THE PETER J SEIPPEL FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE PETER J SEIPPEL FOUNDATION INC (EIN 39-1833671)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-16
IRS object ID
202241369349100524
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T09:06:33-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391742997PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR WELLS & VANDER WERFF LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 E MAIN STREETAddressLine1Txt
CityWAUPUNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53963ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391833671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PETER J SEIPPEL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPETEBusinessNameControlTxt
Phone4144308943PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 755AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53916ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHELSEY A SEIPPELPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4152992957PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHELSEYPersonFirstNm
Person LastSEIPPELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER VANDER WERFFPreparerPersonNm
PTINP00055651PTIN
Phone9203249711PhoneNum
Preparation2022-05-16PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,667,250FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$75InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$75InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$106,166DividendsRevAndExpnssAmt
Dividends Net Invst Incm$106,166DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$127,264NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$603,510GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$127,264CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$233,505TotalRevAndExpnssAmt
Total Net Invst Incm$233,505TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$15,690CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$784CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$14,906CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$6,298AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,204AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$22,486OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$22,486OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$4,256TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,233TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss$51,978OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$2,599OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$49,379OccupancyDsbrsChrtblAmt
Printing And Pub Rev And Expnss$7,877PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$7,877PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$28,607OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$28,453OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$137,192TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$30,102TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$102,819TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$60,400ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$60,400ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$197,592TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$30,102TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$163,219TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$35,913ExcessRevenueOverExpensesAmt
Net Investment Income$203,403NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$137,475CashBOYAmt
Cash EOY$144,427CashEOYAmt
Cash EOYFMV$144,427CashEOYFMVAmt
US Government Obligations BOY$354,871USGovernmentObligationsBOYAmt
US Government Obligations EOY$323,783USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$339,547USGovtObligationsEOYFMVAmt
