BLESER FAMILY FOUNDATION INC: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BLESER FAMILY FOUNDATION INC (EIN 39-1585269)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202343189349102414
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T12:37:03-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3850 N ALVIN STREET PO BOX 2459 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 549122459 | 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 | 391585269 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESER FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLES | BusinessNameControlTxt |
| Phone | 7157545579 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 GOLF COURSE DR | AddressLine1Txt |
| City | WINDSOR | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY B HAYES | PersonNm |
| Person Title | SECRETARY/TREASURER | PersonTitleTxt |
| Phone | 7157545579 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | HAYES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN D KRAUSE CPA | PreparerPersonNm |
| PTIN | P00035777 | PTIN |
| Phone | 9207337385 | PhoneNum |
| Preparation | 2023-11-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | $34,817,745 | 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 | $310,288 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $310,625 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,439,136 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,038,154 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $111,518 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $27,629,964 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $240,201 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $3,446 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $3,446 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,864,388 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,592,426 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $8,340 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $4,170 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $4,170 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $142,156 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $142,156 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $148,550 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $8,366 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $998 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $13,448 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $1,002 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $300,044 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $168,140 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $5,172 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,793,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,793,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $2,093,044 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $168,140 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,798,172 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$228,656 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,424,286 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $70,720 | CashBOYAmt |
| Cash EOY | $10,244 | CashEOYAmt |
| Cash EOYFMV | $10,244 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $3,393,261 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $3,154,840 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $3,154,840 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $0 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $500,732 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $493,207 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $13,157,378 | CorporateStockBOYAmt |
| Corporate Stock EOY | $12,281,092 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $13,720,838 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $6,744,013 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $9,509,940 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $9,065,821 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $9,049,813 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $5,836,631 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $5,425,388 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $5,218,748 | OtherAssetsBOYAmt |
| Other Assets EOY | $5,786,030 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $2,947,407 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $37,633,933 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,079,509 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $34,817,745 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $37,633,933 | RetainedEarningBOYAmt |
| Retained Earning EOY | $37,079,509 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $37,633,933 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $37,079,509 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $37,633,933 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $37,079,509 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $37,633,933 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$228,656 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $37,405,277 | SubtotalAmt |
| Other Decreases | $325,768 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $37,079,509 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $27,570,246 | $27,518,446 | $51,800 | $51,800 |
| K-1 REALIZED GAINS | P | $128,683 | $128,683 | $128,683 | |
| CAPITAL GAINS DIVIDENDS | P | $59,718 | $59,718 | $59,718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $240,201 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $19,798 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $19,798 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $19,798 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $110,873 | 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 | $110,873 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $91,075 | OverpaymentAmt |
