2024-05-20T17:15:45-05:00 2023-12-31 861188016 EMBERSON & BERGSTROM LTD 6801 SPRING CREEK ROAD SUITE 209 ROCKFORD IL 61114 990PF 2023-01-01 363107246 CASLER FOUNDATION CASL 8159973791 14478 PACKARD ST NE HAM LAKE MN 55304 DANIEL CASSENS TRUSTEE 8159973791 2024-05-01 1 DANIEL CASSENS 999009999 0 ELIZABETH BERGSTROM P01211973 8156379584 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X 986202 X X 21029 21029 103870 191782 141846 124899 162875 0 0 0 1913 0 0 414 273 0 4768 4753 0 7095 5026 0 48000 48000 55095 5026 48000 69804 157849 57630 43047 43047 38682 0 0 703131 826200 943155 799443 869247 986202 0 0 X 75175 75175 0 0 724268 794072 799443 869247 799443 869247 799443 69804 0 869247 0 869247 VANGUARD INFLATION PROTECTED P 2023-08-04 735 739 -4 -4 DODGE & COX P 2023-12-31 10000 8890 1110 1110 INVESCO DEVELOPING MARKETS P 2023-12-21 22553 23812 -1259 -1259 VANGUARD INFLATION PROTECTED P 2023-08-04 12647 15792 -3145 -3145 1155 SHS WOODWARD P 2023-08-04 136211 703 135508 135508 BASIS ADJUSTMENT P 308 308 308 CAPITAL GAINS DIVIDENDS P 9328 9328 9328 141846 2194 0 2194 0 2194 1280 0 0 0 1280 X 0 914 0 0 0 0 0 0 0 0 0 0 1 1 IL 1 0 0 0 0 1 N/A DANIEL W CASSENS 8159973791 14478 PACKARD ST NE HAM LAKE MN 55304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N JEAN CASSENS 19131 TAYLOR STREET NE APT NO 310 EAST BETHEL MN 55011 TRUSTEE 1.00 0 0 0 JEFFREY L CASSENS 3109 KEIM ROAD COLUMBIA IL 62236 TRUSTEE 1.00 0 0 0 DANIEL W CASSENS 14478 PACKARD ST NE HAM LAKE MN 55304 TRUSTEE 1.00 0 0 0 AMY L PAPALEXANDROU 2808 JORWOODS DRIVE AUSTIN TX 78745 TRUSTEE 1.00 0 0 0 NONE 0 NONE 0 0 879676 62820 0 942496 0 0 942496 14137 928359 46418 46418 2194 2194 44224 0 44224 0 44224 48000 0 48000 44224 0 0 1333 1585 1974 406 3973 9271 48000 0 0 0 44224 3776 0 0 13047 0 0 0 0 0 0 1333 11714 1585 1974 406 3973 3776 N JEAN CASSENS JEAN CASSENS 19131 TAYLOR ST NE APT 310 EAST BETHEL MN 55011 8158778449 NO PRESCRIBED FORM NONE NONE AMERICAN SCHOOL OF CLASSICAL STUDIES AT ATHENS 321 WALL STREET PRINCETON NJ 08540 PUBLIC EDUCATIONAL 3000 DOCTORS WITHOUT BORDERS 40 RECTOR ST-16TH FLOOR NEW YORK NY 10006 PUBLIC SOCIAL WELFARE 1500 CARPENTERS PLACE 1149 RAILROAD AVENUE ROCKFORD IL 61104 PUBLIC HOMELESS SUPPORT 2000 CRUSADERS COMMUNITY HEALTH FOUNDATION 1200 W STATE STREET ROCKFORD IL 61102 PUBLIC HEALTH FOUNDATION 5000 CYPRUS AMERICAN ARCHAEOLOGICAL RESEARCH INSTITUTE 656 BEACON STREET 5TH FLOOR BOSTON MA 02215 PUBLIC RESEARCH AND EDUCATION 3000 GOOD