Form
8868
Application for Automatic Extension of Time To File an Exempt Organization Return OMB No. 1545-0047
(Rev. January 2022)
| File a separate application for each return.
Department of the Treasury Internal Revenue Service
| Go to www.irs.gov/Form8868 for the latest information.
Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.
Automatic 6-Month Extension of Time. Only submit original (no copies needed). All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Name of exempt organization or other filer, see instructions.
Type or print
Taxpayer identification number (TIN)
WABASH VALLEY COMMUNITY FOUNDATION, INC
File by the due date for filing your return. See instructions.
35-1848649
Number, street, and room or suite no. If a P.O. box, see instructions.
200 SOUTH 8TH STREET
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
TERRE HAUTE, IN
47807
Enter the Return Code for the return that this application is for (file a separate application for each return)
0 1
Application
Return
Application
Return
Is For Form 990 or Form 990-EZ
Code 01
Is For Form 1041-A
Code 08
Form 4720 (individual)
03
Form 4720 (other than individual)
09
Form 990-PF
04
Form 5227
10
Form 990-T (sec. 401(a) or 408(a) trust)
05
Form 6069
11
Form 990-T (trust other than above)
06
Form 8870
12
Form 990-T (corporation)
07
THE ORGANIZATION ¥ The books are in the care of | 200 SOUTH 8TH STREET - TERRE HAUTE, IN 47807 Telephone No. |
812-232-2234
Fax No. |
¥ If the organization does not have an office or place of business in the United States, check this box ~~~~~~~~~~~~~~~~~ | ¥ If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box | . If it is for part of the group, check this box | and attach a list with the names and TINs of all members the extension is for. I request an automatic 6-month extension of time until
1
AUGUST 15, 2023
, to file the exempt organization return for
the organization named above. The extension is for the organization's return for: | |
calendar year
X tax year beginning
or
OCT 1, 2021
, and ending
If the tax year entered in line 1 is for less than 12 months, check reason:
2
SEP 30, 2022 Initial return
. Final return
Change in accounting period 3a
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions.
b
$
0.
3b
$
0.
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit.
c
3a
Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions.
0. 3c $ Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions. LHA
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
123841 01-12-22
Form 8868 (Rev. 1-2022)
EXTENDED TO AUGUST 15, 2023 Form
990
Return of Organization Exempt From Income Tax
OMB No. 1545-0047
| Do not enter social security numbers on this form as it may be made public.
Open to Public Inspection
2021
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Department of the Treasury Internal Revenue Service
| Go to www.irs.gov/Form990 for instructions and the latest information. OCT 1, 2021 A For the 2021 calendar year, or tax year beginning and ending SEP 30, 2022 C Name of organization
B Check if
applicable: Address change Name change Initial return Final return/ terminated Amended return Application pending
D Employer identification number
WABASH VALLEY COMMUNITY FOUNDATION, INC
35-1848649
Doing business as Number and street (or P.O. box if mail is not delivered to street address)
200 SOUTH 8TH STREET
Room/suite E Telephone number
City or town, state or province, country, and ZIP or foreign postal code
G
47807 H(a) Is this a group return for subordinates? ~~ F Name and address of principal officer: BETH TEVLIN Yes X No SAME AS C ABOVE H(b) Are all subordinates included? Yes No ) § (insert no.) If "No," attach a list. See instructions 501(c) ( 4947(a)(1) or 527 I Tax-exempt status: X 501(c)(3) H(c) Group exemption number | J Website: | WWW.WVCF.ORG Trust Association Other | K Form of organization: X Corporation L Year of formation: 1991 M State of legal domicile: IN Part I Summary 1 Briefly describe the organization's mission or most significant activities: THE MISSION OF THE FOUNDATION IS TO ENGAGE PEOPLE, BUILD RESOURCES, AND ENRICH LIVES, AND ITS VISION Activities & Governance
TERRE HAUTE, IN
812-232-2234 22,606,519.
Gross receipts $
2
Check this box |
3
Number of voting members of the governing body (Part VI, line 1a)
if the organization discontinued its operations or disposed of more than 25% of its net assets. ~~~~~~~~~~~~~~~~~~~~
3
4
Number of independent voting members of the governing body (Part VI, line 1b) ~~~~~~~~~~~~~~
4
5
Total number of individuals employed in calendar year 2021 (Part V, line 2a) ~~~~~~~~~~~~~~~~
5
6
Total number of volunteers (estimate if necessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7 a Total unrelated business revenue from Part VIII, column (C), line 12 ~~~~~~~~~~~~~~~~~~~~ b Net unrelated business taxable income from Form 990-T, Part I, line 11
7a 7b
16 16 17 190 0. 0.
7,541,841. 29,144. 1,730,442. 0. 9,301,427. 2,307,819. 0. 595,603. 0.
7,840,503. 34,979. 6,065,318. 0. 13,940,800. 2,755,076. 0. 626,009. 0.
480,352. 3,383,774. 5,917,653.
653,956. 4,035,041. 9,905,759.
Net Assets or Fund Balances
Expenses
Revenue
Prior Year
8
Contributions and grants (Part VIII, line 1h)
9 10
Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~ Investment income (Part VIII, column (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~
12
Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
14
Benefits paid to or for members (Part IX, column (A), line 4)
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~
~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
~~~~~~~~~~~~~
16a Professional fundraising fees (Part IX, column (A), line 11e) ~~~~~~~~~~~~~~
214,593. | b Total fundraising expenses (Part IX, column (D), line 25) 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) ~~~~~~~~~~~~~ 18
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ~~~~~~~
19
Revenue less expenses. Subtract line 18 from line 12
20
Total assets (Part X, line 16)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21
Total liabilities (Part X, line 26)
~~~~~~~~~~~~~~~~~~~~~~~~~~~
22
Net assets or fund balances. Subtract line 21 from line 20
Beginning of Current Year
Part II
86,959,180. 6,352,131. 80,607,049.
Current Year
End of Year
77,647,460. 5,825,659. 71,821,801.
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here
= BETH TEVLIN, EXECUTIVE DIRECTOR = Signature of officer
Date
Type or print name and title
Print/Type preparer's name
Preparer's signature
Date
Check if
9
PTIN
KANDY L. WISCHMEIER, CPA KANDY L. WISCHMEIER, 03/23/23 self-employed P00118327 BLUE & CO., LLC 35-1178661 Preparer Firm's name Firm's EIN 813 WEST SECOND STREET Use Only Firm's address SEYMOUR, IN 47274 Phone no. 812-522-8416 X Yes May the IRS discuss this return with the preparer shown above? See instructions No 132001 12-09-21 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2021) SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT CONTINUATION Paid
9 9
WABASH VALLEY COMMUNITY FOUNDATION, INC Part III Statement of Program Service Accomplishments
35-1848649
Form 990 (2021)
Page 2
Check if Schedule O contains a response or note to any line in this Part III 1
2
Briefly describe the organization's mission:
THE MISSION OF THE FOUNDATION IS TO ENGAGE PEOPLE, BUILD RESOURCES, AND ENRICH LIVES, AND ITS VISION IS FOR A HEALTHY, EDUCATED AND THRIVING COMMUNITY. Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O. 3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ~~~~~~ If "Yes," describe these changes on Schedule O.
4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
3,377,815. including grants of $ 2,755,076. ) (Revenue $ (Code: ) (Expenses $ THE QUALITY OF LIFE WAS ENRICHED IN THE WABASH VALLEY THROUGH THE FOUNDATION'S GRANTS TO SUSTAIN SOCIAL SERVICE, CIVIC AFFAIRS AND ARTS AND CULTURAL ORGANIZATIONS. THE FOUNDATION PROVIDES NUMEROUS GRANTS THROUGHOUT THE COMMUNITY IN VARIOUS AREAS TO HELP MEET THE NEEDS OF THE COMMUNITY AND PROVIDE A MEANS OF ADDRESSING DEVELOPING ISSUES AND CONCERNS.
)
4b
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4d
Other program services (Describe on Schedule O.)
4e
Total program service expenses |
(Expenses $
132002 12-09-21
including grants of $
3,377,815.