| Applied To ES Tax | $91,075 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| 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 | BONNIE ROE | IndividualWithBooksNm |
| Phone | 7157545579 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | W11013 RIVERSIDE RD | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54950 | 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 | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| 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 (3 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 B HAYES | ||||||||
| 6 LONE WOOD CT | NAPA | CA | 94558 | PRESIDENT, DIRECTOR | 3.00 | $0 | $0 | $0 |
| JAMES E BLESER | ||||||||
| N5695 E SANDY DRIVE | SHAWANO | WI | 54166 | VICE PRESIDENT, DIRECTOR | 3.00 | $0 | $0 | $0 |
| CHRISTA SCHOENHOFEN | ||||||||
| W5389 N SHORE DRIVE | SHAWANO | WI | 54166 | SECRETARY/TREASURER | 3.00 | $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 | $34,517,093 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,173,428 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $37,690,521 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $37,690,521 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $565,358 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $37,125,163 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,856,258 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,856,258 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $19,798 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $19,798 | TotalTaxAmt |
| Distributable Before Adj | $1,836,460 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,836,460 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,836,460 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,798,172 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,798,172 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,836,460 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $98 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $23,970 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $24,068 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,798,172 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,798,172 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $24,068 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $24,068 | 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 | $14,220 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (42 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BADGER BOYS STATE INC | |||||||
| PO BOX 388 | PORTAGE | WI | 53901 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $1,200 |
| BIG BROTHER BIG SISTER | |||||||
| 520 N BROADWAY STE 220 | GREENBAY | WI | 54303 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $12,500 |
| BONDUEL SCHOLARSHIP & DEV | |||||||
| PO BOX 310 | BONDUEL | WI | 54107 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $30,000 |
| CRAIG HOSPITAL | |||||||
| 3425 S CLARKSON ST | ENGLEWOOD | CO | 80113 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $125,000 |
| DOLLARS FOR SCHOLARS | |||||||
| PO BOX 5 | SHAWNO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $30,000 |
| FEEDING AMERICA EASTERN WISCONSIN | |||||||
| 2911 W EVERGREEN DRIVE | APPLETON | WI | 54913 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| FRIENDS OF SHAWANO COUNTY LIBRARY | |||||||
| 128 S SAWYER ST | SHAWNO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $35,000 |
| GRB DIOCESES - ONE BY ONE | |||||||
| PO BOX 22128 | GREEN BAY | WI | 54305 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $100,000 |
| GREEN BAY BOTANICAL GARDENS | |||||||
| 2600 LARSEN RD | GREEN BAY | WI | 54303 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| JESUIT PARTNERSHIP | |||||||
| 3400 WISCONSIN AVE | MILWAUKEE | WI | 53208 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| MAAC FUND | |||||||
| 10000 W INNOVATION DR STE 135 | MILWAUKEE | WI | 53226 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| MAKE A WISH WISCONSIN | |||||||
| 11020 WEST PLANK COURT STE 200 | WAUWATOSA | WI | 53226 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $6,000 |
| MARQUETTE UNIVERSITY | |||||||
| PO BOX 1881 | MILWAUKEE | WI | 53201 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $250,000 |
| MAYO CLINIC FUND | |||||||
| 200 FIRST ST SW | ROCHESTER | MN | 55905 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $125,000 |
| NAVARINO NATURE CENTER | |||||||
| W5646 LINDSTEN RD | SHIOCTON | WI | 54170 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $20,000 |
| NORBERTINE COMMUNITY | |||||||
| 5825 COOR RD SW | ALBEQUERQUE | NM | 87121 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| NORTHEAST WISCONSIN TECHNICAL COLLEGE | |||||||
| PO BOX 19042 | GREEN BAY | WI | 54307 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $50,000 |
| PAULS PANTRY | |||||||
| 1513 LEO FRIGO WAY | GREEN BAY | WI | 54307 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $25,000 |
| RAWHIDE | |||||||
| E7475 RAWHIDE ROAD | NEW LONDON | WI | 54961 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $15,000 |
| RED RIVER RIDERS | |||||||
| N6669 CHERRY RD | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $5,000 |
| SACRED HEART PARISH | |||||||
| 321 SAWYER ST | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $85,000 |
| SACRED HEART SCHOOL | |||||||
| 321 SAWYER ST | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $148,000 |
| SAFE HAVEN | |||||||
| PO BOX 665 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $50,000 |
| SAM25 | |||||||
| PO BOX 147 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $20,000 |
| SCHOOL DISTRICT OF BONDUEL | |||||||
