F...990 Oue No. 1545.0047

2017

55-0638372

G GrossreceiPts 8 69, 189.Is this a group return for subordinatesrg Yes gX No

Are ag subordinates included7 g Yes [J NoIf 'Noi attach a list. (see instructions)

Group exemption number m

1987 IM State of legal domicile.

Return of Organization Exempt From Income TaxUnder section 501(c), 527, or 4947(a)(1) gf the Internal Revenue Code (except private foundations)

m Do not enter social security numbers on this form as it may be made public. '-:; bmropen to'IPublicy, -",„Department ofthe TreasuryInternal Revenue Servrce m Go to www.irs.govyporm990 for instructions and the latest information. '=",':--'=~';:lifsvpenctionn '."

A For the 2017 calendar year, or tax year beginning , 2017, and endingB Check if appkcable: C D Employer Identlricatlon number

Address change FOSTORIA GLASS SOCIETY OF AMERICA, INC.Name change P . O. BOX 826 E Telephone number

MOUNDS VI LLE r WV 2 6 0 4 1 931-320-0102Finalreturn/terminated

Amended return

L Application pending F Name and address of pnnclpal officer. H(a)

SAME AS C ABOVE H(b)

I Tsx sxsmpt status IXI 501(c)(3)I I 501(c) ( )» (insert no) I I4947(3)(1) or

I I527

J Yyebsite: m WWW.FOSTORIAGLASS.ORG H(c)

K Form of o ganinabon: IXI corpo ebonI I

TrustI I

AssoaationI I

othermIb Year of formation:

I Part I,'.:.I Summary

1 Briefly describe the organization's mission or most significant activities: TO PRESERVE THE HISTORY OF AMERICANMADE FOSTORIA GLASS.

Snet assets

34567a7b

2 Check this box m if the organization discontinued its operations or disposed of more than 25% of its3 Number of voting members of the governing body (Part Vl, line la).4 Number of independent voting members of the governing body (Part VI, line lb).......................5 Total number of individuals employed in calendar year 2017 (Part V, line 2a)..........................6 Total number of volunteers (estimate if necessary)..7a Total unrelated business revenue from Part Vill, column (C), line 12.

b Net unrelated business taxable income from Form 990-T, line 34.

4410

0.0.

Current Year31,305.7,350.

476.10,283.49 414.

Prior Year79,487

7, 9602, 0878, 654

98 188

52,399.60,127.38,061.

Beginning of Current Year

580,880.6,860.

574,020.

8 Contributions and grants (Part Vill, line I h) .

9 Program service revenue (Part Vill, line 2g).m 10 Investment income (Part Vill, column (A), lines 3, 4, and 7d).........................

11 Other revenue (Part Vill, column (A), lines 5, 6d, Bc, 9c, 10c, and 1 le)...............12 Total revenue — add lines 8 through 11 (must equal Part Vill, 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)..... 7,728. 7,853.m 16a Professional fundraising fees (Part IX, column (A), line lie)......................,...ccs b Total fundraising expenses (Part IX, column (D), line 25) m

17 Other expenses (Part IX, column (A), lines I la-I Id, I 1f-24e)......................... 46,061.18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)............. 53, 914.19 Revenue less expenses. Subtract line 18 from line la.........,...,.,,....,......... -4,500.

End of Yeare 20 Total assets (Part X, line 16) .. 576,380.»m 21 Total liabilities (Part X, line 26), 6,860.am 22 Net assets or fund balances. Subtract line 21 from line 20..........................,. 569,520.

I;Part, II;-:'.ISignature Block

under penalties of perjury, t 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, andcomplete. Declaration of preparer (other than officer) Is based on ag Information ot which preparer has any knowledge.

SignHere

S gnature of omcer

SHARON DAVISType or print name and title

Date

TREASURER

PdintfType preparer's name Preparer's signature

Paid STEPHEN R. SPRINGERPreparer Firm's arne STONE, RUDOLPH & HENRY, PLCUse Only Firm's address 124 CENTER POINTE DRIVE

CLARKSVILLE, TN 37040-8408May the IRS discuss this return with the preparer shown above? (see instructions)..

BAA For Paperwork Reduction Act Notice, see the separate instructions.

Date Check if

5/16/19 self emptoyed P00216996

Firm's EIN m 62-0811623Phoneno. (931) 648-4786

IXI YesI I

No

Form 990 (2017)TEFAOIIsk osrosrl7

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC.I Part ili':

I Statement of Program Service AccomplishmentsCheck if Schedule 0 contains a response or note to any line in this Part III.

