LUTSEY FAMILY FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LUTSEY FAMILY FOUNDATION INC (EIN 39-1657029)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2023-01-12
- IRS object ID
- 202340129349100404
- Schema version
- 2021v4.2
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-01-12T00:00:00-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200794302 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MBE CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 224700 ZINNIA DRIVE | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391657029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUTSEY FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LUTS | BusinessNameControlTxt |
| Phone | 9203399823 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6177 KIEHNAU ROAD | AddressLine1Txt |
| City | EGG HARBOR | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54209 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS LUTSEY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9203399823 | PhoneNum |
| Signature | 2022-12-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | THOMAS | PersonFirstNm |
| Person Last | LUTSEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7153554401 | PhoneNum |
| Preparation | 2022-12-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $6,773,292 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $3,126 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3,126 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $63,873 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $63,873 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $415,186 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,290,088 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $415,186 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $6,705 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $6,705 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $488,890 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $488,890 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $14,041 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $14,041 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $14,041 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $290 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $290 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $290 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $147 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $147 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $0 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $3,038 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $3,038 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $3,038 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $4,355 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $4,355 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $4,355 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $21,871 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $21,871 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $21,724 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $262,034 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $262,034 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $283,905 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $21,871 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $283,758 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $204,985 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $467,019 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $123,806 | CashBOYAmt |
| Cash EOY | $5,238 | CashEOYAmt |
| Cash EOYFMV | $5,238 | CashEOYFMVAmt |
| Sav And Temp Cash Invst EOY | $150,081 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $150,081 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $68,623 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $84,658 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $84,364 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $4,175,430 | CorporateStockBOYAmt |
| Corporate Stock EOY | $5,385,529 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $5,386,927 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $42,929 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $40,267 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $39,890 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $1,182,020 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,948,349 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,104,061 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $2,731 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $2,731 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $5,592,808 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,616,853 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,773,292 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $5,592,808 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $7,616,853 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,592,808 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $7,616,853 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,592,808 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,616,853 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,592,808 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $204,985 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,819,060 | OtherIncreasesAmt |
