2024-05-14T13:34:52-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 1707 N RANDALL ROAD STE 200 ELGIN IL 60123 990 2022-07-01 743260011 GOTTLIEB MEMORIAL FOUNDATION GOTT 7084504534 701 WEST NORTH AVENUE MELROSE PARK IL 601601612 WILLIAM J CERNUGEL SECRETARY/TREASURER 7084504534 2024-05-14 1 WILLIAM CERNUGEL 999009999 0 ELEANOR A LIVINGSTON CPA MST P00226461 8478888600 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM J CERNUGEL 701 WEST NORTH AVENUE MELROSE PARK IL 601601612 14068057 0 X N/A X 2008 IL TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF GOTTLIEB MEMORIAL HOSPITAL ("GMH"), BY ASSISTING SAID ORGANIZATION IN FUNDRAISING, FUND MANAGEMENT AND PLANNING, BY MAKING GRANTS, GIFTS, PAYMENTS AND DISTRIBUTIONS TO GMH AND BY ENGAGING IN SUCH OTHER ACTIVITIES THAT MAY BENEFIT OR FURTHER THE PURPOSES OF GMH. 8 8 0 0 0 0 0 0 0 0 3419656 958683 0 0 3419656 958683 0 1114488 0 0 0 0 0 0 0 102655 86841 102655 1201329 3317001 -242646 67620400 71116661 20060 517633 67600340 70599028 X TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF GOTTLIEB MEMORIAL HOSPITAL ("GMH"), BY ASSISTING SAID ORGANIZATION IN FUNDRAISING, FUND MANAGEMENT AND PLANNING, BY MAKING GRANTS, GIFTS, PAYMENTS AND DISTRIBUTIONS TO GMH AND BY ENGAGING IN SUCH OTHER ACTIVITIES THAT MAY BENEFIT OR FURTHER THE PURPOSES OF GMH. 0 0 1114488 1114488 GOTTLIEB MEMORIAL FOUNDATION, AS A SUPPORTING ORGANIZATION TO GOTTLIEB MEMORIAL HOSPITAL, PROVIDES GRANTS TO ITS SUPPORTED ORGANIZATION, GOTTLIEB MEMORIAL HOSPITAL. 1114488 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 IL X X CHERRY BEKAERT ADVISORY LLC 7083496999 15303 S 94TH AVE SUITE 200 ORLAND PARK IL 60462 X JACK A WEINBERG CHAIRMAN 2.00 X X 0 0 0 HENRY S LANG VICE-CHAIRMAN 0.00 X X 0 0 0 WILLIAM J CERNUGEL SECRETARY/TREASURER 2.00 X X 0 0 0 CYNTHIA A GOTTLIEB DIRECTOR 2.00 X 0 0 0 SHELDON L GOTTLIEB DIRECTOR 0.00 X 0 0 0 WILLIAM T DIVANE JR DIRECTOR 1.00 X 0 0 0 JEAN E LYTLE DIRECTOR 0.00 X 0 0 0 WILLIAM F REICHERT DIRECTOR 0.00 X 0 0 0 0 0 0 0 0 0 0 0 2443627 2443627 11624430 13109374 -1484944 -1484944 -1484944 958683 0 0 958683 1114488 1114488 68145 68145 18696 18696 1201329 1114488 86841 0 9069 14566 99235 99235 0 0 67611216 71099006 115 3089 67620400 71116661 20060 17633 0 500000 20060 517633 X 67600340 70599028 67600340 70599028 67620400 71116661 X -242646 3241334 X 1 X 0 0 0 X X 1 GOTTLIEB MEMORIAL HOSPITAL 362379649 3 1 614488 0 1 614488 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 2500937 0 2500937 0 0 0 83259 0 0 0 2417678 0 75430760 0 8554 0 115 0 75439429 0 0 0 0 75439429 0 1131591 0 74307838 0 2600774 0 0 0 2600774 0 2417678 2055026 2600774 2600774 0 2600774 614488 0 0 0 0 0 614488 614488 2600774 23.630000000000 2600774 0 0 0 0 2905058 0 2905058 0 2600774 0 304284 614488 0 614488 0 0 918772 0 0 304284 0 614488 PART IV, SECTION D, LINE 2 GOTTLIEB MEMORAL FOUNDATION COMMUNICATES WITH THE PRESIDENT OF GOTTLIEB MEMORIAL HOSPITAL AND THE CEO OF LOYOLA HEALTHCARE, PARENT OF GOTTLIEB MEMORIAL HOSPITAL, AND MAINTAINS A WORKING