1 Briefly describe the organization's mission:

TO PRESERVE THE HISTORY OF AMERICAN MADE FOSTORIA GLASS

55-0638372 Page 2

2 Did the organization undertake any significant program services during the year which were not listed on the prior

Form 990 or 990-EZv

If 'Yes,'escribe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any program services'?.... Yes X No

If 'Yes,'escdibe 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 (Code: ) (Expenses $ 53, 914. including grants of $

TO PRESERVE THE HISTORY OF AMERICAN MADE FOSTORIA GLASS.) (Revenue

4b (Code: ) (Expenses including grants of $ ) (Revenue $

4c (Code: ) (Expenses including grants of $ ) (Revenue $

4 d Other program services (Describe in Schedule O.)(Expenses $ including grants of

4e Total program service expenses 53, 914.BAA TEEAotezi izies/17

) (Revenue $

Form 990 (2017)

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC.IPaft,.lV,:::

(Checklist of Required Schedules

55-0638372 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,'completeSchedule A .

2 Is the organization required to complete Schedu/e B, Schedule of Contributors (see instructions)? ..

3 Did the organization engage in direct or indirect pohtical campaign activities on behalf of or in opposition to candidatesfor public office'? If 'Yes,'complete Schedule C, Part I..

4 Section 501(cX3) organizations. Did the organizatian engage in lobbying activities, or have a section 501(h) electionin effect during the tax year? If 'Yes,'comp/ete Schedu/e C, Part/I.

5 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 Revenue Procedure 98-19? If 'Yes,'omplete Schedu/e C, Part III......

1 X

2 X

X

4 X

5 X

6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the rightto provide advice on the distribution or investment of amounts in such funds ar accounts? If 'Yes, 'omplete Schedu/e D,Part I.

7 Did the organization receive or hold a conservation easement, including easements to preserve open space, theenvironment, historic land areas, ar historic structures? If 'Yes,'omplete Schedule D, Part II.............

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If'Yes,'ompleteSchedu/e D, Part III,

6 X

X

8 X

9 Did the organization report an amount in Part X, kne 21, for escrow or custadial account liability, serve as a custodianfor amounts not listed in Part X; or provide credit counseling, debt management, credit repair, ar debt negotiationservices? /f Yes,'omplete Schedule D, Part IV..

10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowmentspermanent endowments, or quasi-endowments? If 'Yes,'omplete Schedule D, Part V.................

11 if the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts Vl, Vll, Vill, IXor X as applicable.

9 X

10 X

a Did the organization report an amount for land, buildings, and equipment in Part X, hne I 0? If 'Yes,'omplete ScheduleD, Part Vi. 11 a X

b Did the organization report an amount for investments — other securities in Part X, line 12 that is 5% or more of its totalassets reported in Part X, line 167 lf 'Yes, 'amp/ete Schedule D, Part V/I

c Did the organization report an amount for investments — program re/ated in Part X, hne 13 that is 5% or more of its totalassets reported in Part X, line 16? If 'Yes,'omplete Schedule D, Part V/II, .

d Did the organization report an amount for other assets in Part X, kne 15 that is 5% or more of its total assets reportedin Part X, line 16? /f 'Yes,'omplete Schedule D, Part IX

e Did the organization report an amount for other liabilities in Part X, line 25? /f Yes,'complete Schedu/e D, Part X.....f Did ihe 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,'omplete Schedu/e D, Part X...12 a Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes, 'omplete

Schedu/e D, Parts XI and XII.

b Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,'andif the organization answered 'No'o line /2a, then completing Schedule D, Parts XI and XII is opt?one/..........

13 Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,'complete Schedule E................14a Did the organization maintain an office, employees, or agents outside of the United States7....................

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,business, investment, and program service activities outside the United States, or aggregate foreign investments valuedat $100,000 or more? If 'Yes,'omplete Schedule F, Parts I and IV..

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for anyforeign organization? If 'Yes, 'omplete Schedule F, Parle II and IV..

16 Did the organization report on Part IX, column (A), hne 3, more than $5,000 of aggregate grants or other assistance toor for foreign individuals? If 'Yes,'complete Schedule F, Parts III and /K

17 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, 'omplete Schedule G, Part I (see instructions) .

18 Did the organization report more than $ 15,000 total of fundraising event gross income and contributions on Part Vill,lines 1 c and 8a'? If 'Yes, 'omplete Schedu/e G, Part II..

19 Did the organization report more than $ 15,000 of gross income from gaming activities on Part Vill, line 9a? If'Yes,'omp/eteSchedu/e G, Part III,

BAA TEEAOi 03L 03/00/i 7

11b X

11c X

11d X

11e X

ll f X

12a X

12b X

13 X

14a X

14b X

15 X

16 X

17 X

18 X

19 X

Form 990 (2017)

copy

Form 990 (20'l7) FOSTORIA GLASS SOCIETY OF AMERICA, INC.~,Part:IV;:;

)Checklist of Required Schedules (continued)

20a Did the organization operate one or more hospital facilities? IF 'Yes,'omplete Schedu/e H...

