MARVIN P VERHULST FOUNDATION INC: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MARVIN P VERHULST FOUNDATION INC (EIN 33-0998350)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-04-17
- IRS object ID
- 202301079349100030
- 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
- Form 990-PF
- Accounting Fees Schedule
- All Oth Prog Rltd Investments Sch
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-17T14:02:02-07:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDALL S GROBE CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3404 CIRCLE CLOSE | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330998350 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARVIN P VERHULST FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARV | BusinessNameControlTxt |
| Phone | 6088314177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKAHAUK TRAIL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY S BURBACH | PersonNm |
| Person Title | PRESIDENT/TREASURER | PersonTitleTxt |
| Phone | 6088314177 | PhoneNum |
| Signature | 2023-02-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | BURBACH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RANDALL S GROBE | PreparerPersonNm |
| PTIN | P01211811 | PTIN |
| Phone | 6082176115 | PhoneNum |
| Preparation | 2023-04-17 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $4,522,715 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $114,926 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $114,926 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $34,112 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,747,067 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $34,112 | CapGainNetIncmNetInvstIncmAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $0 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $149,038 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $149,038 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $2,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,250 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,250 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $0 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $12,904 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,571 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $27,175 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $27,175 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $42,579 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $29,996 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,250 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $252,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $252,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $294,579 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $29,996 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $253,250 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$145,541 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $119,042 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $53,384 | CashBOYAmt |
| Cash EOY | $39,289 | CashEOYAmt |
| Cash EOYFMV | $39,289 | CashEOYFMVAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| US Government Obligations EOY | $221,645 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $223,369 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $19,422 | CorporateStockBOYAmt |
| Corporate Stock EOY | $8,953 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $135,700 | CorporateStockEOYFMVAmt |
| Land Bldg Investments EOY | $0 | LandBldgInvestmentsEOYAmt |
| Other Investments BOY | $3,854,625 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,511,181 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,124,357 | OtherInvestmentsEOYFMVAmt |
| Land EOY | $0 | LandEOYAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $3,927,431 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,781,068 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,522,715 | TotalAssetsEOYFMVAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $3,927,431 | RetainedEarningBOYAmt |
| Retained Earning EOY | $3,781,068 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,927,431 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,781,068 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,927,431 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,781,068 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,927,431 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$145,541 | ExcessRevenueOverExpensesAmt |
| Other Increases | $188 | OtherIncreasesAmt |
| Subtotal | $3,782,078 | SubtotalAmt |
| Other Decreases | $1,010 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,781,068 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | PUBLICLY TRADED SECURTIES | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Acquired | 2021-12-30 | AcquiredDt |
| Sold | 2022-12-31 | SoldDt |
| Gross Sales Price | $3,747,067 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $3,712,955 | CostOrOtherBasisAmt |
| Gain Or Loss | $34,112 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $34,112 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $34,112 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,655 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,655 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,655 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,600 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $5,600 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$5,600 | OriginalReturnOverpaymentAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,945 | OverpaymentAmt |
| Applied To ES Tax | $3,945 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MARY S BURBACH | IndividualWithBooksNm |
| Phone | 6088314177 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKAHAUK TRL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | 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 |
|---|---|---|---|---|---|---|---|---|
| MARY S BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| KENNETH M BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | SECRETARY | 1.00 | $0 | $0 | $0 |
| PATRICIA DORFMAN | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRIAN BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| SARAH BRUCH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| ROBERT DORFMAN | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
| All Other Program Rltd Invst Tot | $0 | AllOtherProgramRltdInvstTotAmt |