) (Revenue $
) Form 990 (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC Part IV Checklist of Required Schedules
Form 990 (2021)
35-1848649
Page 3 Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Is the organization required to complete Schedule B, Schedule of Contributors ? See instructions ~~~~~~~~~~~~~~
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
X
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4
X
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III ~~~~~~~~~~~~~~~~~~~
5
X
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I
6
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II ~~~~~~~~~~~~~~
7
X
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete 8
X
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
X
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi endowments? If "Yes," complete Schedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10
X
as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11a
X
b Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~
11b
X
c Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~
11c
X
4 5 6
Schedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X X
X
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for
9
10
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X,
11
d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X ~~~~~~
11d 11e
X
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X ~~~~
11f
X
12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12a
X
f
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ~~~~~ 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~~~
X
14a
X X X
investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14b
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~
16
X
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ~~~~~~~~~~~~~~~~~~~~
17
X
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
X
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," 19
X X
14a Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
15 16 17
complete Schedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H ~~~~~~~~~~~~~~~~~ b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~ 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II ~~~~~~~~~~~~~~ 132003 12-09-21
12b 13
20a 20b
X 21 990 Form (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC Part IV Checklist of Required Schedules (continued)
Form 990 (2021)
35-1848649
Page 4 Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~
22
X
Schedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23
X
24 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24a
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ~~~~~~~~~~~ c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24c 24d
26
X
25b
X
26
X
27
X
28a
X X
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," complete Schedule L, Part III ~~~
28
25a
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II ~~~~~~~~~~~~~
27
X
24b
d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~ 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~ b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~ c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
28b
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M ~~~~~~~~~
29
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
30
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I ~~~~~~
31
X X
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
32
X
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~
33
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and
28c
X
X
X X X
Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
34
~~~~~~~~~~~~~~~~~~ 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~
35a 35b
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
36
X
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI ~~~~~~~~
37
X
36 37 38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O
Part V
Check if Schedule O contains a response or note to any line in this Part V
X
1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~ 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable ~~~~~~~~~~ 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? 132004 12-09-21
38
Statements Regarding Other IRS Filings and Tax Compliance
5 0
Yes
No
X 1c 990 Form (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC Statements Regarding Other IRS Filings and Tax Compliance (continued)
Form 990 (2021)
Part V
35-1848649
Page 5 Yes
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~
17 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ Note: If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions. ~~~~~~~~~~~
3a Did the organization have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O ~~~~~~~~~~ 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ~~~~~~~
2b
No
X X
3a 3b 4a
X
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ~~~~~~~~~~~~ b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? ~~~~~~~~~
5a
X X
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
5c
b If "Yes," enter the name of the foreign country J See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
any contributions that were not tax deductible as charitable contributions?
7
~~~~~~~~~~~~~~~~~~~~~~~~
6a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6b
Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? ~~~~~~~~~~~~~~~
9
10
11
7b
X X
7c
X
d If "Yes," indicate the number of Forms 8282 filed during the year ~~~~~~~~~~~~~~~~ 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
~~~~~~~
7e
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~ g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ~ h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
X X
7g
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~ Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? ~~~~~~~~~~~~~~~~~~~ b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~ Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 ~~~~~~~~~~~~~~~ b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~ Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Gross income from other sources. (Do not net amounts due or paid to other sources against
7f 7h 8
X
9a
X X
9b
10a 10b 11a
amounts due or received from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? b If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13
7a
X
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
f
8
5b
12a
Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Note: See the instructions for additional information the organization must report on Schedule O.
13a
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~
13b c Enter the amount of reserves on hand ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? ~~~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ~~~~~~~~~ 15
14a 14b
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X
15
X X
If "Yes," see the instructions and file Form 4720, Schedule N. 16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
~~~~~~
16
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? ~~~~~~~~~~~~~~
17
If "Yes," complete Form 4720, Schedule O.
If "Yes," complete Form 6069. 132005 12-09-21
Form 990 (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Page 6 Part VI Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response
Form 990 (2021)
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI
X
Section A. Governing Body and Management 1a Enter the number of voting members of the governing body at the end of the tax year ~~~~~~ If there are material differences in voting rights among members of the governing body, or if the governing
Yes
16
1a
body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
No
16
1b b Enter the number of voting members included on line 1a, above, who are independent ~~~~~~ 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
X
officer, director, trustee, or key employee?
2
3
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate control over management duties customarily performed by or under the direct supervision
3
4
of officers, directors, trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~~ Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ~~~~~
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
~~~~~~~~~
5
Did the organization have members or stockholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
X X X X
7a
X
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7b
X
6
8
9
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
4
8a 8b
X X X
9 Yes
10a Did the organization have local chapters, branches, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,
10a
and branches to ensure their operations are consistent with the organization's exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~~
10b
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ~~~~~~ c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12b
13
Did the organization have a written whistleblower policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
14
Did the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~~
14
15
Did the process for determining compensation of the following persons include a review and approval by independent
11a
X
12a
X X
12c
persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Other officers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15a 15b
No
X
X X X X X
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16a
X
b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements?
Section C. Disclosure 17 18
16b
List the states with which a copy of this Form 990 is required to be filed JIN
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
X Own website
19
Another's website
X Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records
THE ORGANIZATION - 812-232-2234 200 SOUTH 8TH STREET, TERRE HAUTE, IN
132006 12-09-21
|
47807 Form 990 (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2021)
Check if Schedule O contains a response or note to any line in this Part VII
Page 7
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. ¥ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. ¥ List all of the organization's current key employees, if any. See the instructions for definition of "key employee." ¥ List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. ¥ List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ¥ List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(1) BETH TEVLIN EXECUTIVE DIRECTOR (2) SALLY ZUEL PRESIDENT (3) SANTHANA NAIDU VICE PRESIDENT (4) DAVID DOTI TREASURER (5) ROBERT BROWN SECRETARY (6) MADISON BOSTON-WESZELY DIRECTOR (7) JIM CONNER DIRECTOR (8) LEA ANNE CROOKS DIRECTOR (9) BRIAN DOUGHERTY DIRECTOR (10) DAVID FRIEDRICH DIRECTOR (11) TROY HELMAN DIRECTOR (12) SUMMER LONG DIRECTOR (13) STACY MASON DIRECTOR (14) CARRIE PAGE DIRECTOR (15) DEE REED DIRECTOR (16) JIM TRIBBLE DIRECTOR (17) GARY ULRICH DIRECTOR 132007 12-09-21
40.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
Former
Highest compensated employee
Key employee
Institutional trustee
Officer
(B) (C) Position Average (do not check more than one box, unless person is both an hours per officer and a director/trustee) week (list any hours for related organizations below line) Individual trustee or director
(A) Name and title
(F) Estimated amount of other compensation from the organization and related organizations
X
155,000.
0.
21,425.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0. 990 Form (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Page 8
Form 990 (2021)
1b Subtotal ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | c Total from continuation sheets to Part VII, Section A ~~~~~~~~~~ | 2
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
155,000. 0. 155,000.
d Total (add lines 1b and 1c) | Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
(F) Estimated amount of other compensation from the organization and related organizations
Former
Highest compensated employee
Key employee
Institutional trustee
Individual trustee or director
Officer
(B) (C) Position Average (do not check more than one hours per box, unless person is both an officer and a director/trustee) week (list any hours for related organizations below line)
(A) Name and title
0. 0. 0.
21,425. 0. 21,425. 1
| Yes
3 4
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~
4
X X
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person Section B. Independent Contractors 1
No
5
X
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address
2
(B) Description of services
NONE
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization |
0
Form 990 (2021) 132008 12-09-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Statement of Revenue
Form 990 (2021)
Part VIII
35-1848649
Page 9
Program Service Revenue
Contributions, Gifts, Grants and Other Similar Amounts
Check if Schedule O contains a response or note to any line in this Part VIII (A) (B) (C) (D) Revenue excluded Related or exempt Unrelated Total revenue function revenue business revenue from tax under sections 512 - 514 1 a Federated campaigns ~~~~~ b Membership dues ~~~~~~~
1a
c Fundraising events ~~~~~~~ d Related organizations ~~~~~
1c
similar amounts not included above ~
1f
Noncash contributions included in lines 1a-1f
1g $
1b
1d e Government grants (contributions) 1e f All other contributions, gifts, grants, and g
7,840,503. 1,017,165.
h Total. Add lines 1a-1f 2 a b
|
Business Code
PROGRAM SERVICE REVENUE
624110
7,840,503. 34,979.
34,979.
c d e f
All other program service revenue ~~~~~
g Total. Add lines 2a-2f Investment income (including dividends, interest, and 3
|
34,979.
other similar amounts) ~~~~~~~~~~~~~~~~~
|
3,242,310.
3242310.
4
Income from investment of tax-exempt bond proceeds
|
5
Royalties | (i) Real (ii) Personal
2,823,008.
2823008.
6 a Gross rents ~~~~~ b Less: rental expenses ~
6a
assets other than inventory
7a
11,488,727.
b Less: cost or other basis and sales expenses ~~~
7b
8,665,719. 2,823,008.
