CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC (EIN 39-1936484)
Tax period
2022-06-01 to 2023-05-31
Filed
2024-04-15
IRS object ID
202411079349103301
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-15T11:32:00-04:00ReturnTs
Tax Period End2023-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391769340PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COLLINS & ASSOCIATES SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 120AddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP538210120ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391936484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLYN M & LEARY E PETERSON FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAROBusinessNameControlTxt
Phone6083266496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 EAST HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS F PETERSONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone6083266496PhoneNum
Signature2024-04-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastPETERSONPersonLastNm
FieldValueIRS element (for citing)
SSN888008888SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLLINS ASSOCIATES SCPreparerPersonNm
PTINP00146637PTIN
Phone6083266456PhoneNum
Preparation2024-04-13PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$931,947FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$26,030DividendsRevAndExpnssAmt
Dividends Net Invst Incm$26,030DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$17,080NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$41,935GrossSalesPriceAmt
Other Income Rev And Expnss$113OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$113OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$9,063TotalRevAndExpnssAmt
Total Net Invst Incm$26,143TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$10,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$10,000CompOfcrDirTrstNetInvstIncmAmt
Accounting Fees Rev And Expnss$1,700AccountingFeesRevAndExpnssAmt
Taxes Rev And Expnss$263TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$109OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$12,072TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$10,000TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$54,190ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$54,190ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$66,262TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$10,000TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$54,190TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$57,199ExcessRevenueOverExpensesAmt
Net Investment Income$16,143NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$15CashBOYAmt
Cash EOY$1,933CashEOYAmt
Cash EOYFMV$1,933CashEOYFMVAmt
Corporate Stock BOY$432,558CorporateStockBOYAmt
Corporate Stock EOY$432,558CorporateStockEOYAmt
Corporate Stock EOYFMV$930,014CorporateStockEOYFMVAmt
Other Investments BOY$59,117OtherInvestmentsBOYAmt
Total Assets BOY$491,690TotalAssetsBOYAmt
Total Assets EOY$434,491TotalAssetsEOYAmt
Total Assets EOYFMV$931,947TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$491,690CapitalStockBOYAmt
Capital Stock EOY$434,491CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$491,690TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$434,491TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$491,690TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$434,491TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$491,690TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$57,199ExcessRevenueOverExpensesAmt
Subtotal$434,491SubtotalAmt
Tot Net Ast Or Fund Balances EOY$434,491TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
FT INTER DUR PFD & INCOM FDP2013-05-232023-05-15$14,733$24,624-$9,891-$9,891
ISHARES S&P US PDF STK INDX FDP2011-09-082023-05-15$27,202$34,391-$7,189-$7,189
FieldValueIRS element (for citing)
Capital Gain Net Income-$17,080CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$224InvestmentIncomeExciseTaxAmt
Subtotal$224SubtotalAmt
Tax Based On Investment Income$224TaxBasedOnInvestmentIncomeAmt
Tax Due$224TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTHOMAS F PETERSONIndividualWithBooksNm
Phone6083266496PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1110 E HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CAROLE SAYER