RELATIONSHIP WITH EACH. SCHEDULE A PAGE 7 PART V SECTION D LINE 10 GOTTLIEB MEMORIAL FOUNDATION APPLIED A CARRYFORWARD TO CALCULATE ITS DISTRIBUTABLE AMOUNT ON THIS YEAR'S RETURN AS WELL AS THE 2021 RETURN. IT ASSUMED THAT THIS CARRYFORWARD ALSO APPLIED TO THE CALCULATION OF THE DISTRIBUTABLE AMOUNT FOR PURPOSES OF MEETING THE ATTENTIVENESS REQUIREMENT. HOWEVER, BASED ON UPDATED GUIDANCE IT HAS RECEIVED, IT NOW UNDERSTANDS THAT IT CANNOT APPLY THE CARRYFORWARD TO THE CALCULATION OF THE DISTRIBUTABLE AMOUNT IN THE CONTEXT OF THE ATTENTIVENESS REQUIREMENT. ACCORDINGLY, PRIOR TO FILING THIS YEAR'S RETURN, THE FOUNDATION PAID $1,117,294 TO GOTTLIEB MEMORIAL HOSPITAL IN ORDER TO ACCOUNT FOR THE PAYMENTS THAT SHOULD HAVE BEEN MADE TO THE HOSPITAL TO SATISFY THE ATTENTIVENESS REQUIREMENT FOR THE FISCAL YEARS ENDING JUNE 30, 2022 AND JUNE 30, 2023. AN ADDITIONAL AMOUNT HAS ALSO BEEN PAID TO ENSURE THAT THE FOUNDATION MEETS THE ATTENTIVENESS REQUIREMENT FOR THE FISCAL YEAR ENDING JUNE 30, 2024. 99235 99235 0 0 GMH FUNDING PAYABLE 500000 500000 1 GOTTLIEB MEMORIAL HOSPITAL 701 WEST NORTH AVENUE MELROSE PARK IL 60160 362379649 501C3 1114488 0 FACILITY UPGRADES PART I, LINE 2: THE BOARD REVIEWS PROPOSALS PRESENTED BY GMH AND VOTES ON THE PROPOSAL. THEREAFTER, THE FOUNDATION AND GMH ENGAGE IN REGULAR COMMUNICATION REGARDING THE USE OF FUNDS, AND THIS PROCESS ENABLES THE FOUNDATION TO MONITOR ITS GRANTS AND ENSURE THAT THEY ARE USED FOR THE PROPER PURPOSES. FORM 990, PART VI, SECTION A, LINE 2 JACK WEINBERG - SHELDON GOTTLIEB'S COUSIN JACK WEINBERG - CYNTHIA GOTTLIEB'S COUSIN IN LAW SHELDON GOTTLIEB - JACK WEINBERG'S COUSIN SHELDON GOTTLIEB - CYNTHIA GOTTLIEB'S COUSIN IN LAW CYNTHIA GOTTLIEB - JACK WEINBERG'S COUSIN IN LAW CYNTHIA GOTTLIEB - SHELDON GOTTLIEB'S COUSIN IN LAW FORM 990, PART VI, SECTION B, LINE 11B A DRAFT PREPARED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM IS REVIEWED BY THE CHAIRMAN AND TREASURER. THE RETURN IS THEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR THEIR INPUT AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BYLAWS CONTAIN A CONFLICT OF INTEREST POLICY WHICH REQUIRES THAT ALL DIRECTORS FOLLOW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND UPON BECOMING A DIRECTOR THAT SUCH DIRECTOR SIGNS A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE POLICY REQUIRES THAT A DIRECTOR UPDATES STATUS AS TO ANY POTENTIAL CONFLICTS OF INTEREST. FURTHERMORE, A LIST OF VENDORS PAID IS ATTACHED TO THE FINANCIAL STATEMENTS, WHICH ARE DISTRIBUTED TO MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY MAIL UPON REQUEST. THE FILING ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE ILLINOIS ATTORNEY GENERAL WEBSITE AT: HTTP://WWW.ILLINOISATTORNEYGENERAL.GOV/CHARITIES/SEARCH/INDEX.JSP. FORM 990, PART XI, LINE 9: UNREALIZED GAINS/LOSSES ON INVESTMENTS 3,241,334. GOTTLIEB MEMORIAL HOSPITAL 701 WEST NORTH AVENUE MELROSE PARK IL 601601612 362379649 MEDICAL IL 501(C)(3) LOYOLA HEALTH SYSTEM 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0