Other Revenue
6b c Rental income or (loss) 6c d Net rental income or (loss) | (i) Securities (ii) Other 7 a Gross amount from sales of
c Gain or (loss) ~~~~~ 7c d Net gain or (loss)
|
8 a Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ~~~~~~~~~~~~ 8a b Less: direct expenses ~~~~~~~~~ 8b c Net income or (loss) from fundraising events
|
9 a Gross income from gaming activities. See Part IV, line 19 ~~~~~~~~~~~~ 9a b Less: direct expenses ~~~~~~~~ 9b c Net income or (loss) from gaming activities 10 a Gross sales of inventory, less returns and allowances ~~~~~~~~~~~~ 10a
Miscellaneous Revenue
b Less: cost of goods sold ~~~~~~~ 10b c Net income or (loss) from sales of inventory
|
|
Business Code
11 a
12
b c d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d Total revenue. See instructions
132009 12-09-21
| |
13,940,800.
34,979.
0.
6065318. 990 Form (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC Part IX Statement of Functional Expenses
Form 990 (2021)
35-1848649
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses Grants and other assistance to domestic organizations
1
~
1,988,238.
1,988,238.
individuals. See Part IV, line 22 ~~~~~~~
766,838.
766,838.
187,680.
76,949.
84,456.
26,275.
334,071.
136,969.
150,332.
46,770.
18,831. 45,259. 40,168.
7,721. 18,557. 16,469.
8,473. 20,366. 18,075.
2,637. 6,336. 5,624.
24,893. 15,107.
2,987. 1,813.
14,936. 9,064.
6,970. 4,230.
e Professional fundraising services. See Part IV, line 17 f Investment management fees ~~~~~~~~
199,959.
199,959.
g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Sch O.)
37,801.
4,536.
22,681.
10,584.
26,856.
6,786.
11,625.
8,445.
19,531.
6,836.
7,422.
5,273.
15,828.
5,540.
6,014.
4,274.
46,528.
16,285.
17,681.
12,562.
113,305. 54,139. 34,739. 34,020. 31,250. 4,035,041.
26,911. 54,139. 9,032.
27,761.
58,633.
9,727. 34,020.
15,980.
442,633.
214,593.
and domestic governments. See Part IV, line 21 Grants and other assistance to domestic
2
Grants and other assistance to foreign
3
organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ~~~ 4
Benefits paid to or for members ~~~~~~~
5
Compensation of current officers, directors, trustees, and key employees ~~~~~~~~ Compensation not included above to disqualified
6
persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
~~~
7
Other salaries and wages ~~~~~~~~~~
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9
Other employee benefits ~~~~~~~~~~
10
Payroll taxes ~~~~~~~~~~~~~~~~ Fees for services (nonemployees):
11
a Management ~~~~~~~~~~~~~~~~ b Legal ~~~~~~~~~~~~~~~~~~~~ c Accounting ~~~~~~~~~~~~~~~~~ d Lobbying ~~~~~~~~~~~~~~~~~~
12
Advertising and promotion ~~~~~~~~~
13
Office expenses ~~~~~~~~~~~~~~~
14
Information technology ~~~~~~~~~~~
15
Royalties ~~~~~~~~~~~~~~~~~~
16
Occupancy ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~
17 18
Payments of travel or entertainment expenses for any federal, state, or local public officials ~
19
Conferences, conventions, and meetings ~~
20
Interest
21
Payments to affiliates ~~~~~~~~~~~~
22
Depreciation, depletion, and amortization ~~
~~~~~~~~~~~~~~~~~~
23
Insurance
24
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
~~~~~~~~~~~~~~~~~
REPAIRS AND MAINTENANCE b SPECIAL EVENTS c OTHER ADMIN COSTS d ANNUAL REPORT a
e All other expenses 25 26
Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the organization
31,250. 3,377,815.
reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here | 132010 12-09-21
if following SOP 98-2 (ASC 958-720)
Form 990 (2021)
Form 990 (2021)
Part X
WABASH VALLEY COMMUNITY FOUNDATION, INC
35-1848649
Balance Sheet
Page 11
Check if Schedule O contains a response or note to any line in this Part X (A) Beginning of year
315,596. 824,337.
(B) End of year
1
Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~~~~~~~~
2
Savings and temporary cash investments ~~~~~~~~~~~~~~~~~~
3
Pledges and grants receivable, net ~~~~~~~~~~~~~~~~~~~~~
3
4
Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~
4
5
Loans and other receivables from any current or former officer, director,
1 2
749,865. 857,613.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons 6
~~~~~~~~~
Assets
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
~~
6
7
Notes and loans receivable, net ~~~~~~~~~~~~~~~~~~~~~~~
7
8
Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9
Prepaid expenses and deferred charges
9
~~~~~~~~~~~~~~~~~~
Liabilities
10 a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D ~~~
10a
1,115,167. 279,511.
b Less: accumulated depreciation ~~~~~~ 10b 11 Investments - publicly traded securities ~~~~~~~~~~~~~~~~~~~
880,805. 10c 84,810,682. 11
12
Investments - other securities. See Part IV, line 11 ~~~~~~~~~~~~~~
12
13
Investments - program-related. See Part IV, line 11
13
14
Intangible assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~
16 17
Total assets. Add lines 1 through 15 (must equal line 33) Accounts payable and accrued expenses ~~~~~~~~~~~~~~~~~~
18
Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19
Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
20
Tax-exempt bond liabilities ~~~~~~~~~~~~~~~~~~~~~~~~~
21
Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~ Loans and other payables to any current or former officer, director,
22
~~~~~~~~~~~~~
127,760. 86,959,180. 109. 1,377,985.
14 15 16 17 18
835,656. 75,090,958.
113,368. 77,647,460. 3,109. 1,914,508.
19 20
4,239,915. 21
3,448,500.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
~~~~~~~~~
22
23
Secured mortgages and notes payable to unrelated third parties
~~~~~~
472,828. 23
24
Unsecured notes and loans payable to unrelated third parties ~~~~~~~~
24
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
26 Net Assets or Fund Balances
5
Loans and other receivables from other disqualified persons (as defined
Total liabilities. Add lines 17 through 25 Organizations that follow FASB ASC 958, check here | X
27
and complete lines 27, 28, 32, and 33. Net assets without donor restrictions ~~~~~~~~~~~~~~~~~~~~
28
Net assets with donor restrictions ~~~~~~~~~~~~~~~~~~~~~~ Organizations that do not follow FASB ASC 958, check here
261,294. 25 6,352,131. 26
3,615. 5,825,659.
76,812,538. 27 3,794,511. 28
68,798,551. 3,023,250.
|
29
and complete lines 29 through 33. Capital stock or trust principal, or current funds ~~~~~~~~~~~~~~~
29
30
Paid-in or capital surplus, or land, building, or equipment fund ~~~~~~~~
30
31
Retained earnings, endowment, accumulated income, or other funds
32
Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~
33
Total liabilities and net assets/fund balances
132011 12-09-21
455,927.
~~~~
31
80,607,049. 32 86,959,180. 33
71,821,801. 77,647,460. Form 990 (2021)
WABASH VALLEY COMMUNITY FOUNDATION, INC Part XI Reconciliation of Net Assets
Form 990 (2021)
35-1848649
Page 12
Check if Schedule O contains a response or note to any line in this Part XI
X
13,940,800. 4,035,041. 9,905,759. 80,607,049. -19,468,030.
1
Total revenue (must equal Part VIII, column (A), line 12) ~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Total expenses (must equal Part IX, column (A), line 25) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2
3
Revenue less expenses. Subtract line 2 from line 1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ~~~~~~~~~~
4
5
Net unrealized gains (losses) on investments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
6
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7
Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7
8
Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9
Other changes in net assets or fund balances (explain on Schedule O)
9
777,023.
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, 10
71,821,801.
~~~~~~~~~~~~~~~~~~
column (B))
Part XII Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII 1
Accounting method used to prepare the Form 990:
Cash
X Accrual
Yes
X No
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a
X
2a
separate basis, consolidated basis, or both: Separate basis
Consolidated basis
Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis,
2b
X
2c
X
consolidated basis, or both:
X Separate basis
Consolidated basis
Both consolidated and separate basis
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? ~~~~~~~~~~~~~~~ If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits
132012 12-09-21
3a
X
3b Form 990 (2021)
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. | Attach to Form 990 or Form 990-EZ. | Go to www.irs.gov/Form990 for instructions and the latest information.
2021
Open to Public Inspection Employer identification number
WABASH VALLEY COMMUNITY FOUNDATION, INC Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
35-1848649
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name,
4
city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
5
section 170(b)(1)(A)(iv). (Complete Part II.) 6 7
X
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
8
section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
10
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
11
See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) . See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
No
(v) Amount of monetary support (see instructions)
132021 01-04-22
(vi) Amount of other support (see instructions)
Schedule A (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Schedule A (Form 990) 2021
Part II
Page 2
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) | 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
(a) 2017
(b) 2018
(c) 2019
(d) 2020
(e) 2021
(f) Total
1572864. 6831972. 3129964. 7541841. 7840503. 26917144.