| Subtotal | $7,616,853 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $7,616,853 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (8 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| MERRILL LONG TERM COVERED | P | 2020-06-25 | 2021-08-27 | $1,286,697 | $1,131,330 | $155,367 | $155,367 |
| MERRILL SHORT TERM COVERED | P | 2021-01-06 | 2021-01-28 | $239,116 | $214,680 | $24,436 | $24,436 |
| MERRILL SHORT TERM NONCOVERED | P | 2021-12-23 | 2021-12-23 | $2,048 | $2,048 | $0 | $0 |
| MERRILL LONG TERM COVERED | P | 2018-10-17 | 2021-01-28 | $641,745 | $423,578 | $218,167 | $218,167 |
| MERRILL LONG TERM NONCOVERED | P | 2009-09-08 | 2021-01-28 | $916 | $209 | $707 | $707 |
| MERRILL LONG TERM COVERED | P | 2014-12-03 | 2021-11-15 | $26,679 | $25,314 | $1,365 | $1,365 |
| MERRILL SHORT TERM COVERED | P | 2020-08-21 | 2021-06-16 | $33,228 | $30,060 | $3,168 | $3,168 |
| MERRILL LONG TERM COVERED | P | 2019-03-05 | 2021-10-14 | $59,659 | $47,683 | $11,976 | $11,976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $415,186 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $27,604 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,492 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,492 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,492 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,840 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $5,840 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $8 | EsPenaltyAmt |
| Tax Due | $660 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | THOMAS LUTSEY | IndividualWithBooksNm |
| Phone | 9203399823 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6177 KIEHNAU RD | AddressLine1Txt |
| City | EGG HARBOR | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (1) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| THOMAS J LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| SHARON L LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| MATTHEW T LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JEFFREY K LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| NICHOLAS P LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| ANDREW J LUTSEY | ||||||||
| 6177 KEIHNAU RD | EGG HARBOR | WI | 54209 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,140,984 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $341,674 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,033,487 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,516,145 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $6,516,145 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $97,742 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $6,418,403 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $320,920 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $320,920 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,492 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $3,978 | IncomeTaxAmt |
| Total Tax | $10,470 | TotalTaxAmt |
| Distributable Before Adj | $310,450 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $310,450 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $310,450 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $283,758 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $283,758 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $310,450 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $258,600 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $283,758 | QualifyingDistributionsAmt |
| Applied To Year1 | $258,600 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $25,158 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $285,292 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | LUTSEY ENTERPRISES LLP ATTN MATT LU | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22074 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9203399823 | RecipientPhoneNum |
| Form And Info And Materials | NO STANDARD FORM OR APPLICATION PROCESS IS REQUIRED BY THE FOUNDATION. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|
| BOYS & GIRLS CLUB OF DOOR COUNTY | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | SUPPORT FOR ANNUAL OPERATIONS | $31,440 |
| CATHOLIC YOUTH EXPEDITIONS | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO FUND PROGRAMS THAT SUPPORT THE ORGANIZATION'S RELIGIOUS BELIEFS | $500 |
| CROSSROADS AT BIG CREEK | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 BREAD PUDDING & BONFIRE SPONSORSHIP | $200 |
| DOOR COUNTY COMMUNITY FOUNDATION INC | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 10.2021 PLEDGE DONATION TO DOOR COUNTY COMMUNITY FOUNDATION (YEAR 1 OF 5 YEAR PLEDGE) | $5,000 |
| DOOR COUNTY FFA | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO SUPPORT FFA'S PROGRAMS TO HELP MAKE A POSITIVE DIFFERENCE IN THE LIVES OF STUDENTS BY DEVELOPING THEIR POTENTIAL FOR PREMIER LEADERSHIP, PERSONAL GROWTH AND CAREER SUCCESS THROUGH AGRICULTURAL EDUCATION. | $900 |
| DOOR COUNTY FOOD PANTRY COALITION | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION | $685 |
| DOOR COUNTY HOUSING PARTNERSHIP | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION | $1,546 |
| ENCOMPASS EARLY EDUCATION & CARE | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 WEEKEND FOOD PROGRAM DONATION / ENCOMPASS | $5,000 |
| FAMILY FARMED | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO SUPPORT FAMILEY FARMED'S MISSION TO PROVIDE GOOD FOOD ON EVERY TABLE. | $10,000 |
| FEEDING AMERICA EASTERN WISCONSIN | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION TO THE FEEDING AMERICA NE WISCONSIN FARM LINK PROGRAM | $10,000 |
| GOLDEN HOUSE | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION TO THE FEEDING AMERICA NE WISCONSIN FARM LINK PROGRAM | $75,000 |