55-0638372 Page4

Yes No

Zga X

b lf 'Yes'o 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, 'omplete Schedu/e I, Parts I and II.............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,'omp/ete Schedu/e I, Parts I and III.

23 Did the organization answer 'Yes'o Part Vll, Section A, line 3, 4, or 5 about compensation of the organization's currentand former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,'comp/e/eSchedu/e J..

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $ 1 00,000 as ofthe last day of the year, that was issued after December 31, 2002? If 'Yes,'nswer /ines 24b through 24d andcomplete Schedu/e K. IF 'No, 'go to line Z5a.

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? .

d Did the organization act as an 'on behalf of'ssuer for bonds outstanding at any time during the year?......,...25a Section 501(cx3), 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,'omplete 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,'amp/eteSchedule L, Part I.

26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to anv current orformer officers, directors, trustees, key employees, highest compensated employees. or disqualified persons?If 'Yes, 'omplete Schedule L, Part II ..

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantialcontributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family memberof any of these persons? If 'Yes,'omplete Schedule L, Part III.

28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IVinstructions for applicable filing thresholds, conditions, and exceptions):

a A current ar former officer, director, trustee, or key employee? If Yes, 'omplete Schedule L, Part IV..., .

b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,'ompleteSchedule L, Part IV,

c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was anofficer, director, trustee, or direct or indirect owner? If 'Yes,'omplete Schedu/e L, Part IV...................

29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,'complete Schedu/e M.....30 Did the organization receive contributions af art, historical treasures, or other similar assets, or qualified conservation

contributions? If 'Yes,'omple/e Schedu/e M,

31 Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,'complete Schedu/e N, Par/I......32 Did the orgamzation sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,'camp/ete

Schedu/e N, Part II.

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections301.7701-2 and 301.7701-3? If 'Yes,'omplete Schedu/e R, Part /.

34 Was the organization related ta any tax-exempt or taxable entity? If 'Yes,'complete Schedule R, Part II, III, or IV,and Part V, line I..

35a Did the organization have a controlled entity within the meaning of section 512(b)(13)?............................b If 'Yes'o line 35a, did the organization receive any payment from or engage in any transaction with a controlled

entity within the meaning of section 51 2(b)(13)? If 'Yes, 'omplete Schedule R, Part v, line Z....,...............36 Section 501(cx3) organizations. Did the organization make any transfers to an exempt non-charitable related

organization? If 'Yes, 'omplete Schedule R, Part V, line Z.

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that istreated as a partnership for federal income tax purposes? If 'Yes,'omplete Schedule R, Part VI.................

38 Did the organization complete Schedule 0 and provide exp/anations in Schedule 0 for Part Vl, lines 11b and 19?Note. All Form 990 filers are required to complete Schedule 0.

BAA

20b

21 X

22 X

24a X

24b

24c24d

z5a X

25b X

26 X

27 X

28a X

28b X

28c X

zs X

30 X

31 X

3Z X

X

34 X

35a X

35b

36 X

X

38 X

Form 990 (2017)

TEE/rot rx/L 08/aaii 7

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC.(,Part,Vj Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule 0 contains a response or note to any line in this Part V......

55-0638372 Page 5

1 a Enter the number reported in l3ox 3 of Form 1096. Enter -0- if not applicable.............)

1 alb Enter the number af Forms W-2G included in line la. Enter -0- if not applicable...........

~

1 b]

c Did the organizatian comply with backup withholding rules for reportable payments to vendors and reportable gaming(gambling) winnings to prize winners?.............,......................................................

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax State- l

ments, filed for the calendar year ending with or within the year covered by this return..... l 2ab 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 la 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,'es it filed 0 Form 990 T for this year'? If'No'o line Sh provide en explanation in Schedule 0........................

4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, afinancial account in a foreign country (such as a bank account, securities account, or other financial account)?

b if 'Yes,'nter the name of the foreign country: 0

See instructions far filing requirements for FinCEN Form 114, Report of Foreign Bank and F,nancial Accounts (FBAR).

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?...c If 'Yes,'o 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 organizationsolicit any contributions that were not tax deductible as charitable contributions?.....,................,............

b If 'Yes,'id the organization include with every sohcitation an express statement that such contributions or gifts werenot tax deductible?...................................,..........................................

