2024-02-13T13:42:17-06:00 2023-03-31 410746749 CLIFTONLARSONALLEN LLP 301 SW ADAMS STREET SUITE 1000 PEORIA IL 61602 990PF 2022-04-01 370662595 JOHN C PROCTOR ENDOWMENT JOHN 3096856580 2724 W RESERVOIR BLVD PEORIA IL 61615 DONNA J MALONE PRESIDENT 3096856580 2024-02-12 1 DONNA MALONE XXX-XX-XXXX 1 SAMUEL A CIGELNIK P00324762 3096714500 2024-02-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X 43735377 X 13680 1018896 1018896 1018896 1018896 0 0 7001664 0 7001664 8034240 1018896 8020560 336266 42639 277335 58931 4944876 42639 3960997 983879 786277 12515 630983 155294 8748 1109 7215 1533 51237 6497 42258 8979 51877 0 41465 10412 117317 0 93771 23546 92003 1049 92003 469144 608 375109 94035 1985229 0 1586793 398436 8842974 107056 7107929 1735045 0 0 8842974 107056 7107929 1735045 -808734 911840 912631 1789005 1736352 1736352 184141 184034 184034 428057 691587 428057 428057 1653 1653 1653 40255392 430388 415772 415772 4123392 3450417 580616 672975 672975 27475 42795 42795 3704865 3481638 43735377 560040 567253 12088674 11254694 743 9583 12649457 11831530 X -11194591 -10599891 2249999 2249999 -8944592 -8349892 3704865 3481638 -8944592 -808734 1403434 -8349892 0 -8349892 X 1988-01-19 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 1 0 0 0 1 N/A DONNA J MALONE 3096856580 2724 W RESERVOIR BLVD PEORIA IL 61615 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HARRY C STONE MD 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 JOHN B WAHLFELD 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 ANDREW P STONE 2724 W RESERVOIR BLVD PEORIA IL 61615 CHAIRMAN 1.00 0 0 0 DONNA MALONE 2724 W RESERVOIR BLVD PEORIA IL 61615 PRES/SEC/ASST. TREASURER 40.00 247954 37613 0 MARGARET A STONE 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 MARGARET HANLEY 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 KEVIN RUBASH 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 ARLYN RUBASH 2724 W RESERVOIR BLVD PEORIA IL 61615 TRUSTEE 1.00 0 0 0 ALISE GROMALA 2724 W RESERVOIR BLVD PEORIA IL 61615 TREASURER/ASST SECRETARY 36.00 88312 8612 0 KRISTINA CARLSON 2724 W RESERVOIR BLVD PEORIA IL 61615 DIRECTOR OF BLDG/RES 40.00 144348 23962 0 AMANDA SMALLBERGER 2724 W RESERVOIR BLVD PEORIA IL 61615 DIRECTOR OF NURSING 40.00 96571 30251 0 CHERYL DEYOUNG 2724 W RESERVOIR BLVD PEORIA IL 61615 ASST. DIRECTOR OF NU 40.00 84647 28828 0 GLORIA CAMACHO 2724 W RESERVOIR BLVD PEORIA IL 61615 REGISTERED NURSE 40.00 98649 3830 0 0 NONE 0 DURING THE COURSE OF THE YEAR, THE FOUNDATION PROVIDED A HOME FOR THE AGED. THE AVERAGE NUMBER OF RESIDENTS DURING THE YEAR WAS 147. 