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,817,842 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $58,672 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,876,514 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $4,876,514 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $73,148 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,803,366 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $240,168 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $240,168 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,655 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,655 | TotalTaxAmt |
| Distributable Before Adj | $238,513 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $238,513 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $238,513 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $253,250 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $253,250 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $238,513 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $235,394 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $253,250 | QualifyingDistributionsAmt |
| Applied To Year1 | $235,394 | AppliedToYear1Amt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Remaining Distri From Corpus | $17,856 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $17,856 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $17,856 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $220,657 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MARY S BURBACH | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKSAHAUK TRAIL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Info And Materials | N/A | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| NORTH HUDSON ELEMENTARY SCHOOL | ||||||
| 510 LEMON ST NORTH | HUDSON | WI | 54016 | GOVT | PROGRAM SUPPORT | $2,500 |
| ST MARKS EPISCOPAL SCHOOL | ||||||
| 3395 BURNS ROAD | PALM BEACH GARDENS | FL | 33410 | PC | PROGRAM SUPPORT | $10,000 |
| HUMAN COLLECTIVE FOUNDATION | ||||||
| 2329 STOCKTON DRIVE | FLEMING ISLE | FL | 32003 | PC | PROGRAM SUPPORT | $10,000 |
| FIRST PRESBYTERIAN CHURCH | ||||||
| 1901 VINE ST | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $2,500 |
| HUDSON CHAMBER OF COMMERCE | ||||||
| 219 2ND ST | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $2,000 |
| VOLUNTEERS IN MEDICINE | ||||||
| 41 E DUVAL ST | JACKSONVILLE | FL | 32202 | PC | PROGRAM SUPPORT | $10,000 |
| OLBRICH BOTANICAL GARDENS | ||||||
| 3330 ATWOOD AVE | MADISON | WI | 53704 | PC | PROGRAM SUPPORT | $10,000 |
| RECOVERY FOUNDATION | ||||||
| 5005 UNIVERSITY AVE | MADISON | WI | 53705 | PC | PROGRAM SUPPORT | $10,000 |
| CARE NET PREGNACY CENTER | ||||||
| 44180 RIVERSIDE PARKWAY | LANSDOWNE | VA | 20176 | PC | PROGRAM SUPPORT | $10,000 |
| MAKING EVERY DAY COUNT | ||||||
| 501 S FLAGLER DR | WEST PALM BEACH | FL | 33401 | PC | PROGRAM SUPPORT | $20,000 |
| ST VINCENT DE PAUL | ||||||
| 2033 FISH HATCHERY RD | MADISON | WI | 53725 | PC | PROGRAM SUPPORT | $10,000 |
| CYCLE PROJECT | ||||||
| 223 WOODLAKE ROAD | KOHLER | WI | 53044 | PC | PROGRAM SUPPORT | $2,000 |
| HUDSON SCHOOL DISTRICT | ||||||
| 644 BRAKKE DRIVE | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $2,000 |
| ST CROIX VALLEY FOOD BANK | ||||||
| 1231 INDUSTRIAL ST STE 400 | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $12,000 |
| MID-CONTINENT RAILWAY MUSEUM | ||||||
| E8948 MUSEUM ROAD | NORTH FREEDOM | WI | 53951 | PC | PROGRAM SUPPORT | $5,000 |
| SALVATION ARMY DANE COUNTY | ||||||
| 3030 DARBO DRIVE | MADISON | WI | 53714 | PC | PROGRAM SUPPORT | $100,000 |
| BOYS & GIRLS CLUB OF DANE COUNTY | ||||||
| 1818 W BELTLINE HWY | MADISON | WI | 53713 | PC | PROGRAM SUPPORT | $10,000 |
| PLACE OF HOPE | ||||||
| 9078 ISAIAH LANE | WEST PALM BEACH | FL | 33418 | PC | PROGRAM SUPPORT | $24,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $252,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $114,926 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $34,112 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $149,038 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $149,038 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | RANDALL GROBE, CPA TAX PREPARATION | CategoryTxt |
| Amt | $2,500 | Amt |
| Net Investment Income | $1,250 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,250 | DisbursementsCharitablePrpsAmt |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONE | Desc |
| Amt | $0 | Amt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|
| PUBLICLY TRADED STOCKS | $3,677,899 | $3,712,955 | -$35,056 |
| CAPITAL GAIN DISTRIBUTIONS | $69,168 | $69,168 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOTT LABORATORIES | $4,295 | $54,895 |
| ABBVIE, INC. | $4,658 | $80,805 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $221,645 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $223,369 | USGovtObligationsEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (25 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICAN FDS STRATEGIC BOND FUND | $224,776 | $188,727 |
| SMALL CAP WORLD FUND | $42,580 | $95,755 |
| DFA EMERGING MARKETS FUND | $84,487 | $96,848 |
| DFA INT'L CORE EQUITY FUND | $107,893 | $126,310 |
| DFA INVT DIMENSIONS GRP INC INTL LARGE CAP GWTH | $100,000 | $123,831 |
| DODGE & COX INT'L STOCK FUND | $58,651 | $81,379 |
| EUROPACIFIC GROWTH FUND | $55,542 | $82,655 |
| DFA US CORE EQUITY 1 PORTFOLIO | $426,485 | $624,841 |
| FIDELITY ADVISOR NEW INSIGHTS FUND | $26,683 | $35,690 |
| FUNDAMENTAL INVESTORS | $185,475 | $288,433 |
| GROWTH FUND OF AMERICA | $34,951 | $77,925 |
| PRIMECAP ODYSSEY FUND | $82,164 | $99,722 |
| WASHINGTON MUTUAL INVESTORS FD | $229,739 | $328,383 |
| FIDELITY ADV STOCK SELECTOR MIDCAP FD | $56,978 | $105,701 |
| DIMENSIONAL US SMALL CAP ETF FD | $27,611 | $46,688 |
| BLACKROCK STATEGIC INCOME OPTIONS FD | $228,015 | $210,901 |
| DODGE & COX INCOME FUND | $480,000 | $465,119 |
| FEDERATED HERMES GOVT ULSH FD | $125,048 | $124,517 |
| FEDERATED HERMES TOTAL RETURN BOND FD | $480,000 | $458,688 |
| BANK HAPOALIM CD | $74,888 | $75,624 |
| GOLDMAN SACHS CD | $57,686 | $57,971 |
| ALLY BANK CD | $74,775 | $75,875 |
| CAPITAL ONE CD | $74,640 | $76,276 |
| CAPITAL ONE CD | $75,160 | $76,830 |
| ARTISAN PARTNERS HIGH INCOME | $96,954 | $99,668 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Amt | $1,010 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| INV PROGRAM FEES | $27,110 | $27,110 |
| OFFICE EXPENSE | $65 | $65 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-DIVIDEND DISTRIBUTIONS | Desc |
| Amt | $188 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| FOREIGN TAXES | $1,571 | $1,571 |
| FEDERAL INCOME TAXES | $11,333 |
Comments