7 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 andservices provided to the payor?..............................................,....................................

b If 'Yes,'id the organization notify the donor of the value of the goods or services provided?..........................c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file

Form 8282?...............,..................................d If 'Yes,'ndicate the number of Forms 8282 filed during the year.......................... j Tdle Did the organization receive any funds, directly or indirectly, to pay premiums an a personal benefit contract?..f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?.............g If the organization recewed a contnbution of qualified intellectual property, did the organization file Form 8899

as requiredt....,.,........., .,.,.,................,.....,,...,,,...,.,.........................................h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a

Form 1098-C?...............8 Sponsoding 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?...,........................................9 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'.....................

10 Section 501(cX7) organizations. Enter:

a Initiation fees and capital contributions included on Part Vill, line 12....................~

10a)b Gross receipts, included on Form 990, Part Vill, line 12, for public use af club facilities....

[10b]

11 Section 501(cX12) organizations. Enter:

a Gross income fram members or shareholders...........,...............................~

11 a~

b Gross income from other sources (Do not net amounts due or paid to other sourcesagainst amounts due or received from them.)........................................... j 11 b

12a Section 4947(aXl) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?.............b If 'Yes,'nter the amount of tax-exempt interest received or accrued during the year.....

~12b~

13 Section 501(cX29) 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.

b Enter the amount of reserves the organization is required to maintain by the states inwhich 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 Wo,'rov/de an exp/anat/an in Schedule 0...............

BAA TEE/io/05L oe/oe//7

Yes No

x

lc

2b X

3a X

3b

4a X

Sa X

5b X

5c

ea X

6b

X

7b

Tc X

Te X

7f X

7g

9a9b

12 a

13a

14a X

14bForm 990 (201TI

copy

IoOD

Vl

CD

Q!

CD

C

0!3

ID

Cui

If)LJ=

utQ!

ID

Q!

CL

I/Icg

eIJQ

lLto

CI/I

Ql

LJ

N

ID

Ql

IJtu

LI/IQ

lC

333

Q!I

0Jg

pec3dL

AI

2mJD

)taD.Vl

/EL"

Ql

0tg0Gt

00Ql

N0CL

Co

C0ego

IJM

E820

Cm0

KgI/I

Gt

He

C~D

Cut

Qt

oID

me

IA0

CL

.e

CD

Qtx

Ct-

Oce

O6

to/fIONIUo

II'

Cl

E'0L'D0IZI

CII

LCQ!

0QE

«Q'.

CIDCI

IDIII

Gl

tDltlaGl

00Ql

Ql

Ql

Oto0M00'O

tTI

Ig00.lt

DQ

l

I/I

JU tD

m»E

138

oEocn0

cccEIDG

l 13gl

togl

ma

eEM

»IJ0D

IDD

80

6!cnD

—EO

Ol.—

CU

l0

—'lO0

&tD

8ID

)gl

LO

IEE

'OI

eID

Ql

EE

oDE

OIU

LC

00

08

0&'6

&,

130

0808Dx

Ol

alto

dl

Etg

C0

Ecm

0al

tDO

IE Ql

ta08

08

alccCIL

I0

taG

I

0LIO

J1aJ:00tgill

0tDu

13V

lC

tlt8

CC

LN

80-0m

80

m0

02V

l

tgtg

0G

l

Ia8EO

Ql

tata

"!3ID

Q!

Ql

0I

~

a8

'e

oEE

8C

l

EIxul

c0

00

8Gl

0N

008

toD

E0

al0

UotE

Ce

mo

C!

CIIJC

l0

CO

0Ul

2IDUl

Ql

D0

ID0

DV

lID

Qf

CL

ClL

80

0D

0136!0

E8

0a

IJ

DO

tN

tl!0

C0

tg

Cl

NE

NLGt

E000Dcn00ID0Ol

Nta

D0

cN

Nm

tD

E»e

cn8

pC

al —ta

tDQ

Lta cE

IJ

Ee

Em8

80

0—0

p0

uiSe

Cm8G

l

tDm

—o

EG

!O

uic

Co

00

VG

lfad!

NNC

Dtg

m0t/I

0D

880

Ql

5EDp

Doo

0

0NLcn0to00I/I

dl

'0EIO0EcnNtU06IGl

dlOl

13813gl

taItlU

tttl

O8ID

tAE0

0tt.IgN

0Ltg

CL

PQ

l0tD

0CDC

I

DE0C000.0.000CL

000

0M

000

Ul

D-Yp

00N

ulal

Nti.

to0

ED

DE

EDL

El3l

mIg

IDC0

00

pO

llgN

6!DN

8tg

0O

lp

I/I0

G!