| PO BOX 310 | BONDUEL | WI | 54107 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $20,500 |
| SHAWANO AREA COMMUNITY FUND | |||||||
| PO BOX 255 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $5,000 |
| SHAWANO AREA FOOD PANTRY AND RESOURCE CENTER | |||||||
| PO BOX 570 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $36,000 |
| SHAWANO BOYS & GIRLS CLUB | |||||||
| PO BOX 111 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $25,000 |
| SHAWANO COMMUNITY HOSPICE | |||||||
| PO BOX 171 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $15,000 |
| SHAWANO COUNTRY ART COUNCIL | |||||||
| PO BOX 213 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $2,000 |
| SHAWANO COUNTRY HUMANE SOCIETY | |||||||
| 310 S AIRPORT DR | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $20,000 |
| SHAWANO COUNTRY RURAL HEALTH INITIATIVE | |||||||
| 100 COUNTRY ROAD B | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $15,000 |
| SHAWANO COUNTY LITERACY COUNCIL | |||||||
| PO BOX 577 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $3,000 |
| SPECIAL OLYMPICS WI NE AREA | |||||||
| 2140 HOLMGREN WAY | GREEN BAY | WI | 54304 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $2,800 |
| ST MARTINS FOOD PANTRY | |||||||
| 407 S WARRINGTON AVE | CECIL | WI | 54111 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $10,000 |
| ST MARTINS PARISH | |||||||
| 407 S WARRINGTON AVE | CECIL | WI | 54111 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $43,500 |
| ST NORBERT COLLEGE SCHOLARSHIP FUND | |||||||
| 100 GRANT ST | DE PERE | WI | 54115 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $250,000 |
| TREES FOR TOMORROW | |||||||
| 519 SHERIDAN ST EAST | EAGLE RIVER | WI | 54521 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $3,000 |
| WAISMAN CENTER - UW MADISON | |||||||
| 1500 HIGHLAND AVE | MADISON | WI | 53705 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $150,000 |
| WOLF RIVER HABITAT FOR HUMANITY | |||||||
| PO BOX 532 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $5,000 |
| WOODLAND DUNES NATURE CENTER | |||||||
| PO BOX 486 | TWO RIVERS | WI | 54241 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $3,000 |
| ZION LUTHERAN CHURCH | |||||||
| PO BOX 532 | SHAWANO | WI | 54166 | N/A | PC | UNRESTRICED CHARITABLE GIFT | $1,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,793,000 | 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 | $310,288 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,439,136 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $111,518 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,446 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,864,388 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,864,388 | 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 FEES | CategoryTxt |
| Amt | $8,340 | Amt |
| Net Investment Income | $4,170 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $4,170 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CORPORATE BONDS UBS #0641 | $5,107,871 | $4,777,396 |
| CORPORATE BONDS UBS #0652 | $35,522 | $39,515 |
| CORPORATE BONDS UBS #1242 | $1,675,253 | $1,652,404 |
| CORPORATE BONDS UBS #1243 | $2,691,294 | $2,596,506 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (9 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| EQUITIES - UBS ACCOUNT #0640 | $1,659,820 | $1,706,991 |
| EQUITIES - UBS ACCOUNT #0643 | $1,052,955 | $1,319,411 |
| EQUITIES - UBS ACCOUNT #0645 | $2,025,361 | $2,201,739 |
| EQUITIES - UBS ACCOUNT #0647 | $2,380,701 | $2,492,066 |
| EQUITIES - UBS ACCOUNT #0648 | $1,455,709 | $2,173,445 |
| EQUITIES - UBS ACCOUNT #0649 | $1,689,078 | $1,795,779 |
| EQUITIES - UBS ACCOUNT #0650 | $280,266 | $354,977 |
| EQUITIES - UBS ACCOUNT #0654 | $1,280,464 | $1,230,014 |
| EQUITIES - UBS ACCOUNT #1203 | $456,738 | $446,416 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $500,732 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $493,207 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MUTUAL FUNDS UBS #0646 | AT COST | $1,160,164 | $919,135 |
| MUTUAL FUNDS UBS #0650 | AT COST | $344,145 | $399,712 |
| MUTUAL FUNDS UBS #0652 | AT COST | $2,549,565 | $2,413,035 |
| MUTUAL FUNDS UBS #1203 | AT COST | $364,408 | $360,764 |
| MUTUAL FUNDS UBS #1241 | AT COST | $1,418,349 | $1,332,742 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (10 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ARTHUR STREET FUND III LP | $930,925 | $930,925 | $23,920 |
| BLACKSTONE CAPITAL HOLDINGS FUND | $400,000 | $447,500 | $508,647 |
| CARLYLE EUROPEAN OPPORTUNITIES FUND | $567,500 | $567,500 | $179,630 |
| CZECH III SENIOR LOAN TRUST | $990,000 | $990,000 | $497,921 |
| VESEY STREET PORTFOLIO | $865,323 | $870,054 | $664,670 |
| GLOBAL BANKING & FINANCIAL SERVICES TRUST CLASS A | $497,500 | $0 | $0 |
| OAK V DISTRESSED PARTICIPATION FUND | $460,000 | $460,000 | $7,384 |
| ACP POWER & ENERGY REAL ASSET FUND CLASS A | $507,500 | $507,500 | $2,789 |
| DIVIDENDS IN TRANSIT | $5,051 | $5,051 | |
| BLACKSTONE REAL ESTATE INCOME TRUST | $1,007,500 | $1,057,395 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BROKER ADJUSTMENT TO BASIS | Desc |
| Amt | $325,768 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OFFICE EXPENSE | $998 | $0 | $998 |
| K-1 PORTFOLIO DEDUCTIONS | $0 | $13,448 | $4 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Revenue And Expenses Per Books | $3,446 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $3,446 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $3,446 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $142,156 | Amt |
| Net Investment Income | $142,156 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAX | $8,338 | $8,366 | $0 |
| FEDERAL TAX | $140,212 | $0 | $0 |
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