Corporate Stock BOY$833,262CorporateStockBOYAmt
Corporate Stock EOY$778,956CorporateStockEOYAmt
Corporate Stock EOYFMV$1,363,356CorporateStockEOYFMVAmt
Corporate Bonds BOY$363,806CorporateBondsBOYAmt
Corporate Bonds EOY$308,048CorporateBondsEOYAmt
Corporate Bonds EOYFMV$311,379CorporateBondsEOYFMVAmt
Invst Land Cost Or Other Basis$698,159InvstLandCostOrOtherBasisAmt
Land Bldg Investments BOY$574,338LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$698,159LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$698,159LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$628,881OtherInvestmentsBOYAmt
Other Investments EOY$677,179OtherInvestmentsEOYAmt
Other Investments EOYFMV$780,075OtherInvestmentsEOYFMVAmt
Other Assets BOY$30,307OtherAssetsBOYAmt
Other Assets EOY$30,307OtherAssetsEOYAmt
Other Assets EOYFMV$30,307OtherAssetsEOYFMVAmt
Total Assets BOY$2,922,940TotalAssetsBOYAmt
Total Assets EOY$2,960,859TotalAssetsEOYAmt
Total Assets EOYFMV$3,667,250TotalAssetsEOYFMVAmt
Accounts Payable EOY$2,006AccountsPayableEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,006TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,922,940RetainedEarningBOYAmt
Retained Earning EOY$2,958,853RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,922,940TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,958,853TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,922,940TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,960,859TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,922,940TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$35,913ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,958,853SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,958,853TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICALLY TRADED SECUTIRIESPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$603,510GrossSalesPriceAmt
Cost Or Other Basis$476,246CostOrOtherBasisAmt
Gain Or Loss$127,264GainOrLossAmt
Gains Minus Excess Or Losses$127,264GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$127,264CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,827InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,827SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,827TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$831EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$831TotalPaymentsAndCreditsAmt
Es Penalty$10EsPenaltyAmt
Tax Due$2,006TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressTHESEIPPELCENTER.ORGWebsiteAddressTxt
Individual With BooksCHELSEY A SEIPPELIndividualWithBooksNm
Phone4152992957PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11605 N SPRING STREETAddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53916ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CHELSEY A SEIPPEL
PO BOX 755BEAVER DAMWI53916PRESIDENT, DIRECTOR15.00$15,690$0$0
ASHLEY N SEIPPEL
1305 W BELL STREETHOUSTONTX77019PRESIDENT ELECT, DIRECTOR1.00$0$0$0
PHILIP R SEIPPEL
PO BOX 313BEAVER DAMWI53916VICE PRESIDENT, DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION DEDICATES REAL ESTATE LOCATED AT 1605 N SPRING STREET, BEAVER DAM, WI TO TEACHERS OF MUSIC LESSONS AND TO PROMOTE MUSIC WITHIN THE COMMUNITY.Description1Txt
Expenses1$79,913Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION DEDICATES REAL ESTATE LOCATED AT 1605 N SPRING STREET, BEAVER DAM, WI TO TEACHERS OF MUSIC LESSONS AND TO PROMOTE MUSIC WITHIN THE COMMUNITY. THIS AMOUNT REPRESENTS INVESTMENTS INTO THAT PROPERTY BY WAY OF PROPERTY ADDITIONS AND IMPROVEMENTS.Description1Txt
Expenses1$123,821Expenses1Amt
Total$123,821TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,782,406AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$105,771AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,888,177TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,888,177AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$43,323CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,844,854NetVlNoncharitableAssetsAmt