ED

13to

Ct

'Ct

EIg

IOI

E0aCL

000GlD

I/IC

lDL

"0.taN

ID

Le0

0cn8

0D

8Ctll

0N0D G

t

0'80

0N

dlC

00N

0tn

CO

.Itl0

0t/I8OO

lD»

0C

Ditlx00

-I'4'fo

J3Ql

0loC:

00D013FE0130C0C'O

00D

N,,

Ol

2in

laC

0/E0

0ID

0D

eD Q

l

06!

CO

Itl

Itl

0Ql

faQl

Ql

JD0CC000dl

«CD ID

c0

0I/!

0'

MIV

l

&P.

'ac13

013

Iatg

0,0-13C

IQVl

Qt

tn

Ol

IIIdl

Deat

0ad!E

DIa

Cl

&,

PL8

L00

go

ai?G

lG

l

0vl

NID0

0D

130

DIa

al8O

l0

e'8

0N

EE

to'!

Ig8

N8

LD

mcnlaDI

No

JlO

l

ID02

Ct

8Q

l&

-

CQ!

IOCQl

33Q!

aCf

IDCD

,Ql

I/I

gOCC

0IO

,C3IDCVl

ID I/I

aQ!

CQCCD

tDIA

IXI

CIDCJ

eIII

lg

0«

II

o:

.D

N6!lg

GE

'E:

0ND

D80LIg

6D

DE

C6I

8IDI

IlIga

'D0G

ID

08IaD

oC0

6tgN

C

0o

0la

8O

l50al

DE

0mJ1

Cl

I/IE

OOlE0L

I(D

C

08In

C0Igo

N0ldOl

E0

Ee

CJl13

Cgl

EN0igui

0V

lG

l00

aE

0tD

0Q

l

0M2

08

J30NQ

tnC

!Itl

dlNdl

1300IOQl

883

0C0tg

l3lat0

00130

0Q

l»

13

0CL

Cr

Ql

t/IQl

Ul

Ql

»oCL

Edl0

Gt

C00c

0lg

IDMQ

l8

Ql

fgui

L0G

!G

lNLtg

Vlui

Cn

glN0

00

D0

cG

l 00C

t kp8

Dca

?Q;"'I

?Q

VNM

'dfI

'„,IOE

t'It)

Ig0I/I

13Ul30CL

Gl

EQl

0IU0.E8dl0CQl

13tllC0EEGl

I/IN000C

lC6l

0I/I

c0tgNC6!I3Io

00dl

tD'0ID

OIO

0

Gt

13C0.tD

00I/I

6!08

0"0

0.8m

Dc

IO.—

LptaG

lQ

l&

JgtgG

lD00C

L

000I/Idl

130IOc00

cIDto

Ql

0LQ

l

DE

0L

CID

Gl

lgta

Gl

to)Ig

tg

Gl

8mU

00

0IDEQl

cnta

I/I0

0tg

IUam0

Dl

N

E0

0N

Eul

00

a0

0D

8CAl

0c0

op

CL

E0

mgl

IDN

.eC

L0

Gl

0ao

eE0o

0IaU

Cn

Ql

5dix

tgL

V

ED

O8

I/I

5m

ua.—

0IE

Ioo

0N

0V

8a

ui8

C00

N8

:Dec

0C

L

la

00tgNDElaDl

0

006!NLGl

cn08to

'l313

00

MA

IIA

ul00N0tgIDul

0ID

13dl0M0

cN

ut2

8mp

pp

CL

toD

G!

0D

N8t/ItD

aDIA

tg

0taIA0ul

Ct

h00

0V

tG

l

0

LIDEG!

cntaIgE000CCL

0E00Ul

Gl

Ul

NGl

Qt

L00Ig8

t/IQl

cn0

L8N

13L

D»

Ol0

08

toG

l

lg

lgV

DI

I

dl

DGt

Ol

IU

4::eo0

Nm

a.&

8ID006!NtgO

lDexlgcnC

taIU

l

8ID

08al 8

E8Ig

Ol

8000

tap

D.

aL

lm8D

080OIJ

0tll

0o

0CL

UI

0C

IJdl

Qt

to0.

DK

Etd

LD

DIII

088

3p

Vt

0am0

Lu!

e8

N&

am

/E8 E

pox

08

a! —V

lCC

CD

00

'13=

'gla

.C

LN

MU

C8-m&

-&cn

lg—

O.0

D

6t3Ql

ID00Ql

ITin

C01olE00-N/20o.0tJA!

IDD

E

lhDE

0—0ul

lhal

CI

Dm

C0,I/I

III

tDtatgGl

00ul

OIAL0IJGl

Cl

Ol

UlOLIg

0Ql

Ql

Q~8Gl

0

dlDIgtJaO

.»N

al —Q

lC

LC

LtD

8N

mO

D0C

L0

O

ON

8E

-D0

IoIL

mI/I

6!

