Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOSPICE OF THE UPSTATE INC
 
Employer identification number

57-0859126
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
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Schedule L (Form 990 or 990-EZ) 2013
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Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WELLS FARGO
 
SEE BELOW   LOAN AND INVESTMENTS   No
(2) FINTRUST INVESTMENT ADVISORS
 
SEE BELOW 578,532 CHARITABLE TRUST   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART V SCOTT WEBBER SERVES ON THE BOARD OF THE ORGANIZATION AND IS AN OFFICER OF THE BANK WHICH LENT THE ORGANIZATION FUNDS AND ENTERED INTO AN INTEREST RATE SWAP AND INTEREST RATE CAP IN A PRIOR YEAR AND ON WHICH 624,321 OF PRINCIPAL AND INTEREST WAS PAID IN 2013. THE OUTSTANDING BALANCE OF THE LOAN WAS 69,083 AT 12/31/13. THE ORGANIZATION ALSO HAS INVESTMENTS AT WELLS FARGO WITH A FAIR MARKET VALUE OF 948,310 AT DECEMBER 31, 2013. BILL KIBLER SERVES ON THE BOARD AS TREASURER AND IS A MEMBER WITH FINTRUST ADVISORS, LLC WHICH COMPANY MANAGES THE INVESTMENTS FOR A CHARITABLE REMAINDER UNITRUST OF WHICH HOSPICE OF THE UPSTATE IS A BENEFICIARY. TRUST ASSETS WERE APPROXIMATELY 578,532 AT 12/31/13. THE ASSET ON THE BOOKS IS THE FAIR VALUE OF THE ORGANIZATION'S INTEREST IN THE TRUST REMAINDER WHICH WAS ALSO 578,532 AT 12/31/13 AS THE DONOR DIED A FEW MONTHS AFTER YEAR-END BUT BEFORE ISSUANCE OF THE AUDITED FINANCIALS.
Schedule L (Form 990 or 990-EZ) 2013


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