| GREATER GREEN BAY COMMUNITY FDN INC | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION FOR THE THOMAS H. LUTSEY-WASEDA FARMS SCHOLARSHIP | $10,000 |
| HOUSE OF HOPE GREEN BAY INC | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 PLEDGE DONATION TO COMPLETE FIVE (5) YEAR COMMITTMENT FOR THE "KEY TO HOPE PLEDGE - TOUCHDOWN FOR HOPE CAMPAIGN" | $40,000 |
| LAKESHORE CAP INC | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO SUPPORT HUNGER RELIEF | $1,000 |
| MAKE A WISH FOUNDATION WISCONSIN | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO SUPPORT MAKE-A-WISH 'S MISSION STATEMENT IS TO CREATE LIFE-CHANGING WISHES FOR CHILDREN WITH CRITICAL ILLNESSES." | $6,400 |
| NOTRE DAME ACADEMY | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 NORTE DAME OF DEPERE DONATION / STUDENT SUPPORT FOR EDUCATION | $2,100 |
| PENINSULA PET PANTRY | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | GENERAL SUPPORT FOR ANNUAL OPERATIONS | $1,176 |
| PRIESTS OF THE SACRED HEART | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO FUND PROGRAMS THAT SUPPORT THE ORGANIZATION'S RELIGIOUS BELIEFS | $450 |
| SECOND HARVEST FOOD BANK OF WISCONSIN | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | 2021 DONATION | $1,000 |
| ST VINCENT DEPAUL | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO PROVIDE FOR COMMUNITY NEEDS | $1,000 |
| STELLA MARIS CHURCH | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO FUND PROGRAMS THAT SUPPORT THE ORGANIZATION'S RELIGIOUS BELIEFS | $1,262 |
| SUAMICO UNITED METHODIST CHURCH | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO FUND PROGRAMS THAT SUPPORT THE ORGANIZATION'S RELIGIOUS BELIEFS | $375 |
| SYBLE HOPP SCHOOL | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | YEAR 1 OF 2 YEAR PLEDGE FOR THE SYBLE HOPP CAPITAL CAMPAIGN | $5,000 |
| THE BELLIN HEALTH FOUNDATION | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | BELLIN'S MATERNITY/NEONATAL INTENSIVE CARE UNIT (NICU) - 2021 CAPITAL CAMPAIGN DONATION | $25,000 |
| UNIVERSITY OF NEBRASKA FOUNDATION | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | UNIVERSITY OF NEBRASKA FOUNDATION - NANCY ARMITAGE PANCREAS CANCER STUDY | $25,000 |
| ADULT & TEEN CHALLENGE NORTHEASTERN WISCONSIN | |||||
| 6177 KIEHNAU ROAD | EGG HARBOR | WI | 54209 | TO ASSIST TEENS & ADULTS IN GAINING FREEDOM FROM CHEMICAL ADDICTIONS AND OTHER LIFE CONTROLLING PROBLEMS BY ADDRESSING THEIR PHYSICAL, EMOTIONAL & SPIRITUAL NEEDS. | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $262,034 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,126 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $63,873 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6,705 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $415,186 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $488,890 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $488,890 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $14,041 | Amt |
| Net Investment Income | $14,041 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $14,041 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | ML #2183 CORPORATE BONDS | BondNm |
| EOY Book Value | $40,267 | EOYBookValueAmt |
| EOYFMV | $39,890 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ML #2176 CORE EQUITIES | $2,713,000 | $2,713,590 |
| ML #2183 WESTERN ASSET CORE MUTUAL FUNDS | $127,991 | $128,799 |
| ML #2017 PRIVATE EQUITIES | $1,702,614 | $1,702,614 |
| ML #2184 DIVIDEND GROWTH | $841,924 | $841,924 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $84,658 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $84,364 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (9 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ML #2278 BLACKSTONE ALTERNATIVES SOLUTION 2014 TRUST | AT COST | $262,500 | $93,045 |
| ML #2278 BREP EUROPE IV REAL ESTATE FUND | AT COST | $231,250 | $62,150 |
| ML #2278 CRESCENT VI MEZZANINE | AT COST | $279,750 | $45,177 |
| ML #2278 BLACKSTONE ALTERNATIVES SOLUTION IV FUND | AT COST | $306,250 | $368,196 |
| ML #2278 BLACKSTONE ALTERNATIVES SOLUTION V FUND | AT COST | $217,500 | $308,629 |
| GREEN BAY PACKER SUPER BOWL RING | AT COST | $20,000 | $20,000 |
| ML #2278 ACP POWER AND ENERGY REAL ASSET FUND | AT COST | $354,750 | $90,564 |
| ML #2278 LS REAL ESTATE RECOVERY IV TRUST | AT COST | $226,349 | $70,300 |
| ML #2278 BX STRATEGIC PARTNERS | AT COST | $50,000 | $46,000 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREPAID INCOME TAX | Desc |
| BOY Book Value | $0 | BOYBookValueAmt |
| EOY Book Value | $2,731 | EOYBookValueAmt |
| EOYFMV | $2,731 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| GIFTS | $967 | $967 | $0 | $967 |
| BANK SERVICE CHARGES | $418 | $418 | $0 | $418 |
| CREDIT CARD FEES | $41 | $41 | $0 | $41 |
| OUTSIDE SERVICES | $2,929 | $2,929 | $0 | $2,929 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| MERRIL LYNCH CAP GAIN DISTRIBUTION | $144 | $144 | $0 |
| MERRIL LYNCH SEC 1250 GAIN | $47 | $47 | $0 |
| MISCELLANEOUS OTHER INCOME | $6,514 | $6,514 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $1,819,060 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ADMINISTRATIVE EXPENSES | CategoryTxt |
| Amt | $290 | Amt |
| Net Investment Income | $290 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $290 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX PAID | CategoryTxt |
| Amt | $3,038 | Amt |
| Net Investment Income | $3,038 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $3,038 | DisbursementsCharitablePrpsAmt |
Comments