8G

lX

IDA

fDE

0I/I

Gl

tgc

E8

mo

oN

&,

0'E

DFncpcIU00

ttl6!—N

CQ

l

'0C

I30

Gl

QJ8

ill«taDO

N8

Ctpo

cL

'=o

DoCL

0M

d)ECIg,p6

I-Q

M

CCf»

O5C

I/IIJa

IONCl

elelE0LL

viEo

0U

ON

0IAC

A00N

C!

CI

to02

8I/l

I/It/II

H«I

M0aV

t

0o

ME

H

Gl

IN

UU

IA'0

H

EC

I

0

copy

(E)Estimated

amouni of othercompensation

from lheorganizationand related

organizationsrelated tr Iorganiza-tionsbelowdotted 9lir e)

c 9

cs n

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC. 55-0638372 Page 7

Ipart.VII(,l Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and

Independent ContractorsCheck if Schedule 0 contains a response or note to any line in this Part Vll.

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees1 a Complete this table for all persons /equi/ed to be bsted. Report compensation for the calendar year ending with or within theorganization's tax year.

~ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (0), (E), and (F) if no compensation was paid.

~ List all of the organization's current key employees, if any. See 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 and/or Box 7 of Form ) 099-MISC) of more than $100,000 from theorganization and any related organizations.

e List all of the organization's former officers, key employees, and highest compensated employees who received more than $ 100,000of reportabie 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 theorganization, more than $ 10,000 of reportable compensation from the organization and any related organizations.List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensatedemployees; and former such persons.X Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(c)(A) Position (do not check inure

(p) (F)Name and Title Average is both an officer and a Repo/table Reportable

houls director/trustee) compensation from compensation frampar the organization related oroanizations

week 9 PE t-) m+ a m (W.Z/IOBB.MISC) (W-Zncgg-MISC)

houisfo/n, m e" 8 ma m9

(9)

JIM DAVISPRESIDENTSHARQN DAVISTREASURERBOB SPERWOVICE PRESIDENTCAROL PICKELSECRETARY

100 X

150 X

50 X

100 X

0.

0.

0.

0.

0.

(9)

(1 0)

(12)

(1 9)

O4)

TEEA0107L 00/OB/17 Form 990 (2017)

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC. 55-0638372 Page 8

(Part Vll.~ Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (conlinuad)

(B) (0)

(A)Name and title

Averagehoursper

week(fist enxhours

fol'elated

organaa- tiD/iebelowdottedtine)

o 3

Iri

m c)U3"

CDo

FCDCo

o 3DcD O3 c

OcvsCD

3 D

3O

Position(do not check more than onebos, unless person is both anofficer and a director/trustee) Reportable

compensation fromthe organization(W.2/1089.MISC)

Reportablecompensation from

related oroanizations(W-2/1099-MISC)

Estimatedamount of othercompensation

from theorganizationand related

organizations

(1 5)

{1 7)

O8)

09)

(20)

(21)

(22)

(2-'t)

(24)

(25)

1 b Sub-totalc Total from continuation sheets to Part Vtt, Section A...............d Total (add lines lb and 1c)..

2 Total number of individuals {including but not limited to those listed above)from the organization m 0

0. 0.0. 0.0. 0.

who received more than $ 100,000 of reportable compensation

0.0.0.

9 Did the organization list any former officer, director, or trustee, key employee, or hignest compensated employeeon line 1 a? If 'Yes, 'omplete Schedule J far such individual .

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150,000? If Yes,'omplete Schedu/e J forsuch individual.

Yes No

9 X

4 X

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If 'Yes, 'omplete Schedu/e J for such person.

Section I3. Independent Contractors1 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) (B)Name and business address Description of services

5 X

(0)Campensation

2 Total number of independent contractors (including but not limited to those listed above) who received more than

$ 100,000 of compensation from the organization M 0BAA TEEA0108L 08/08/17 Form 990 (2017)

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, ItgC.IPatt!Vlf l.l Statement of Revenue

Check if Schedule 0 contains a response or note to any line in this Part VHI ..,(A)

Total revenue(B)

Related orexemptfunctionrevenue

55-0638372

(C)Unrelatedbusinessrevenue

Page 9

(0)Revenue

excluded from taxunder sections

51 2-514O Oc ccs

o Ec 'coO

O

0o co o

O

8CCOO2loE

eeO

CL

1 a Federated campaigns......b Membership dues..........c Fundraising events,........d Related organizations......e Government grants (contiihutions) .

la1b1c1dle

f Ag other contnhutions, gifts, grants, andsimilar amounts not included above. 1 f

g Noncash contnhutions mcluded ln lines la-lf:

h Total. Add lines la-lf...............Business Code

MEMBERSHIP DUES & ASSESSMENTS 900099

f All other program service revenue...g Total. Add lines 2a-2f...,...,,...,...