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 3 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 4 Total. Add lines 1 through 3 ~~~ 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ~~~~~~~~~~~~
1572864. 6831972. 3129964. 7541841. 7840503. 26917144.
6 Public support. Subtract line 5 from line 4.
9964375. 16952769.
Calendar year (or fiscal year beginning in) | 7 Amounts from line 4 ~~~~~~~
1572864. 6831972. 3129964. 7541841. 7840503. 26917144.
Section B. Total Support
(a) 2017
(b) 2018
(c) 2019
(d) 2020
(e) 2021
(f) Total
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~
2815606. 2207043. 1950488. 1961845. 3242310. 12177292.
9 Net income from unrelated business activities, whether or not the business is regularly carried on
~
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions)
39094436. ~~~~~~~~~~~~~~~~~~~~~~~
12
13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
Section C. Computation of Public Support Percentage
14 Public support percentage for 2021 (line 6, column (f), divided by line 11, column (f)) ~~~~~~~~~~~~ 15 Public support percentage from 2020 Schedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~
14 15
|
43.36 35.35
16a 33 1/3% support test - 2021. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
|
b 33 1/3% support test - 2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
|
% %
X
17a 10% -facts-and-circumstances test - 2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~~~~~~~~
|
b 10% -facts-and-circumstances test - 2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~
|
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions | Schedule A (Form 990) 2021
132022 01-04-22
WABASH VALLEY COMMUNITY FOUNDATION, INC Part III Support Schedule for Organizations Described in Section 509(a)(2)
Schedule A (Form 990) 2021
35-1848649 Page 3
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal year beginning in) | 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
(a) 2017
(b) 2018
(c) 2019
(d) 2020
(e) 2021
(f) Total
(a) 2017
(b) 2018
(c) 2019
(d) 2020
(e) 2021
(f) Total
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 ~~~~~ 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 5 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 6 Total. Add lines 1 through 5 ~~~ 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year ~~~~~~
c Add lines 7a and 7b ~~~~~~~ 8 Public support. (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in) | 9 Amounts from line 6 ~~~~~~~ 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~ b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 ~~~~ c Add lines 10a and 10b ~~~~~~ 11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on ~~~~~~~ 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 13 Total support. (Add lines 9, 10c, 11, and 12.)
14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
|
Section C. Computation of Public Support Percentage
15 Public support percentage for 2021 (line 8, column (f), divided by line 13, column (f)) ~~~~~~~~~~~ 16 Public support percentage from 2020 Schedule A, Part III, line 15
15
%
16
%
17 Investment income percentage for 2021 (line 10c, column (f), divided by line 13, column (f)) ~~~~~~~~ 18 Investment income percentage from 2020 Schedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~
17
%
Section D. Computation of Investment Income Percentage
%
18 19 a 33 1/3% support tests - 2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
~~~~~~~~~~
|
b 33 1/3% support tests - 2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~ | 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions 132023 01-04-22
|
Schedule A (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC Supporting Organizations
Schedule A (Form 990) 2021
Part IV
35-1848649 Page 4
(Complete only if you checked a box in line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes 1
class or purpose, describe the designation. If historic and continuing relationship, explain. 2
No
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by 1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
3c 4a
4b
c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
5a 5b 5c
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in 7
Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
6
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990).
7
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990).
8
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.
9a
b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI.
9b
c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
9c
8
10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 132024 01-04-21
10a 10b Schedule A (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC Supporting Organizations (continued)
Schedule A (Form 990) 2021
Part IV
35-1848649 Page 5 Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons?
11
a A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11b 11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
1
2
Section C. Type II Supporting Organizations
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control
1
or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
1
organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
1
Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
2
the organization maintained a close and continuous working relationship with the supported organization(s).
2
By reason of the relationship described on line 2, above, did the organization's supported organizations have a
3
significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
1 a
The organization satisfied the Activities Test. Complete line 2 below.
b
The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
c 2
Activities Test. Answer lines 2a and 2b below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes,
Yes
No
how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3
2b
Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No" provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
132025 01-04-22
3a 3b Schedule A (Form 990) 2021
Part V
WABASH VALLEY COMMUNITY FOUNDATION, INC Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( explain in Part VI ). See instructions.
Schedule A (Form 990) 2021
35-1848649 Page 6
All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A - Adjusted Net Income 1
Net short-term capital gain
1
2
Recoveries of prior-year distributions
2
3
Other gross income (see instructions)
3
4
Add lines 1 through 3.
4
5
Depreciation and depletion
5
6
Portion of operating expenses paid or incurred for production or
(A) Prior Year
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
6
7
Other expenses (see instructions)
7
8
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
8
Section B - Minimum Asset Amount 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances
1b
c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c)
1d
1a 1c
e Discount claimed for blockage or other factors (explain in detail in Part VI ): 2
Acquisition indebtedness applicable to non-exempt-use assets
2
3
Subtract line 2 from line 1d.
3
4
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).
4
5
Net value of non-exempt-use assets (subtract line 4 from line 3)
5
6
Multiply line 5 by 0.035.
6
7
Recoveries of prior-year distributions
7
8
Minimum Asset Amount (add line 7 to line 6)
8 Current Year
Section C - Distributable Amount 1
Adjusted net income for prior year (from Section A, line 8, column A)
1
2
Enter 0.85 of line 1.
2
3
Minimum asset amount for prior year (from Section B, line 8, column A)
3
4
Enter greater of line 2 or line 3.
4
5
Income tax imposed in prior year
5
6
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions).
7
6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2021
132026 01-04-22
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Schedule A (Form 990) 2021
Part V
Section D - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes
Page 7
Current Year 1
Amounts paid to perform activity that directly furthers exempt purposes of supported
2
organizations, in excess of income from activity
2
3
Administrative expenses paid to accomplish exempt purposes of supported organizations
3
4
Amounts paid to acquire exempt-use assets
4
5
Qualified set-aside amounts (prior IRS approval required - provide details in Part VI ) Other distributions ( describe in Part VI ). See instructions.
5 7
8
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI ). See instructions.
9
Distributable amount for 2021 from Section C, line 6
9
10
Line 8 amount divided by line 9 amount
10
6 7
(i) Section E - Distribution Allocations (see instructions) 1
Distributable amount for 2021 from Section C, line 6
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required - explain in Part VI ). See instructions.
Excess Distributions
6
8
(ii) Underdistributions Pre-2021
(iii) Distributable Amount for 2021
Excess distributions carryover, if any, to 2021
3
a From 2016 b From 2017 c From 2018 d From 2019 e From 2020 f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2021 distributable amount
4
i
Carryover from 2016 not applied (see instructions)
j
Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years b Applied to 2021 distributable amount 5
c Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI . See instructions.
7 8
Excess distributions carryover to 2022. Add lines 3j and 4c. Breakdown of line 7: a Excess from 2017 b Excess from 2018 c Excess from 2019 d Excess from 2020 e Excess from 2021 Schedule A (Form 990) 2021
132027 01-04-22
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Schedule A (Form 990) 2021
Part VI
132028 01-04-22
Page 8
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2021
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
2021
| Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. | Attach to Form 990. |Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the
Part I
organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds 1
Total number at end of year ~~~~~~~~~~~~~~~
2
Aggregate value of contributions to (during year)
3
Aggregate value of grants from (during year)
~~~~
~~~~~~
57 171,032. 210,436. 4,108,122.
(b) Funds and other accounts
4
Aggregate value at end of year ~~~~~~~~~~~~~
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~
6
No
X Yes
No
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only
for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Part II Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1
X Yes
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education)
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space 2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Total acreage restricted by conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Number of conservation easements on a certified historic structure included in (a) ~~~~~~~~~~~~ d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure
2c
2b
listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3
2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year |
4
Number of states where property subject to conservation easement is located |
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
6
violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
No
| 7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year |$
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
Yes
No
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2
| $ | $
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Assets included in Form 990, Part X
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132051 10-28-21
| $ | $ Schedule D (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2021
Part III
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its
3
collection items (check all that apply): a
Public exhibition
d
Loan or exchange program
b
Scholarly research
e
Other
c
Preservation for future generations
4
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?
Part IV
Yes
No
Yes
X No
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
e Distributions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f Ending balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1e
1d
1f 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ~~~~~ X Yes No X b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII Part V Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back 1a Beginning of year balance ~~~~~~~ b Contributions ~~~~~~~~~~~~~~ c Net investment earnings, gains, and losses d Grants or scholarships ~~~~~~~~~ e Other expenditures for facilities and programs ~~~~~~~~~~~~~ f
Administrative expenses ~~~~~~~~
81,271,567. 6,153,445. -13,057,417. 2,200,717.
