERO BEACH FL 32963 N/A PC General & Unrestricted 6000 VERO BEACH MUSEUM OF ART INC 3001 RIVERSIDE PARK DR VERO BEACH FL 32963 N/A PC January Gala 2000 VISITING NURSE ASSOCIATION & HOSPICE FOUNDATION IN 1110 35TH LN VERO BEACH FL 32960 N/A SO I General & Unrestricted 2500 300835 14 123 14 85455 18 -27123 58455 58455 false false false false false false false false false false Sarah H Berghorst *SARAH H BERGHORST, VP/DIRECTOR OF THE BERGHORST FOUNDATION INC., IS THE SOLE OWNER OF AUGUST IMPACT PARTNERS, A DISQUALIFIED PERSON WHICH PROVIDES PHILANTHROPIC CONSULTING SERVICES TO THE FOUNDATION. DURING THE TAXABLE YEAR ENDING DECEMBER 31, 2021, THE FOUNDATION PAID $65,000 FOR PHILANTHROPIC CONSULTING SERVICES RENDERED BY SUCH DISQUALIFIED PERSON AS REPORTED IN FORM 990-PF, PART I, LINE 16C. SUCH FIRM BILLED THE FOUNDATION AT OR BELOW THE RATE IT CHARGES ITS OTHER CLIENTS. IN-KIND GRANTS PART I LINE 25 AND PART XIV LINE 3A PART I LINE 25 AND PART XIV LINE 3A DISTRIBUTIONS OF PROPERTY VALUE AT FAIR MARKET VALUE AT DATE OF DISTRIBUTION METHOD FOR DETERMINING VALUE OF FACE SHIELDS: ADJUSTED PURCHASE PRICE TOTAL FAIR MARKET VALUE OF PROPERTY: $10,120 TOTAL BOOK VALUE OF PROPERTY: $9,835 TOTAL AMOUNT OF GRANTS: $10,120 FORM 990-PF, PART III, LINE 3 - OTHER INCREASES: $285 DETAILS OF ITEMS GRANTED: DESCRIPTION OF PROPERTY: FACE SHIELS UNITS: 9,200 DATE OF DISTRIBUTION: 1/21/2021 GRANT RECIPIENT: Get US PPE FMV OF PROPERTY: $10,120 BOOK VALUE OF PROPERTY: $9,835 TOTAL AMOUNT OF GRANT: $10,120 PARTS I AND XIV: PARTS I AND XIV: TOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $300,835 Less amount not treated as qualifying distribution: $10,120. TOTAL Part I, Line 25, Column (d): $290,715. AMERICAN TOWER REIT INC 20285 202410 APPLE INC 2067315 9245004 BRISTOL-MYERS SQUIBB CO 711831 793965 ENDOLOGIX INC 61163 JOHNSON & JOHNSON 80584 255750 QUALCOMM INC 90863 388599 Administrative Fees 30256 30256 State or Local Filing Fees 25 25 FMV ADJ FOR FACE SHIELDS GRANT 285 Philanthropic Consulting Srvcs 65000 65000 990-PF Estimated Tax for 2021 1200