3 Investment income (including dividends, interest andother similar amounts)...............,..............

4 Income from investment of tax-exempt bond proceeds. 25 Royalties..........

7,350. 7,350

7,

476. 476.

0) Reel

2. 9706 a Gross rents....., .

b Less: rental expensesc Rental income or(loss)... 2, 970.d Net rental income or (loss)............

0) Secunliesa Gross amount from sales 0assets other than inventoly

b Less: cost or other basisand sales expenses ......

c Gain or (loss),.......d Net gain or goss)....

lii) Pere

'7

970 2, 970

mmelIn

ccIel

Sa Gross income from fundraising events(not including. 9of contributions reported on line lc).See Part IV, line 18,................ a

b Less; direct expenses............... b

"vv-

9a Gross income from gaming activities.See Part IV, line 19................. a

b Less: direct expenses............... b

c Net income or goss) from gaming activities...........

19, 539. '-':;.,'-:-,',.''-':-';;: '-,.;==,

c Net income or goes) from fundraising events......... o 5, 452. '1,"."ILAv""..";,&",'.'&j~~":A, 5, 452

10 a Gross sales of inventory, less returnsand allowances..................... a 7,549.

b Less: cost of goods sold........... b 5, 688.c Net income or (loss) from sales of inventory..........

Miscelioneous Revenue Business Code

11 aI&

1,861. 1,861.

0

de

12

8AA

All other revenue...................Total. Add lines 1 la-I 1 d...............Total revenue. See instructions......... 49,414.

TEEA0100L oaloeilr7.826.I 0. 10,283.

Form 990 (2017)

copy

Do nof include amounts reported on linesgb, Tb, Bb, gb, and 1Ob of Part Vill. general expenses expensesexpenses

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC. 55-0638372 Page 10j.Part IX-:.,'j Statement of Functional ExpensesSecnon 501(c)(3) and 501(c)(4) organizations must comp/efe all columns. A/I offer organizations must complete column (4),

Check if Schedule 0 contains a response or note to any line in this Part IX..............(A) (B) (C) (0)

Total expenses Program service Management and

1 Grants and other assistance to domesticorganizations and domestic governments.See Part IV, line 21Grants and other assistance to domesticindividuals. See Part IV, line 22............

3 Grants and other assistance to foreignorganizations, foreign governments, and for-eign individuals. See Part IV, lines 15 and 15

4 Benefits paid to or for members....,.......Compensation of current officers, directors,trustees, and key employees...............Compensation not included above, todisqualified persons (as defined undersection 4958(f)(1)) and persons describedin section 4958(c)(3)(B)....................

7 Other salaries and wages.............,....Pension plan accruals and contributions(include section 401(k) and 403(b)employer contributions)....................

9 Other employee benefits...........10 Payroll taxes ........,.11 Fees for services (non-employees):

a Management.............b Legal.....................................c Accounting................................d Lobbying................................,.e Professional fundraising services. See Part IV, line 17...f Investment management fees..............g Other. Uf line I I g amount exceeds 10% of line 25, column

(A) amount, list line I I g expenses on Schedule 0.).....12 Advertising and promotion13 Office expenses14 Information technology...,.................15 Royalties.....,.....................16 Occupancy................................17 Travel..........................,...18 Payments of travel or entertainment

expenses for any federal, state, or localpublic 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 expensesin line 24e. If line 24e amount exceeds 10%of fine 25, column (A) amount, list line 24eexpenses on Schedule 0.).................

a SMALL EQUIPMENTb UTILITIESc MAINTENANCEd POSTAGE AND SHIPPINGe All other expenses...........

25 Total functional expenses. Add lines I through 248

0.

0.7,227.

0.7,227.

626. 626.

300.10,147.

300.10,147.

ee':-~~rPe+17. 688.5.870.3.590.

766.1,537.

53,914.

17.688.5.870.3.590.

766.1,537.

53,914.

3,009. 3,009.3,154. 3,154.

0.

0.

. 31/.

0.

0.

26 Joint costs. Complete this line only ifthe organization reported in column (B)joint costs from a combined educationalcampaign and fundraising solicitation.Check here e if followingSOP 98-2 (ASC 958-720) ..

BAA TEEAO/1OC 08/OB/1 7 Form 990 (2017)

copy

Form 990 (2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC.i'Part X =

i Balance SheetCheck if Schedule 0 contains a response or nate to any line in this Part X...