SAMARITAN MINISTRIES 2307 HULL STREET RICHMOND VA 23224 PUBLIC RELIGIOUS OUTREACH 5000 HOPE KIDS NATIONAL PO BOX 672 CAVE CREEK AZ 85327 PUBLIC CHILDREN'S SOCIAL WELFARE 5000 INT'L DISASTER EMERGENCY SERVICE INC PO BOX 379 NOBLESVILLE MN 46061 PUBLIC SOCIAL WELFARE 2000 LEUKEMIA RESEARCH FOUNDATION 3520 LAKE AVE SUITE 202 WILMETTE IL 60091 PUBLIC MEDICAL RESEARCH 1500 LIFE NETWORK OF SOUTHERN IL 224 N MAIN STREET WATERLOO IL 62298 PUBLIC SOCIAL WELFARE 1000 MILLIGAN COLLEGE PO BOX 750 MILLIGAN COLLEGE TN 37682 PUBLIC EDUCATIONAL 3000 MUDGIRL STUDIOS 10 MISSISSIPPI AVE ATLANTIC CITY NJ 08401 PUBLIC SOCIAL WELFARE 1000 PEOPLE SERVING PEOPLE 614 S 3RD ST MINNEAPOLIS MN 55415 PUBLIC SOCIAL WELFARE 5000 THE FRIENDS OF ROCKFORD PUBLIC LIBRARY 6685 E STATE STREET ROCKFORD IL 61108 PUBLIC EDUCATIONAL 500 PIONEER BIBLE TANSLATORS 7255 CAMP WISDOM ROAD DALLAS TX 75236 PUBLIC RELIGIOUS OUTREACH 1000 ROCK RIVER VALLEY PANTRY 421 S ROCKTON AVENUE ROCKFORD IL 61102 PUBLIC SOCIAL WELFARE 3000 SECOND HARVEST HEARTLAND 7101 WINNETKA AVE N BROOKLYN PARK MN 55428 PUBLIC SOCIAL WELFARE 1000 ROUNDTABLE RX 2112 BROADWAY ST NE SUITE 130 MINNEAPOLIS MN 55413 PUBLIC SOCIAL WELFARE 1000 SAMARITAN'S PURSE 8786 MONTAGUE ROAD ROCKFORD IL 61102 PUBLIC HUMANITARIAN AID 3000 POLO HISTORICAL SOCIETY 113 N FRANKLIN AVE B POLO IL 60164 PUBLIC EDUCATIONAL 500 48000 0 14 21029 18 103870 0 124899 0 124899 0 0 0 0 0 0 0 0 0 0 TAX PREPARATION FEES 1913 0 0 AM FUND CAPITAL WORLD BOND FUND AT COST 12377 9661 DODGE & COX INCOME FD AT COST 70848 66613 DODGE & COX STOCK FD AT COST 58187 76938 JANUS HENDERSON SMALL CAP VAL FUND AT COST 6264 8619 MFS INT'L DIVERSIFICATION FUND-R6 AT COST 74843 76884 MFS MID CAD GROWTH FUND-R6 AT COST 45323 49442 T ROWE PRICE BLUE CHIP GROWTH FUND-I AT COST 78599 87840 T ROWE PR MID CAP VALUE FUND-I AT COST 57433 59708 T ROWE PR MID SHORT TERM BOND-I AT COST 69746 67220 VANGUARD SHORT TERM INVEST GRADE-ADMIRAL SHS AT COST 72885 69884 VANGUARD SMALL CAP CAL IND FD ADM AT COST 21500 23262 VANGUARD TOTAL BOND MKT INDEX ADM AT COST 63922 58144 VANGUARD TOTAL STK MKT IDX AT COST 73183 158816 VANGUARD VALUE INDEX-ADM AT COST 21000 25685 WASATCH CORE GROWTH FUND-INS AT COST 20090 20677 VANGUARD INDEX TR 500 ADMIRAL SHS AT COST 30000 33160 VANGUARD INTL VALUE FUND AT COST 25000 25288 AM FUNDS NEW WORLD FUND F-3 AT COST 25000 25314 INVESTMENT MANAGEMENT FEES 4753 4753 0 REGISTRATION FEES 15 0 0 FOREIGN TAXES PAID 273 273 0 EXCISE TAX PAYMENTS 141 0 0