2024-08-13T22:12:14-05:00 2023-12-31 JEFFREY P SMITH CPA 4914 CUMNOR RD DOWNERS GROVE IL 60515 990PF 2023-01-01 366124270 A D JOHNSON FOUNDATION ADJO 8477243464 1701 E LAKE AVE 240 GLENVIEW IL 60025 KEITH JOHNSON VICE PRESIDENT/SECRETARY/TREASURER 8477243464 2024-08-13 1 0 JEFFREY P SMITH P00854209 6309641891 2024-08-13 X 2023 2024-08-08 14:25:15Z X 986396 X X 533 533 22957 22957 19661 282501 19661 43151 43151 0 0 0 9985 7489 2496 8410 6308 2102 10530 10530 0 499 499 0 30 0 0 29454 24826 4598 100000 100000 129454 24826 104598 -86303 18325 3408 4983 4983 18464 19999 19999 806513 725350 920931 50036 45549 45528 -1282 -5045 -5045 877139 790836 986396 0 0 X 877139 790836 0 0 0 0 877139 790836 877139 790836 877139 -86303 0 790836 0 790836 PUBLICLY TRADED SECURITIES-DETAILS AVAILABLE UPON REQUEST P 56750 56171 579 579 PUBLICLY TRADED SECURITIES-DETAILS AVAILABLE UPON REQUEST P 222670 206489 16181 16181 PUBLICLY TRADED SECURITIES-DETAILS AVAILABLE UPON REQUEST P 3081 180 2901 2901 19661 255 0 255 0 255 1526 0 0 0 1526 0 1271 1271 0 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A KENNETH F THEISEN 8477243464 1701 E LAKE AVE SUITE 240 GLENVIEW IL 60025 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MARTHA C JOHNSON RESIGNED IN 2023 1108 MT PLEASANT WINNETKA IL 60093 PRESIDENT/DIRECTOR 2.00 0 0 0 KENNETH F THEISEN 1701 E LAKE AVE STE 240 GLENVIEW IL 60025 SEC/GEN COUNSEL/DIRECTOR 3.00 0 0 0 KEITH R JOHNSON 2119 N WOODLAWN PARK AVE MCHENRY IL 60051 PRESIDENT/DIRECTOR 2.00 0 0 0 DEBORAH J SEYMOUR APPOINTED IN 2023 5115 EAST 6TH AVENUE PARKWAY DENVER CO 80220 DIRECTOR 2.00 0 0 0 NONE 0 NONE 0 N/A 0 N/A 0 0 0 998430 23335 0 1021765 0 0 1021765 15326 1006439 50322 50322 255 255 50067 0 50067 0 50067 104598 0 104598 50067 0 0 71957 43653 44360 40857 48519 249346 104598 0 0 0 50067 54531 0 0 303877 0 0 0 0 0 0 71957 231920 43653 44360 40857 48519 54531 COMMITTEE ON CHARITIES AD JOHNSON F 1701 E LAKE AVE-STE 240 GLENVIEW IL 60025 8477243464 NO SPECIFIC FORM IS REQUIRED, BUT INFORMATION SUBMITTED SHOULD BE SUFFICIENT TO SHOW THAT APPLICANT QUALIFIES. SEE ANSWER 2D BELOW. NONE RESTRICTIONS CONTAINED IN THE FOUNDATION'S ARTICLES OF INCORPORATION. SEE EXHIBIT ATTACHED. JOYFUL NOISE CHRISTIAN PRE-SCHOOL 2107 LINCOLN RD MCHENRY IL 60050 NONE PUBLIC EDUCATION-GENERAL FUND 10000 LAKEMOOR SCHOLARSHIP FUND 517 NORTHLAKE RD LAKEMOOR IL 60051 NONE PUBLIC EDUCATION-GENERAL FUND 5000 MCHENRY RIVERWALK FOUNDATION 333 S GREEN ST MCHENRY IL 60050 NONE PUBLIC CIVIC DEVELOPMENT-GENERAL FUND 10000 PERFORMING ARTS AT METROPOLIS 111 W CAMPELL ST ARLINGTON HEIGHTS IL 60005 NONE PUBLIC CULTURAL ARTS-GENERAL FUND 5000 RISE UP FOUNDATION 1306 N GREEN ST MCHENRY IL 60050 NONE PUBLIC COMMUNITY PROJECT FUNDING-CHILDREN AND FAMILIES 15000 THE HAP FOUNDATION 2050 CLAIRE COURT GLENVIEW IL 60025 NONE PUBLIC MEDICAL-TERMINALLY ILL 15000 ALEXANDER LEIGH CENTER FOR AUTISM 4100 VETERANS PARKWAY MCHENRY IL 60050 NONE PUBLIC SPECIAL NEEDS EDUCATION-GENERAL FUND 5000 KEMPE FOUNDATION 13123 E 16TH AVE B390 AURORA CO 80045 NONE PUBLIC HUMAN SERVICES-CHILDREN 15000 UNIVERSITY OF COLORADO FOUNDATION 1800 GRANT ST SUITE 725 DENVER CO 80203 NONE PUBLIC EDUCATION-GENERAL FUND 20000 100000 0 14 533 14 22957 18 19661 0 43151 0 43151 0 0 0 0 0 0 0 0 0 0 JEFFREY P SMITH, CPA-PREPARATION OF ACCOUNTING RECORDS & 0 0 0 WORKSHEETS,FORM 990-PF FOR STATE & FED FILING & SUNDRY CONSULTATION 8410 6308 2102 N/A 0 SEE SCHEDULE ATTACHED 725350 920931 SEE SCHEDULE ATTACHED AT COST 45549 45528 TEWS, THEISEN & THEISEN-LEGAL SERVICES INCLUDING FNDN MANAGEMENT 9985 7489 2496 DIVIDENDS RECEIVABLE 935 994 994 INVESTMENT COST ADJUSTMENT/RETURN OF CAPITAL THROUGH DECEMBER 2022 -2217 -2217 -2217 RETURN OF CAPITAL ADJUSTMENTS MADE IN JANUARY OF 2024 FOR 2023 DIVIDENDS 0 -3822 -3822 SECRETARY OF STATE - FILING FEES 15 0 0 ILLINOIS CHARITABLE ORGANIZATION FILING FEE 15 0 0 JPMORGAN CHASE BANK - INVESTMENT MANAGEMENT SERVICES 10530 10530 0 2023 FOREIGN INCOME TAX PAID 499 499 0