Minimum Investment Return$142,243MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$142,243MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,827TaxBasedOnInvestmentIncomeAmt
Total Tax$2,827TotalTaxAmt
Distributable Before Adj$139,416DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$139,416DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$139,416DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$163,219ExpensesAndContributionsAmt
Program Related Invst Total$123,821ProgramRelatedInvstTotalAmt
Qualifying Distributions$287,040QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$139,416DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr3$83,525ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$205,091ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$288,616TotalExcessDistributionCyovAmt
Qualifying Distributions$287,040QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$139,416AppliedToCurrentYearAmt
Remaining Distri From Corpus$147,624RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$436,240TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$436,240ExcessDistriCyovToNextYrAmt
Excess From Year3$83,525ExcessFromYear3Amt
Excess From Year2$205,091ExcessFromYear2Amt
Excess From Current Year$147,624ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN FOUNDATION FOR SUICIDE
199 WATER ST 11TH FLOORNEW YORKNY10038SUICIDE PREVENTION$250
BDCH FOUNDATION TREE OF LIGHTS
707 S UNIVERSITY AVEBEAVER DAMWI53916TO CREATE A HEALTHY COMMUNITY$500
BEAVER DAM KIWANIS CLUB
PO BOX 824BEAVER DAMWI53916IMPROVING THE WORLD ONE CHILD AND ONE COMMUNITY AT A TIME$250
BEAVER DAM SCHOLARSHIP
718 PARK AVEBEAVER DAMWI53916SCHOLARSHIP$450
CHILDREN'S RADIOATHON
100 BILL MCCOLLUM WAYBEAVER DAMWI53916PROVIDING FUNDS FOR LOCAL NON-PROFITS THAT BENEFIT CHILDREN IN DODGE COUNTY$250
CHURCH HEALTH SERVICES
115 N CENTER STBEAVER DAMWI53916PROVIDING HEALTHCARE FOR POOR, UNISURED AND UNDER-INSURED.$5,000
CLOTHES 4 KIDS
1019 SOUTH SPRING STREETBEAVER DAMWI53916PROVIDE CLOTHING EXCHANGE FOR FAMILIES IN NEED$250
HEROS FOR CHILDREN
6363 RICHMOND AVEHOUSTONTX77057FINANCIAL SUPPORT FOR FAMILIES WITH CHILDREN BATTLING CANCER$12,500
MAKE-A-WISH FOUNDATION OF WI
13195 W HAMPTON AVEBUTLERWI53151HELP CHILDREN FIGHTING LIFE THREATENING DISEASE$12,000
PAVE
PO BOX 561BEAVER DAMWI53916EMPOWERING THOSE AFFECTED BY VIOLENCE$3,000
SALVATION ARMY RED KETTLE
615 SLATERS LANEALEXANDRIAIL22314PROVIDING FOR THOSE IN NEED IN DODGE COUNTY.$500
SHOP WITH COPS
128 CROSS STJUNEAUWI53039TO FOSTER A POSITIVE RELATIONSHIP BETWEEN YOUTH AND COPS$250
SWAN CITY ICE SKATERS
609 GOULD STREETBEAVER DAMWI53916FIGURE SKATING CLUB$2,500
THE ARTHRITIS FOUNDATION
4550 POST OAK PLACE DR 307HOUSTONTX77027PREVENTION AND CURE OF DISEASE$5,000
THE ELKS FOOD BANK
207 UNIVERSITY STREETELK MOUNDWI54739PROVIDE FOOD FOR THOSE IN NEED$250
BD GUNS & HOSES
W117 W MAPLE AVEBEAVER DAMWI53916TO SUPPORT LOCAL FIREFIGHTER & POLICE CHARITIES$500
BEAVER DAM AREA COMMUNITY THEATRE
PO BOX 96BEAVER DAMWI53916TO SUPPORT LOCAL THEATRE$1,500
BEAVER DAM ELK'S LODGE
PO BOX 96BEAVER DAMWI53916PROVIDING FOOD BASKETS TO LOCAL RESIDENTS IN NEED$1,000
JAM BY THE DAM
209 S CENTER STBEAVER DAMWI53916TO SUPPORT COMMUNITY MUSIC EVENT$250
DOWNTOWN BEAVER DAM
PO BOX 113BEAVER DAMWI53916TO SUPPORT LOCAL FAMILY FRIENDLY ENTERTAINMENT$1,000
HAM N' JAM - GREEN VALLEY ENTERPRISES
1223 MADISON STREETBEAVER DAMWI53916TO SUPPORT MUSIC FOR THOSE WITH SPECIAL NEEDS$250
PINK RIBBON CLASSIC
PO BOX 461BEAVER DAMWI53916TO RAISE AWARENESS FOR BREAST CANCER$250
SLEEP SAFE AND SOUND MINISTRY
125 DODGE DRIVEBEAVER DAMWI53916TO PROVIDE SAFE BEDS FOR LOCAL FAMILIES IN NEED$1,000