1735044 NONE 0 0 423080 1946766 40288701 42658547 0 0 42658547 639878 42018669 2100933 X 1735045 0 177235 1912280 X 0 0 1912280 3510425 3788897 1744584 10956186 0 0 0 0 0 1912280 3510425 3788897 1744584 10956186 1400622 1178727 985569 878427 4443345 X 0 0 GROSS SALES 6440403 16 1018896 MISCELLANEOUS INCOME 561261 0 1018896 7001664 8020560 1 SEE ATTACHED 11 SEE ATTACHED 0 0 0 0 0 0 0 0 0 1 JCPE INVESTMENTS (NFP) 501(C)(2) COMMON TRUSTEES X X 1 DOROTHY BLACKBURN BLACKBURN CHARITABLE TRUST PO BOX 11356 CLAYTON MO 63105 12754 X ACCOUNTING 51237 6497 42258 8979 STATEMENT REGARDING SELF DEALING FORM 990-PF, PART VII-B, LINE 1 COMMERCE BANCSHARES, WHICH MAY BE A DISQUALIFIED PERSON, PROVIDES THE ENDOWMENT, THROUGH ITS WHOLLY-OWNED SUBSIDIARY COMMERCE BANK, WITH CHECKING AND SAVINGS ACCOUNT SERVICES. SUCH SERVICES ARE BELIEVED NOT TO BE ACTS OF SELF-DEALING SINCE THEY ARE BELIEVED TO BE GENERAL BANK FUNCTIONS WITHIN THE MEANING OF REGULATION 53.4941(D)-2(C)(4). THE ENDOWMENT COMPENSATES ITS SECRETARY FOR THE PERFORMANCE OF PERSONAL SERVICES. SUCH PAYMENT IS NOT AN ACT OF SELF-DEALING UNDER CODE SECTION 4941(D)(2)(E), SINCE THE SERVICES ARE REASONABLE AND NECESSARY TO THE CARRYING OUT OF THE ENDOWMENT'S EXEMPT PURPOSE AND THE COMPENSATION IS NOT EXCESSIVE. STATEMENT REGARDING STATUS AS AN OPERATING FOUNDATION FORM 990-PF, PART XIV UNDER THE PROVISION OF SECTION 4942(J)(5) OF THE INTERNAL REVENUE CODE, JOHN C. PROCTOR ENDOWMENT QUALIFIES AS A PRIVATE OPERATING FOUNDATION. WITH THE ENACTMENT OF SECTION 4942(J)(5) BY THE REVENUE ACT OF 1978, LONG-TERM CARE FACILITIES SUCH AS JOHN C. PROCTOR ENDOWMENT ARE NO LONGER REQUIRED TO MEET THE 85% DISTRIBUTION TEST. JOHN C. PROCTOR ENDOWMENT MEETS THE "ENDOWMENT TEST" REQUIREMENT FOR EXEMPTION, SINCE THE ORGANIZATION DISTRIBUTED AT LEAST 2/3 OF ITS MINIMUM INVESTMENT RETURN. STATEMENT REGARDING BUSINESS ACTIVITIES FORM 990-PF, PART XVI-B THE JOHN C. PROCTOR ENDOWMENT WAS ESTABLISHED SO EXTRAORDINARY CARE COULD BE PROVIDED FOR THE AGED. TO ACCOMPLISH THESE OBJECTIVES, THOSE INDIVIDUALS WHO ARE RESIDENTS OF PROCTOR PLACE MUST HELP PROVIDE SOME CAPITAL TO COVER EXPENDITURES. THE GROSS RECEIPTS FROM BUSINESS ACTIVITIES, INCOME FROM PROGRAM SERVICES AND MISCELLANEOUS INCOME REPRESENT FUNDS PROVIDED BY RESIDENTS AND THUS CONTRIBUTE IMPORTANTLY TO THE ENDOWMENT'S EXEMPT PURPOSES. REAL ESTATE 1653 0 1653 40255392 OTHER INVESTMENTS AT COST 415772 415772 BUILDINGS AND FURNISHINGS 4123392 3450417 672975 672975 LEGAL 8748 1109 7215 1533 INVENTORY OF FARM CROPS 5475 11309 11309 FOOD INVENTORY 22000 22000 22000 RIGHT OF USE ASSET 9486 9486 DISPOSAL SERVICES 28688 0 22930 5758 DUES & SUBSCRIPTIONS 12992 0 10385 2608 FOOD 485671 0 388197 97474 INSURANCE 391758 0 313132 78626 MARKETING 117337 0 93788 23550 MEDICAL AND DENTAL 129542 0 103543 25999 MISCELLANEOUS 151664 0 121225 30439 PROFESSIONAL FEES 30980 0 24762 6218 PROPERTY TAXES 1685 0 1347 338 REPAIRS AND MAINTENANCE 326513 0 260982 65531 SECURITY 94769 0 75749 19020 SUPPLIES 153518 0 122706 30810 TELEPHONE/CABLE/COMPUTERS 58289 0 46590 11699 TRAINING 1823 0 1457 366 GROSS SALES 6440403 6440403 MISCELLANEOUS INCOME 561261 561261 TRANSFER FROM RELATED ORGANIZATION 1403434 LEASE OBLIGATION 743 9583 CONSULTING FEES 51877 0 41465 10412 NURSING HOME TAXES 117317 0 93771 23546