SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
GRANT KEIME MEMORIAL TRUST
C/O TED G COLLINS
Employer identification number

37-6030141
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 8A NO WRITTEN MINUTES ARE TAKEN DURING ANY MEETINGS OR TELEPHONE CONVERSATIONS BETWEEN THE CO-TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OF THE TRUST.
FORM 990, PART VI, SECTION B, LINE 11B THE CO-TRUSTEES PERSONALLY EXAMINE THE FORM 990 PRIOR TO ITS MAILING TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT FEE ANALYSIS IS MADE BY THE TRUST OFFICER OF PRAIRIE STATE BANK AND TRUST BASED UPON ITS FEE SCHEDULE AS WELL AS THE FEE SCHEDULES OF TWO OTHER AREA BANKS AND PRESENTED TO THE COURT BY AFFIDAVIT.
FORM 990, PART VI, SECTION C, LINE 19 THE ORIGINAL TRUST AGREEMENT DATED AUGUST 22, 1958 WAS FILED UPON THE LAND RECORDS IN THE OFFICE OF THE COUNTY RECORDER OF DEEDS, FULTON COUNTY COURTHOUSE, 100 N. MAIN ST., LEWISTOWN, ILLINOIS 61542 ON SEPTEMBER 18, 1959 IN VOLUME 698 AT PAGE 638 AS DOCUMENT NUMBER 365113. THIS DOCUMENT IS AVAILABLE TO THE GENERAL PUBLIC WITHOUT RESTRICTION. ANNUALLY, THE CO-TRUSTEES FILE THEIR ANNUAL REPORT IN THE NINTH JUDICIAL CIRCUIT COURT, FULTON COUNTY, ILLINOIS IN CASE NO. 60-CH-75 AT WHICH TIME A HEARING IS SET BEFORE A FULTON COUNTY JUDGE WITH NOTICE TO THE ILLINOIS ATTORNEY GENERAL'S CHARITABLE TRUST DIVISION. AT THAT PUBLIC HEARING ALL MATTERS OF THE PRECEDING CALENDAR YEAR ARE REVIEWED BY THE COURT WITH THE CO-TRUSTEES AND THEIR ATTORNEY PRESENT. THE COURT APPROVES THE ANNUAL REPORT AS WELL AS THE FEES TO BE PAID THE CO-TRUSTEES AND THEIR ATTORNEYS.
SCHEDULE A, PART I, LINE 13 THE ORGANIZATION PROVIDED THE FACILITY THROUGH 10/31/17, AND CERTAIN FUNDING FOR THE CLINIC. WE DO NOT BELIEVE SCHEDULE H IS APPLICABLE IN THIS CASE AS THE ORGANIZATION DOES NOT OPERATE A HOSPITAL AS DEFINED FOR SCHEDULE H PURPOSES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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