59,917,185. 6,656,477. 18,022,755. 2,307,819.
55,756,812. 2,622,235. 4,598,635. 2,255,268.
52,599. 1,128,588. 70,985,691.
1,017,031. 81,271,567.
805,229. 59,917,185.
g End of year balance ~~~~~~~~~~ 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment | 8.9000 b Permanent endowment |
91.1000
51,566,473. 6,373,283. -596,809.
48,758,140. 1,204,281. 3,470,777.
1,586,135.
1,866,725.
55,756,812.
51,566,473.
%
%
% c Term endowment | The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Related organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? ~~~~~~~~~~~~~~~~~~~~ 4 Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Yes 3a(i) 3a(ii)
No
X X
3b
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
(d) Book value
1a Land ~~~~~~~~~~~~~~~~~~~~ b Buildings ~~~~~~~~~~~~~~~~~~
59,000. 905,319.
147,087.
59,000. 758,232.
c Leasehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~
150,848.
132,424.
18,424.
e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.)
|
835,656.
Schedule D (Form 990) 2021
132052 10-28-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Part VII Investments - Other Securities.
Schedule D (Form 990) 2021
35-1848649
Page 3
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives ~~~~~~~~~~~~~~~ (2) Closely held equity interests ~~~~~~~~~~~ (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 12.) |
Part VIII Investments - Program Related.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 13.) |
Part IX
Other Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.) |
Part X
1.
Other Liabilities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(1) Federal income taxes (2)
OTHER LIABILITES
(b) Book value
3,615.
(3) (4) (5) (6) (7) (8) (9)
3,615. Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.) | 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII
X
Schedule D (Form 990) 2021 132053 10-28-21
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Schedule D (Form 990) 2021
Part XI
Page 4
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 2
Total revenue, gains, and other support per audited financial statements
~~~~~~~~~~~~~~~~~~~
Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~ b Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ c Recoveries of prior year grants ~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
-3,981,683.
2a -19,468,030. 2b 2c
1,114,196. 2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
1
4a
-18,353,834. 14,372,151. 3
2e
199,959. -631,310.
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
-431,351. 13,940,800. 5 Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. 4c
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 2
Total expenses and losses per audited financial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~
1
4,803,565.
2e
1,128,588. 3,674,977.
Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ b Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
2b
1,128,588. 2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4a
3
199,959. 160,105.
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Part XIII Supplemental Information.
4c 5
360,064. 4,035,041.
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART IV, LINE 2B: CUSTODIAL FUNDS REPRESENT FUNDS PLACED ON DEPOSIT WITH THE FOUNDATION BY OTHER 501(C)(3) ORGANIZATIONS BASED ON THEIR INDIVIDUAL BOARD RESOLUTIONS.
PART V, LINE 4: THE ORGANIZATION INTENDS TO USE THE BOARD DESIGNATED ASSETS TO SUPPORT THE PROGRAMS AND INITIATIVES OF NON-PROFIT AND SIMILAR ORGANIZATIONS IN THE WABASH VALLEY, PRIMARILY CLAY, SULLIVAN AND VIGO COUNTIES, INDIANA.
THE
ORGANIZATION ALSO INTENDS TO USE THE DESIGNATED FUNDS FOR THE CITIZENS OF THE COMMUNITY THROUGH COLLEGE SCHOLARSHIPS.
PART X, LINE 2: 132054 10-28-21
Schedule D (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC Part XIII Supplemental Information (continued)
Schedule D (Form 990) 2021
35-1848649 Page 5
THE WABASH VALLEY COMMUNITY FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.
ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
AS SUCH, THE FOUNDATION IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE FOUNDATION IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY.
PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN CASH SURRENDER VALUE
-14,392.
ADMINISTRATIVE FEES
1,128,588.
TOTAL TO SCHEDULE D, PART XI, LINE 2D
1,114,196.
PART XI, LINE 4B - OTHER ADJUSTMENTS: SFAS #136 ADJUSTMENT`
-631,310. Schedule D (Form 990) 2021
132055 10-28-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Part XIII Supplemental Information (continued)
Schedule D (Form 990) 2021
35-1848649 Page 5
PART XII, LINE 2D - OTHER ADJUSTMENTS: ADMINISTRATIVE FEES
1,128,588.
PART XII, LINE 4B - OTHER ADJUSTMENTS: SFAS #136 ADJUSTMENT
160,105.
Schedule D (Form 990) 2021 132055 10-28-21
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990)
Part I 1
2021
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. | Attach to Form 990. | Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Open to Public Inspection Employer identification number
35-1848649
WABASH VALLEY COMMUNITY FOUNDATION, INC
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection
X Yes
criteria used to award the grants or assistance? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No
2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. Part II Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. (f) Method of 1 (a) Name and address of organization (b) EIN (c) IRC section (d) Amount of (e) Amount of (g) Description of (h) Purpose of grant valuation (book, or government (if applicable) cash grant noncash noncash assistance or assistance FMV, appraisal, assistance other)
14TH & CHESTNUT COMMUNITY CENTER 1403 CHESTNUT TERRE HAUTE, IN 47807 AMERICAN CANCER SOCIETY, VIGO COUNTY UNIT - 5635 W 96TH ST. SUITE 100 - INDIANAPOLIS, IN 46278 AMERICAN HEART ASSOCIATION GREATER MIDWEST AFFILIATE PO BOX 22 ST. PETERSBURG, FL 33742 ARCHDIOCESE OF INDIANAPOLIS UNITED CATHOLIC APPEAL - 1400 N. MERIDIAN PO BOX 6043 INDIANAPOLIS, IN 46206-6043 ART SPACES, INC. 669 OHIO STREET TERRE HAUTE, IN 47807 ARTS ILLIANA, INC. 23 N 6TH STREET TERRE HAUTE, IN 47807-3123 2
30-0127993 501(C) 3
13-1788491 501(C) 3
13-5613797 501(C) 3
35-1018460 501(C) 3
16-1707543 501(C) 3
35-1483725 501(C) 3
6,644.
5,316.
5,316.
10,989.
31,800.
12,500.
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
|
71. 2.
3 Enter total number of other organizations listed in the line 1 table | LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) 2021 132101 10-26-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
BAESLER'S/TRIB STAR BASKET PROJECT 2900 POPLAR STREET TERRE HAUTE, IN 47803 BOY SCOUTS OF AMERICA, CROSSROADS OF AMERICA COUNCIL - 7125 FALL CREEK ROAD N - INDIANAPOLIS, IN 46256 BRAZIL MAINSTREET ORGANIZATION 203 E NATIONAL AVE PO BOX 241 BRAZIL, IN 47834 CAMP NAVIGATE PO BOX 3687 TERRE HAUTE, IN 47803 CANDLES INC. 1532 SOUTH THIRD STREET TERRE HAUTE, IN 47802-1012 CARLISLE LIONS COMMUNITY AMBULANCE SERVICE, INC. - PO BOX 206 CARLISLE, IN 47838 CATHOLIC CHARITIES OF TERRE HAUTE 1801 POPLAR STREET PO BOX 3318 TERRE HAUTE, IN 47803-0318 CHANCES AND SERVICES FOR YOUTH 1101 S. 13TH STREET TERRE HAUTE, IN 47802 CITY OF BRAZIL 203 E. NATIONAL AVENUE BRAZIL, IN 47834
(b) EIN
(c) IRC section if applicable
35-1443141
(d) Amount of cash grant
30,548.
35-0867962 501(C) 3
27-2200534 501(C) 3
82-2763786 501(C) 3
31-1097973 501(C) 3
35-1366234 501(C) 3
35-1577679 501(C) 3
31-0931817 501(C) 3
GOVERNMENTAL
20,800.
21,500.
10,000.
8,000.
20,000.
23,932.
45,000.
49,731.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
CITY OF SULLIVAN 32 N. COURT STREET SULLIVAN, IN 47882-1508 CLAY COMMUNITY SCHOOLS 1013 S. FOREST AVENUE BRAZIL, IN 47834 CLAY COUNTY 4-H COUNCIL, INC. PO BOX 702 BRAZIL, IN 47834 CLAY COUNTY HUMANE SHELTER 8280 N. COUNTY ROAD 125 W. BRAZIL, IN 47834 COMMUNITY THEATRE OF TERRE HAUTE 1431 S 25TH STREET TERRE HAUTE, IN 47803-2986 FSA OF THE WABASH VALLEY, INC. 1111 WABASH AVENUE TERRE HAUTE, IN 47807-3198 GIBAULT FOUNDATION, INC. 6401 SOUTH U. S. HIGHWAY 41 TERRE HAUTE, IN 47802-4749 GREATER TERRE HAUTE CHAMBER FOUNDATION - 630 WABASH AVE STE 105 - TERRE HAUTE, IN 47807 HAMILTON CENTER, INC. 620 8TH AVENUE PO BOX 4323 TERRE HAUTE, IN 47804-0323
(b) EIN
(c) IRC section if applicable
35-6001206 GOVERNMENTAL
501(C) 3
35-1582478 501(C) 3
35-1161013 501(C) 3
35-1090548 501(C) 3
35-0876375 501(C) 3
35-0868093 501(C) 3
31-1205429 501(C) 3
35-1140758 501(C) 3
(d) Amount of cash grant
45,000.