20890 CHANNEL DREXCELSIORMN55331DIRECTOR000.00$2,000$0$0
JOE MULLEN
662 JENISA DRST CLOUDMN56301DIRECTOR000.00$2,000$0$0
THOMAS F PETERSON
110 E HAYDN STPRAIRIE DU CHIENWI53821DIRECTOR000.00$2,000$0$0
MARY JO RUHL
2740 NICHOLS LANEDAVENPORTIA52803DIRECTOR000.00$2,000$0$0
JOHN L PETERSON
4814 CHAMPIONS RUNMIDDLETONWI53562DIRECTOR000.00$2,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION MAKES CHARITABLE CONTRIBUTIONS TO 501(C)(3) ORGANIZATIONS.Description1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$960,357AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$11,798AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$972,155TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$972,155AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$14,582CashDeemedCharitableAmt
Net Vl Noncharitable Assets$957,573NetVlNoncharitableAssetsAmt
Minimum Investment Return$47,879MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$47,879MinimumInvestmentReturnAmt
Tax Based On Investment Income$224TaxBasedOnInvestmentIncomeAmt
Total Tax$224TotalTaxAmt
Distributable Before Adj$47,655DistributableBeforeAdjAmt
Distributable Before Ded$47,655DistributableBeforeDedAmt
Distributable As Adjusted$47,655DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$54,190ExpensesAndContributionsAmt
Qualifying Distributions$54,190QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$47,655DistributableAsAdjustedAmt
Undistributed Income PY$13,965UndistributedIncomePYAmt
Qualifying Distributions$54,190QualifyingDistributionsAmt
Applied To Year1$13,965AppliedToYear1Amt
Applied To Current Year$40,225AppliedToCurrentYearAmt
Undistributed Income CY$7,430UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
WI WATERFOWL - PDC CHAPTER
38299 STUCKEY RDPRAIRIE DU CHIENWI53821GENERAL DONATION$750
HOLY FAMILY CATHOLIC SCHOOL
515 N BEAUMONT RDPRAIRIE DU CHIENWI53821GENERAL DONATION$5,838
CROSS PLAINS BASEBALL
2410 MARTIN STCROSS PLAINSWI53528GENERAL DONATION$4,000
ST MARY'S ELEMENTARY SCHOOL
823 1ST ST SST CLOUDMN56301GENERAL DONATION$4,000
FATHER FAGAN
PO BOX 157PRAIRIE DU CHIENWI53821GENERAL DONATION$2,088
ANNA MARIE'S SHELTER
505 10TH AVE NEST CLOUDMN56301GENERAL DONATION$4,000
NEIGHBORHOOD HEALTH CLINIC
120 GOODLETTE RD NNAPLESFL34102GENERAL DONATION$5,838
EAGLE'S CLUB BUILDING FUND
200 S BEAUMONT RDPRAIRIE DU CHIENWI53821GENERAL DONATION$4,000
LOCAL EDUCATION & ACTIVITY FDN
101 7TH AVE SST CLOUDMN56301GENERAL DONATION$1,000
SALVATION ARMY
3030 DARBO DRMADISONWI53704GENERAL DONATION$1,838
ALLEGRO ORGANIZATIONAL SOLUTIONS
5535 MEMORIAL DRHOUSTONTX77007GENERAL CONTRIBUTION$2,500STE F-811
LIFE RELAUNCH
24600 S TAMIAMI TRAILBONITA SRINGSFL34134GENERAL DONATION$2,500STE 212-172
CHILDREN SERVICE ADVISORY BOARD
1112 MANATEE AVE WBRADENTONFL34205GERERAL DONATION$5,000
SOUTHWEST OPTIONS FOR WOMEN
574 PRAIRIE CENTER DREDEN PRAIRIEMN55344GENERAL DONATION$10,838
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$54,190TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$26,030ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$17,080ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Exclusion18ExclusionCd
Exclusion$113ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$9,063ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$9,063TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$1,700Amt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (13 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMAZON COM INC$60,023$72,066
APPLE INC$49,948$268,057
AT&T INC$8,646$6,076
CATERPILLAR, INC$20,933$52,950
CHEVRON CORP$55,561$76,732
COCA-COLA CO$26,897$42,242
INTEL CORP$40,433$48,401
JOHNSON & JOHNSON CO$21,833$52,479
MERCK & CO INC$36,630$133,506
PFIZER INC$36,913$79,336
PROCTER & GAMBLE CO$23,486$52,780
VERIZON COMMUNICATIONS$40,402$40,950
WARNER BROS DISCOVERY INC$10,853$4,439

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCd
FIRST TRUST INTERMEDIATEAT COST
ISHARES S&P US PFD STOCKAT COST

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
EXPENSES
MISC EXP$100
CHECK ORDER$9

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Revenue And Expenses Per Books$113RevenueAndExpensesPerBooksAmt
Net Investment Income$113NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT TAXES/LICENSESCategoryTxt
Amt$263Amt

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