55-0638372 Page 11

is

Nrsei

Klszcu.0I

0ll

TlZ

1

234

7

8

9

Cash — non-interest-bearing ..........Savings and temporary cash investments ..Pledges and grants receivable, net........Accounts receivable, net..........,.....,.Loans and other receivables from current and former officers, directors,trustees, key emplovees, and highest compensated employees. CompletePart II of Schedule L

Loans and other receivables from other disqualified persons (as defined undersection 4958(t)(1)), persons described in section 4958(c)(3)(B), and contributingemployers and sponsoring organizations of section 501(c)(9) voluntary employees'eneficiaryorganizations (see instructions). Complete Part li of Schedule L ..Notes and loans receivable, netInventories far sale or use..............................Prepaid expenses and deferred charges.....................................

10 a Land, buildings, and equipment: cost or other basis.Complete Part VI of Schedule D................... 10a

b Less: accumulated depreciation................... 10b219,289

3,02311

1213141516171819

20

21

22

232425

26

272829

30

31

323334

Investments — publicly traded securitiesInvestments — other securities. See Part IV, line 11..........................,,Investments — program-related. See Part IV, line 11...........................Intangible assets......................,.....................................Other assets. See Part IV, line 11.....Total assets. Add lines I through 15 (must equal line 34)..., ..Accounts payable and accrued expensesGrants payableDeferred revenue.....................,...Tax-exempt bond liabilities...........................,................,......Escrow or custodial account liability. Complete Part IV of Schedule D..........Loans and other payables to current and former officers, directors, trustees,key employees, highest compensated employees, and disqualified persons.Complete Part II of Schedule L

Secured mortgages and notes payable to unrelated third parties,...............Unsecured notes and loans payable to unrelated third parties...................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.

Total liabilities. Add lines 17 through 25....,..................................Organizations that follow SFAS 117 (ASC 958), check here a y and completelines 27 through 29, and lines 33 and 34.Unrestricted net assets.........................,, .

Temporarily restricted net assets.Permanently restricted net assets.............................................Organizations that do not follow SFAS 117 (ASC 958), check here eand complete lines 30 through 34.

Capital stock or trust principal, or current funds................................Paid-in or capital surplus, or land, building, or equipment fund.....,Retained earnings, endowment, accumulated income, or other funds...........Total net assets or fund balances.............................................Total liabilities and net assets/fund balances...............,..................

6, 860. 2324

6,860.

6, 860. 26 6,860.

574,020. 27 569,520.

29

30

31

32

574,020. 33

58O SSO569,520.576,380.

Form 990 (2017)

(A)Beginning of year

46, 432. 1

234

5

678

9

216,980, 10c 216,266.11

121314

317,468. 15 317,468.580,880. 16 576,380.

17181920

TEE/i8111L 08/08/17

copy

Form990(2017) FOSTORIA GLASS SOCIETY OF AMERICA, INC.j;P'aft-Xt:,;:I Reconciliation of Net Assets

Check if Schedule 0 contains a response or note to any line in this Part XI .

1 Total revenue (must equal Part Vill, column (A), line 12).

2 Total expenses (must equal Part IX, column (A), line 25).

3 Revenue less expenses. Subtract line 2 from line I ..4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))...5 Net unrealized gains (losses) on investments..6 Donated services and use of facilities.7 Investment expenses9 Prior period adjustments9 Other changes in net assets or fund balances (explain in Schedule 0).

10 Net assets or fund balances at end of year. Combine lines 3 through 9 {must equal Part X, line 33,column (B)) .

I:Par't"XII',I Financial Statements and ReportingCheck if Schedule 0 contains a response or note to any line in this Part Xll..

55-0638372

1

2345678

9

10

Page 12

49.414.53,914.-4,500.

574.020.

0.

569,520.

1 Accounting method used to prepare the Form 990: X Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked 'Other,'xplainin Schedule 0.

2a Were the organization's financial statements compiled or reviewed by an independent accountant?.......,........,If 'Yesy check a box below to indicate whether the financial statements for the year were compiled or reviewed on ase arete basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basisb Were the organization's financial statements audited by an independent accountant? .

If 'Yes,'heck a box below to indicate whether the financial statements for the year were audited on a separatebasis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basisc If 'Yes'o line 2a or 2b, does the organization have a committee that assumes responsibikty 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, explainin Schedule 0.

3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the SingleAudit Act and OMB Circular A-133?.

b If 'Yes,'id the organization undergo the required audit or audits? If the organization did not undergo the required auditor audits, explain why in Schedule 0 and describe any steps taken to undergo such audits.....................

BAA

Yes No

2a X

2b X

2c

3a X

3bForm 990 (2017)

TEE/io/12L 08/DS/i 7

copy