24,128.
9,562.
58,697.
10,000.
10,000.
5,315.
15,000.
13,175.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
HAPPINESS BAG, INC. 3833 UNION ROAD TERRE HAUTE, IN 47802-5516 HEART OF SULLIVAN C/O KRISTI BURKHART PO BOX 282 SULLIVAN, IN 47882 HULL CEMETERY ASSOCIATION, INC PO BOX 11 PRAIRIETON, IN 47870 HUMANE SOCIETY OF SULLIVAN COUNTY 2425 N. SECTION ST. PO BOX 213 SULLIVAN, IN 47882 INDIANA ELKS CHARITIES 2181 E FORT KNOX PL VINCENNES, IN 47591 INDIANA STATE UNIVERSITY FOUNDATION - 30 NORTH 5TH STREET TERRE HAUTE, IN 47807 IVY TECH FOUNDATION 8000 S. EDUCATION DRIVE TERRE HAUTE, IN 47802 LOST CREEK TOWNSHIP TRUSTEE PO BOX 296 SEELYVILLE, IN 47878 MEROM UNITED METHODIST CHURCH 1882 S. 3RD STREET PO BOX 12 MEROM, IN 47861
(b) EIN
(c) IRC section if applicable
35-1268675 501(C) 3
81-4263204 501(C) 3
47-1243849 501(C)(13) CEMET
26-0490753 501(C) 3
23-7289798 501(C) 3
35-6045550 501(C) 3
23-7073977 501(C) 3
GOVERNMENTAL
501(C) 3
(d) Amount of cash grant
32,700.
15,000.
9,714.
6,000.
12,253.
5,316.
25,000.
20,000.
5,163.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
MOSAIC OF TERRE HAUTE 2901 PROFESSIONAL LANE TERRE HAUTE, IN 47802 MOTHER THEODORE CORPORATION IV C/O PFISTER & COMPANY INC. 711 OHIO STREET - TERRE HAUTE, IN 47807 NETWORK FOR GOOD PO BOX 92003 LAS VEGAS, NV 89193-2003 NEXT STEP FOUNDATION, INC 619 WASHINGTON STREET TERRE HAUTE, IN 47802 OPEN ARMS CHRISTIAN MINISTRIES PO BOX 271 SWITZ CITY, IN 47465 PROVIDENCE HEALTHCARE 1 SISTERS OF PROVIDENCE PO BOX 97 - SAINT MARY-OF-THE-WOODS, IN 47876 REACH SERVICES, INC. 1400 HULMAN STREET TERRE HAUTE, IN 47802 ROSE-HULMAN INSTITUTE OF TECHNOLOGY - 5500 WABASH AVENUE TERRE HAUTE, IN 47803-3920 RURAL COMMUNITY SOLUTIONS / GLOBAL HORIZONS - 1413 CHESTNUT STREET ATLANTIC, IA 50022
(b) EIN
(c) IRC section if applicable
11-3669999 501(C) 3
20-3035695 501(C) 3
37-1714640 501(C) 3
45-1831576 501(C) 3
35-1614662 501(C) 3
61-1419325 501(C) 3
35-6005672 501(C) 3
35-0868149 501(C) 3
20-8453839
(d) Amount of cash grant
6,650.
11,874.
29,200.
15,000.
8,874.
10,120.
25,000.
10,989.
6,625.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
RUTH HOUSE 128 CROWDER STREET SULLIVAN, IN 47882 SAINT MARY-OF-THE-WOODS COLLEGE PO BOX 70 ST. MARY OF THE WOOD, IN 47876 SAINT MEINRAD SCHOOL OF THEOLOGY 200 HILL DRIVE ST. MEINRAD, IN 47577 SALVATION ARMY 234 S 8TH STREET TERRE HAUTE, IN 47807-3706 SHELDON SWOPE ART MUSEUM, INC. 25 S 7TH STREET TERRE HAUTE, IN 47807-3692
(b) EIN
(c) IRC section if applicable
26-1238708 501(C) 3
35-1065063 501(C) 3
35-0868161 501(C) 3
36-2167910 501(C) 3
35-1125675 501(C) 3
SINCERUS 6800 EAST 32ND STREET INDIANAPOLIS, IN 46226-6161 SISTERS OF OUR LADY MT. CARMEL 59 ALLENDALE TERRE HAUTE, IN 47802 SISTERS OF PROVIDENCE 1 SISTERS OF PROVIDENCE ST.MARY-OF-THE-WOODS, IN 47876-1089 ST. BENEDICT CHURCH 111 SOUTH 9TH STREET TERRE HAUTE, IN 47807
(d) Amount of cash grant
5,885.
20,000.
10,989.
6,004.
62,386.
8,250.
35-6036129 501(C) 3
35-0868174 501(C) 3
35-0875485 501(C) 3
5,089.
17,774.
15,000.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
ST. JOSEPH UNIVERSITY PARISH 113 SOUTH 5TH STREET TERRE HAUTE, IN 47807 ST. MARGARET MARY CHURCH 2405 S. 7TH STREET TERRE HAUTE, IN 47802 SULLIVAN CITY FIRE DEPARTMENT FOR THE CITY OF SULLIVAN - 32 N COURT ST. - SULLIVAN, IN 47882 SULLIVAN CITY POLICE DEPARTMENT 32 N COURT ST. SULLIVAN, IN 47882 SULLIVAN COUNTY PUBLIC LIBRARY 100 S. CROWDER STREET SULLIVAN, IN 47882 TERRE HAUTE CHILDREN'S MUSEUM 727 WABASH AVE. TERRE HAUTE, IN 47807 TERRE HAUTE HUMANE SOCIETY 1811 S. FRUITRIDGE AVENUE PO BOX 33 TERRE HAUTE, IN 47803-0307 TERRE HAUTE PARKS & RECREATION DEPARTMENT - 1110 GIRL SCOUT LANE - TERRE HAUTE, IN 47803 TERRE HAUTE SYMPHONY ASSOCIATION 25 N. 6TH STREET TERRE HAUTE, IN 47807-3123
(b) EIN
(c) IRC section if applicable
35-0921706 501(C) 3
35-0868063 501(C) 3
35-6001206 501(C)(4) CIVIC
35-6001206 GOVERNMENTAL
31-1152799 501(C) 3
31-1224051 501(C) 3
35-0884686 501(C) 3
35-6001210 501(C) 3
35-1120529 501(C) 3
(d) Amount of cash grant
12,500.
10,989.
16,000.
6,440.
8,898.
51,663.
5,316.
19,534.
20,797.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
TOWN OF CENTER POINT PO BOX 177 CENTER POINT, IN 47840 TREES INC. PO BOX 3683 TERRE HAUTE, IN 47803 UNITED CHILD CARE CENTER 2051 BEECH STREET TERRE HAUTE, IN 47804 UNITED WAY OF THE WABASH VALLEY 100 S. 7TH STREET TERRE HAUTE, IN 47807-3607 VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER - 1530 N 7TH ST STE 201 - TERRE HAUTE, IN 47807 VERMILLION TRAILS ALLIANCE 703 W PARK ST CAYUGA, IN 47928 VIGO COUNTY EDUCATION FOUNDATION PO BOX 3703 TERRE HAUTE, IN 47808-0703 VIGO COUNTY HISTORICAL SOCIETY 929 WABASH AVENUE TERRE HAUTE, IN 47807-3229 WABASH VALLEY COMMUNITY FOUNDATION 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
(b) EIN
(c) IRC section if applicable
GOVERNMENTAL
35-1820751 501(C) 3
23-7092701 501(C) 3
35-1008531 501(C) 3
20-8998983 501(C) 3
82-3697623 501(C) 3
31-1104841 501(C) 3
35-1104349 501(C) 3
35-1848649 501(C) 3
(d) Amount of cash grant
18,000.
13,534.
5,040.
37,905.
28,891.
18,000.
21,289.
53,086.
