2024-08-23T09:38:28-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 301 SW ADAMS STREET SUITE 1000 PEORIA IL 61602 990 2023-01-01 376030141 GRANT KEIME MEMORIAL TRUST C/O TED G COLLINS KEIM 3092249951 14602 N MILTON RD LEWISTOWN IL 61542 TED G COLLINS CO-TRUSTEE 3092249951 2024-08-20 1 1 ANDREW SMITH CPA P01518894 3096714500 2024-08-16 2023 2024-08-08 14:25:15Z TED G COLLINS 14602 N MILTON RD LEWISTOWN IL 61542 421200 0 X N/A X 1958 IL TO PROVIDE MEDICAL RELIEF TO THE RESIDENTS OF CASS AND PUTNAM TOWNSHIPS IN FULTON COUNTY, ILLINOIS. 2 2 0 0 0 0 0 650 0 0 33737 50703 283069 295180 316806 346533 222724 205855 0 0 78418 85970 0 0 0 61481 48657 362623 340482 -45817 6051 3456592 3461643 1000 0 3455592 3461643 TO PROVIDE MEDICAL RELIEF TO THE RESIDENTS OF CASS AND PUTNAM TOWNSHIPS IN FULTON COUNTY, ILLINOIS. 0 0 293876 205855 THE CHORE-HOUSEKEEPING SERVICE AND THE MED-MANAGEMENT PROGRAMS ADMINISTERED BY THE FULTON COUNTY HEALTH DEPARTMENT ALLOW RECIPIENTS TO REMAIN IN THEIR HOMES VERSUS HAVING TO GO INTO ASSISTED LIVING OR NURSING HOME FACILITIES.THE EMERGENCY AND FIRST RESPONDER SERVICES PROVIDED BY THE CASS-PUTMAN RESCUE SERVICES, NFP SAVE LIVES AND PROVIDE IMMEDIATE CARE FOR INDIVIDUALS IN THE SERVICE AREAS. 293876 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 IL X X TED COLLINS 3092249951 14602 N MILTON RD LEWISTOWN IL 61542 DIANA LYNNE WAREN CO-TRUSTEE 5.00 X 42985 0 0 TED G COLLINS CO-TRUSTEE 5.00 X 42985 0 0 85970 0 0 0 0 0 0 0 650 650 43092 43092 346400 52130 294270 294270 294270 30148 22537 7611 7611 7611 MEMORIALS 621610 910 910 910 346533 910 0 344973 197605 197605 8250 8250 85970 42985 42985 2887 2887 75 75 41356 41356 3680 3680 BANK FEES 320 320 ADMINISTRATIVE FEES 246 246 MISCELLANEOUS 78 78 ANNUAL REPORT FEE 15 15 340482 293876 46606 0 142955 131939 3454556 704005 2755017 2750551 558620 579153 3456592 3461643 1000 1000 0 X 3455592 3461643 0 0 0 0 3455592 3461643 3456592 3461643 6051 0 X 0 0 0 X 2676575 9475 2686050 249069 186380 62689 134202 385235 517625 1812 2750551 PNC INVESTMENTS 579153 C 579153 0 FULTON COUNTY HEALTH DEPARTMENT 700 E OAK ST CANTON IL 61520 376000896 501(C)(3) 179605 0 TO PROVIDE ADDITIONAL FUNDING FOR THIS ORGANIZATION'S OPERATIONAL NEEDS. CASS PUTMAN RESCUE SERVICES NFP 516 E JEFFERSON PO BOX 322 CUBA IL 61427 201018757 501(C)(3) 18000 0 TO PROVIDE ADDITIONAL FUNDING FOR THIS ORGANIZATION'S OPERATIONAL NEEDS. 2 SERVICE AWARDS 7 8250 FAIR MARKET VALUE FORM 990, PART VI, SECTION A, LINE 8A NO WRITTEN MINUTES ARE TAKEN DURING ANY MEETINGS OR TELEPHONE CONVERSATIONS BETWEEN THE CO-TRUSTEES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OF THE TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE CO-TRUSTEES PERSONALLY EXAMINE THE FORM 990 PRIOR TO ITS FILING WITH INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT FEE ANALYSIS IS MADE BY THE TRUST OFFICER OF PRAIRIE STATE BANK AND TRUST BASED UPON ITS FEE SCHEDULE AS WELL AS THE FEE SCHEDULES OF TWO OTHER AREA BANKS AND PRESENTED TO THE COURT BY AFFIDAVIT. FORM 990, PART VI, SECTION C, LINE 19 THE ORIGINAL TRUST AGREEMENT DATED AUGUST 22, 1958 WAS FILED UPON THE LAND RECORDS IN THE OFFICE OF THE COUNTY RECORDER OF DEEDS, FULTON COUNTY COURTHOUSE, 100 N. MAIN ST., LEWISTOWN, ILLINOIS 61542 ON SEPTEMBER 18, 1959 IN VOLUME 698 AT PAGE 638 AS DOCUMENT NUMBER 365113. THIS DOCUMENT IS AVAILABLE TO THE GENERAL PUBLIC WITHOUT RESTRICTION. ANNUALLY, THE CO-TRUSTEES FILE THEIR ANNUAL REPORT IN THE NINTH JUDICIAL CIRCUIT COURT, FULTON COUNTY, ILLINOIS IN CASE NO. 60-CH-75 AT WHICH TIME A HEARING IS SET BEFORE A FULTON COUNTY JUDGE WITH NOTICE TO THE ILLINOIS ATTORNEY GENERAL'S CHARITABLE TRUST DIVISION. AT THAT PUBLIC HEARING ALL MATTERS OF THE PRECEDING CALENDAR YEAR ARE REVIEWED BY THE COURT WITH THE CO-TRUSTEES. THE COURT APPROVES THE ANNUAL REPORT AS WELL AS THE FEES TO BE PAID THE CO-TRUSTEES. SCHEDULE A, PART I, LINE 13 THE ORGANIZATION PROVIDED THE FACILITIES AND CERTAIN FUNDING FOR THE HEALTH CLINIC AND RESCUE SERVICES. WE DO NOT BELIEVE SCHEDULE H IS APPLICABLE IN THIS CASE AS THE ORGANIZATION DOES NOT OPERATE A HOSPITAL AS DEFINED FOR SCHEDULE H PURPOSES.