15,850.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION Schedule I (Form 990)
132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) Part II Continuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments (Schedule I (Form 990), Part II.) (a) Name and address of organization or government
WREATH, INC. / THE ROCK 500 E. 10TH ST. PO BOX 21 CLAY CITY, IN 47841 YMCA OF THE WABASH VALLEY 225 E. KRUZAN BRAZIL, IN 47834
(b) EIN
(c) IRC section if applicable
80-0144253 501(C) 3
35-0868207 501(C) 3
(d) Amount of cash grant
5,440.
51,500.
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
35-1848649
(g) Description of non-cash assistance
Page 1
(h) Purpose of grant or assistance
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
0.
TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION
Schedule I (Form 990) 132241 11-18-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule I (Form 990) 2021 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III Part III can be duplicated if additional space is needed. (a) Type of grant or assistance
SCHOLARSHIPS
Part IV
(b) Number of recipients
209
(c) Amount of cash grant
766,838.
(d) Amount of noncash assistance
(e) Method of valuation (book, FMV, appraisal, other)
35-1848649
Page 2
(f) Description of noncash assistance
0.
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
PART I, LINE 2: THE WABASH VALLEY COMMUNITY FOUNDATION PERFORMS DUE DILIGENCE TO ENSURE GRANTS FROM ALL FUNDS ARE EXCLUSIVELY USED FOR CHARITABLE PURPOSES AS DEFINED BY THE IRS. PER BY LAWS AND ARTICLES OF INCORPORATION, THE COMMUNITY FOUNDATION MAY MAKE GRANTS TO 501(C)(3) CHARITABLE ORGANIZATIONS. THE APPROVAL OF ALL GRANTS REQUIRES DUE DILIGENCE TO CONFIRM THE CHARITABLE PURPOSE AND THE PUBLIC BENEFIT OF THE GRANT. MINIMUM REQUIRED DUE DILIGENCE CONSISTS OF CONFIRMATION OF THE CHARITABLE ORGANIZATIONAL STATUS. MAXIMUM DUE DILIGENCE CONSISTS OF AN EXAMINATION OF SPECIFIC EXPENDITURES. PRIOR TO 132102 10-26-21
Schedule I (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC Supplemental Information
Schedule I (Form 990)
Part IV
35-1848649 Page 2
THE RELEASE OF APPROVED GRANTS, GRANTEES OTHER THAN 501(C)(3) PUBLIC CHARITIES IN GOOD STANDING WITH THE IRS, CHURCHES, AND UNITS OF GOVERNMENT WILL BE REQUIRED TO SIGN A GRANT AGREEMENT AGREEING TO PROVIDE A REPORT AND RECEIPTS DOCUMENTING SPECIFIC EXPENDITURES. IRS AND THE U.S. DEPARTMENT OF TREASURY ANTI-TERRORIST FINANCING GUIDELINES WILL BE CONSULTED PRIOR TO AUTHORIZING INTERNATIONAL GRANTS
OR GRANTS TO UNKNOWN ENTITIES. COMPLETE
AND ACCURATE GRANT REPORTS MAY BE REQUIRED PRIOR TO THE RELEASE OF FUTURE FUNDING.
132291 04-01-21
Schedule I (Form 990)
SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
Compensation Information
OMB No. 1545-0047
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees | Complete if the organization answered "Yes" on Form 990, Part IV, line 23. | Attach to Form 990. | Go to www.irs.gov/Form990 for instructions and the latest information.
WABASH VALLEY COMMUNITY FOUNDATION, INC Questions Regarding Compensation
2021
Open to Public Inspection Employer identification number
35-1848649
Yes
No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. First-class or charter travel
Housing allowance or residence for personal use
Travel for companions Tax indemnification and gross-up payments
Payments for business use of personal residence Health or social club dues or initiation fees
Discretionary spending account
Personal services (such as maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain ~~~~~~~~~~~ 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,
1b
trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? ~~~~~~~~~~~~
2
3
Indicate which, if any, of the following the organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III. Compensation committee Independent compensation consultant Form 990 of other organizations
4
Written employment contract
X Compensation survey or study X Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a Receive a severance payment or change-of-control payment? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Participate in or receive payment from a supplemental nonqualified retirement plan? ~~~~~~~~~~~~~~~~~~~~
4a
c Participate in or receive payment from an equity-based compensation arrangement? ~~~~~~~~~~~~~~~~~~~~ If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
4c
5
4b
X X X
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of:
a The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5a 5b
X X
If "Yes" on line 5a or 5b, describe in Part III. 6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: 6b
X X
7
X
~~~~~~~~~~~
8
X
Regulations section 53.4958-6(c)?
9
a The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6a
If "Yes" on line 6a or 6b, describe in Part III. 7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments not described on lines 5 and 6? If "Yes," describe in Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990.
132111 11-02-21
Schedule J (Form 990) 2021
35-1848649 WABASH VALLEY COMMUNITY FOUNDATION, INC Schedule J (Form 990) 2021 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
Page 2
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that aren't listed on Form 990, Part VII. Note: The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC compensation (A) Name and Title
(1) BETH TEVLIN EXECUTIVE DIRECTOR
(i) Base compensation (i) (ii)
155,000. 0.
(ii) Bonus & incentive compensation
0. 0.
(iii) Other reportable compensation
0. 0.
(C) Retirement and other deferred compensation
0. 0.
(D) Nontaxable benefits
21,425. 0.
(E) Total of columns (B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
176,425. 0.
0. 0.
(i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) Schedule J (Form 990) 2021 132112 11-02-21
WABASH Schedule J (Form 990) 2021 Part III Supplemental Information
VALLEY COMMUNITY FOUNDATION, INC
35-1848649
Page 3
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2021 132113 11-02-21
Noncash Contributions
SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
WABASH VALLEY COMMUNITY FOUNDATION, INC Types of Property
(a) (b) (c) Number of Noncash contribution Check if amounts reported on applicable contributions or items contributed Form 990, Part VIII, line 1g
Art - Works of art ~~~~~~~~~~~~~
2
Art - Historical treasures
3
Art - Fractional interests ~~~~~~~~~~
4
Books and publications ~~~~~~~~~~
5 6
Clothing and household goods ~~~~~~ Cars and other vehicles ~~~~~~~~~~
7
Boats and planes ~~~~~~~~~~~~~ Intellectual property
9
Securities - Publicly traded ~~~~~~~~
10
Securities - Closely held stock ~~~~~~~
11
Securities - Partnership, LLC, or
~~~~~~~~~~~
Employer identification number
35-1848649
(d) Method of determining noncash contribution amounts
X
10,859
1,017,165. FAIR MARKET VALUE
~~~~~~~~~~~~~~
13
Securities - Miscellaneous ~~~~~~~~ Qualified conservation contribution -
14
Historic structures ~~~~~~~~~~~~ Qualified conservation contribution - Other ~
15
Real estate - Residential
16
Real estate - Commercial ~~~~~~~~~
17
Real estate - Other ~~~~~~~~~~~~
18
Collectibles ~~~~~~~~~~~~~~~~
19
Food inventory ~~~~~~~~~~~~~~
20
Drugs and medical supplies ~~~~~~~~
~~~~~~~~~
21
Taxidermy ~~~~~~~~~~~~~~~~
22
Historical artifacts
23
Scientific specimens ~~~~~~~~~~~
24
Archeological artifacts ~~~~~~~~~~
J J J J
Open to Public Inspection
~~~~~~~~~
8
trust interests
2021
J Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. J Attach to Form 990. J Go to www.irs.gov/Form990 for instructions and the latest information.
1
12
OMB No. 1545-0047
~~~~~~~~~~~~
25
Other
26
Other
(
)
(
27
Other
)
(
28
Other
)
(
29
Number of Forms 8283 received by the organization during the tax year for contributions
)
for which the organization completed Form 8283, Part V, Donee Acknowledgement ~~~~
29 Yes
No
30a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for 30a
X
~~~~~~
31
X
contributions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
32a
X
exempt purposes for the entire holding period? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 31
b If "Yes," describe the arrangement in Part II. Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
33
b If "Yes," describe in Part II. If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II.
LHA
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
132141 11-17-21
Schedule M (Form 990) 2021
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 Page 2 Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization
Schedule M (Form 990) 2021
Part II
132142 11-17-21
is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Schedule M (Form 990) 2021
SCHEDULE O (Form 990)
Department of the Treasury Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Supplemental Information to Form 990 or 990-EZ
2021
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. | Attach to Form 990 or Form 990-EZ. | Go to www.irs.gov/Form990 for the latest information.
WABASH VALLEY COMMUNITY FOUNDATION, INC
Open to Public Inspection
Employer identification number
35-1848649
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: IS FOR A HEALTHY, EDUCATED AND THRIVING COMMUNITY.
FORM 990, PART VI, SECTION B, LINE 11B: A DRAFT OF THE 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS AND PRESENTED BY THE ACCOUNTANT PREPARING THE RETURN AT A BOARD MEETING. THE RETURN IS THEN APPROVED FOR FILING BY A MOTION OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C: ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AND UPDATE IT ANNUALLY TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE EXECUTIVE DIRECTOR. SCHOLARSHIP COMMITTEE MEMBERS ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWD BY THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15: CHANGES IN COMPENSATION ARE PRESENTED TO THE EXECUTIVE COMMITTEE FOR APPROVAL. THE PROPOSED CHANGED ARE ACCOMPANIED BY INFORMATION SHOWING THE COMPENSATION PAID TO INDIVIDUALS IN SIMILAR SIZED ORGANIZATIONS AND IN THE GEOGRAPHICAL AREA WHERE THE ORGANIZATION IS LOCATED.
FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 132211 11-11-21
Schedule O (Form 990) 2021
Schedule O (Form 990) 2021 Name of the organization
WABASH VALLEY COMMUNITY FOUNDATION, INC
Page 2 Employer identification number
35-1848649
SFAS 136 ADJUSTMENT
791,415.
CHANGE IN CASH SURRENDER VALUE
-14,392.
TOTAL TO FORM 990, PART XI, LINE 9
777,023.
FORM 990, PART XII, LINE 2C THE PROCEDURES THAT THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR.
132212 11-11-21
Schedule O (Form 990) 2021
Name of the organization
Open to Public Inspection
| Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number
35-1848649
WABASH VALLEY COMMUNITY FOUNDATION, INC
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (a) Name, address, and EIN (if applicable) of disregarded entity
WABASH VALLEY HOLDINGS LLC 200 SOUTH ST TERRE HAUTE, IN 47807
Part II
2021
| Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. | Attach to Form 990.
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
SCHEDULE R (Form 990)
(b) Primary activity
(c) Legal domicile (state or
(d) Total income
(e) End-of-year assets
foreign country)
REAL PROPERTY HOLDING COMPANY
(f) Direct controlling entity
WABASH VALLEY COMMUNITY FOUNDATION INC.
INDIANA
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related tax-exempt organizations during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132161 11-17-21
LHA
(c) Legal domicile (state or foreign country)
(d) Exempt Code section
(e) Public charity status (if section 501(c)(3))
(f) Direct controlling entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021 Part III
WABASH VALLEY COMMUNITY FOUNDATION, INC
Page 2
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a) Name, address, and EIN of related organization
Part IV
35-1848649
(b) Primary activity
(c)
Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Predominant income (related, unrelated, excluded from tax under sections 512-514)
(f) Share of total income
(g) Share of end-of-year assets
(h) Disproportionate allocations?
Yes
No
(i) (j) (k) General or Percentage Code V-UBI amount in box managing ownership 20 of Schedule partner? K-1 (Form 1065) Yes No
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or trust during the tax year. (a) Name, address, and EIN of related organization
TED AND ANNA NESTY CHARITABLE TRUST, WVCF TRUSTEE, 200 SOUTH 8TH STREET, TERRE HAUTE, IN 47807
132162 11-17-21
(b) Primary activity
CHARITABLE TRUST
(c) Legal domicile (state or foreign country)
IN
(d) Direct controlling entity
(e) Type of entity (C corp, S corp, or trust)
TRUST
(f) Share of total income
(g) Share of end-of-year assets
(h) Percentage ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
X
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021 Part V
WABASH VALLEY COMMUNITY FOUNDATION, INC
35-1848649
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
2
Yes
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Gift, grant, or capital contribution to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1a
c Gift, grant, or capital contribution from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Loans or loan guarantees to or for related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
e Loans or loan guarantees by related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1e
Dividends from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1f
g Sale of assets to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ h Purchase of assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1g
i
Exchange of assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1i
j
Lease of facilities, equipment, or other assets to related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1j
k Lease of facilities, equipment, or other assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ l Performance of services or membership or fundraising solicitations for related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1k
m Performance of services or membership or fundraising solicitations by related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1m
o Sharing of paid employees with related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1o
p Reimbursement paid to related organization(s) for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ q Reimbursement paid by related organization(s) for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1p
r Other transfer of cash or property to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ s Other transfer of cash or property from related organization(s)
1r
f
Page 3
1b 1d
1h
1l 1n
1q
1s
No
X X X X X X X X X X X X X X X X X X X
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(b) Transaction type (a-s)
(c) Amount involved
(d) Method of determining amount involved
(1) (2) (3) (4) (5) (6) 132163 11-17-21
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021 Part VI
WABASH VALLEY COMMUNITY FOUNDATION, INC
35-1848649
Page 4
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) Name, address, and EIN of entity
(b) Primary activity
(c) (d) (e) Are all Legal domicile Predominant income partners sec. 501(c)(3) (related, unrelated, (state or foreign excluded from tax under orgs.? country) sections 512-514) Yes No
(f) Share of total income
(g) Share of end-of-year assets
(h)
(i)
(j)
(k)
DisproporCode V-UBI General or Percentage tionate amount in box 20 managing allocations? partner? ownership
Yes No
of Schedule K-1 (Form 1065) Yes No
Schedule R (Form 990) 2021 132164 11-17-21
WABASH VALLEY COMMUNITY FOUNDATION, INC Part VII Supplemental Information
Schedule R (Form 990) 2021
35-1848649 Page 5
Provide additional information for responses to questions on Schedule R. See instructions.
132165 11-17-21
Schedule R (Form 990) 2021
NP-20
Indiana Department of Revenue
Indiana Nonprofit Organization's Annual Report For the Calendar Year or Fiscal Year
State Form 51062 (R12 / 8- 21)
Beginning
10
Place "X" in box if: Change of Address
01
2021
and Ending
Amended Report
09
30
Final Report:
2022
Indicate Date Closed
Due on the 15th day of the 5th month following the end of the tax year. NO FEE REQUI RED
Name of Organization
Telephone Number
WABASH VALLEY COMMUNITY FOUNDATION INC
812 232 2234
Address
County
200 SOUTH 8TH STREET
85
Indiana Taxpayer Identification Number
City
State
ZIP Code
Federal Emp loyer Identification Number
TERRE HAUTE
IN
47807
35 1848649
Printed Name of Pers on to Contact
Contact's Telephone Number
BETH TEVLIN
812 232 2234
If you are filing a federal return, attach a completed copy of Form 990, 990EZ, or 990PF. Note: If your organization has unrelated business income of more than $1,000 as defined under Section 513 of the Internal Revenue Code, you must also file Form IT-20NP. Current Information 1. Indicate number of years your organization has been in continuous existance: 30 2. Have any changes not previously reported to the Department been made in your governing instruments, (e.g. ) articles of incorporation, bylaws, or other instruments of importance? If yes, attach a detailed description of changes. 3. Attach a schedule, listing the names, titles and addresses of your current officers. 4. Briefly describe the purpose or mission of your organization below. SEE STATEMENT 1
Email Address:
BETH@WVCF.ORG
Signature of Officer or Trustee
Title
Name of Person(s ) to Contact
Daytime Telephone Number
150981 07-30-21
Date
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NP-20 STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} THE MISSION OF THE FOUNDATION IS TO ENGAGE PEOPLE, BUILD RESOURCES, AND ENRICH LIVES, AND ITS VISION IS FOR A HEALTHY, EDUCATED AND THRIVING COMMUNITY.
STATEMENT(S) 1
WABASH VALLEY COMMUNITY FOUNDATION, INC 35-1848649 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM NP-20 LIST OF OFFICERS, DIRECTORS AND TRUSTEES STATEMENT 2 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} NAME AND ADDRESS }}}}}}}}}}}}}}}} BETH TEVLIN 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
TITLE }}}}}}}}}}}}}}}}}}}}}}}}}}}}}} EXECUTIVE DIRECTOR
SALLY ZUEL 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
PRESIDENT
SANTHANA NAIDU 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
VICE PRESIDENT
DAVID DOTI 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
TREASURER
ROBERT BROWN 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
SECRETARY
MADISON BOSTON-WESZELY 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
JIM CONNER 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
LEA ANNE CROOKS 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
BRIAN DOUGHERTY 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
DAVID FRIEDRICH 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
TROY HELMAN 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
STATEMENT(S) 2
WABASH VALLEY COMMUNITY FOUNDATION, INC }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} SUMMER LONG DIRECTOR 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807 STACY MASON 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
CARRIE PAGE 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
DEE REED 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
JIM TRIBBLE 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
GARY ULRICH 200 SOUTH 8TH STREET TERRE HAUTE, IN 47807
DIRECTOR
35-1848649 }}}}}}}}}}
STATEMENT(S) 2