SPECIAL OLYMPICS
2310 CROSSROADS DRMADISONWI53718TO HELP PROVIDE SPORTS TRAINING AND ATHLETIC COMPETITION IN A VARIETY OF OLYMPIC-TYPE SPORTS FOR CHILDREN AND ADULTS WITH INTELLECTUAL DISABILITIES$500
SOCIETY OF ST VINCENT DE PAUL
125 DODGE DRIVEBEAVER DAMWI53916TO HELP PROVIDE ASSISTANCE TO LOCAL RESIDENTS$6,000
TRANSITIONS RESOURCE CENTER
W9654 BEAVERLAND PARKWAYBEAVER DAMWI53916TO HELP PROVIDE SUPPORT TO THOSE IN TRANSITION$1,000
TUNNEL TO TOWERS
2361 HYLAN BOULEVARDSTATEN ISLANDNY10306TO HELP HONOR MILITARY AND FIRST RESPONDERS$250
UNITED WAY
215 CORPORATE DRBEAVER DAMWI53916TO HELP IMPROVE LIVES BY EMPOWERING THE CARING POWER OF DODGE COUNTY$500
WALK FOR WISHES
121020 WEST PLANK COURT STE 200WAUWATOSAWI53226TO RAISE MONEY TO ENABLE MAKE-A-WISH TO GRANT WISHES TO CHILDREN WITH CRITICAL ILLNESSES$500
WAYLAND ACADEMY
101 NORTH UNIVERSITY AVENUEBEAVER DAMWI53916TO PROVIDE SCHOLARSHIPS TO THOSE ATTENDING WAYLAND ACADEMY$2,500
WOMEN'S AFFILIATE
PO BOX 95BEAVER DAMWI53916TO SUPPORT ART IN BEAVER DAM$250
MAD STREET ART INITIATIVE
130 W MAPLE AVE PO BOX 442BEAVER DAMWI53916TO HELP BRING URBAN ART TO BEAVER DAM$100
SPECIAL TOUCH
PO BOX 25WAUPACAWI54981TO HELP SUPPORT FAMILIES WHO HAVE A MEMBER WITH DISABILITIES$100
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$60,400TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$75ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$106,166ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$127,264ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$233,505ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$233,505TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING AND TAXCategoryTxt
Amt$6,298Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,204DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (15 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VERIZON COMMUNICATION$25,548$25,041
INTEL CORP$25,209$25,019
CONOCOPHILLIPS$30,687$30,065
JOHN DEERE CAPITAL$19,822$20,502
APPLE INC$19,480$20,457
THE BANK OF NEW Y$19,103$20,428
PFIZER INC$20,444$21,139
ELECTRONIC ARTS$23,234$22,295
JPMORGAN CHASE &$19,090$21,120
ABBOTT LABORATOR$15,750$16,565
CINTAS CORP$5,446$5,468
WELLS FARGO & CO VAR$21,037$20,303
COMCAST CORP 1.95%$19,663$19,502
LOWE'S COMPANY$20,385$20,408
UST INFL IDX$23,150$23,067

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (55 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABORATORIES$12,719$20,548
ADOBE INC$8,102$22,682
ALPHABET INC$17,248$26,073
ALPHABET INC$27,390$72,340
AMAZON.COM$31,409$76,690
AMERICAN WATER WORKS$5,665$8,499
ANALOG DIVICES INC$8,647$18,280
APPLE INC$11,876$49,187
ASTRAZENECA PLC$18,857$20,271
AUTO DATA PROCESSING$7,431$15,781
BLACKROCK IN$8,104$15,565
BLACKSTONE GROUP$10,576$28,466
CHARLES SCHWAB CORP$14,629$29,603
CHEVRON CORP$10,654$10,444
CISCO SYSTEMS$19,096$29,657
DANAHER CORP$7,988$27,308
DOLLAR GENERAL CORP$9,633$16,272
ECOLAB INC$8,769$13,372
FIDELITY NATL INFO$14,675$16,263
FISERV INC$9,780$14,531
HOME DEPOT INC$17,345$34,446
HONEYWELL INTL$21,924$29,817
INTERCONTINENTAL EXC$7,938$15,045
JPMORGAN CHASE & CO$19,873$27,870
LINDE PLC$8,992$19,054
MEDTRONIC PLC$11,215$14,173
MICROSOFT CORP$33,120$104,596
MONDELEZ INTL$10,225$13,328
NEXTERA ENERGY$15,980$27,541
OTIS WORLDWIDE CORP$12,259$18,198
PEPSICO INC$10,028$15,286
PIONEER NATURAL RES$17,830$19,643
PNC FINL SERVICES$15,220$22,258
QUALCOMM INC$7,623$21,396
RAYTHEON TECHNOLOGIES CO$20,221$24,355
ROPER TECHNOLOGIES$10,275$16,231
S&P GLOBAL INC$17,088$24,540
SALESFORCE COM$20,332$27,954
STRYKER CORP$7,529$12,569
T-MOBILE US INC$15,368$25,052
THERMO FISHER SCNTFC$7,684$24,688
TJX COMPANIES$5,767$10,781
US BANCORP$18,256$19,435
UNION PACIFIC CORP$11,375$20,658
UNITEDHEALTH GRP$18,582$40,171
VISA INC$27,154$42,692
WALT DISNEY CO$18,656$19,671
ZOETIS INC$6,999$19,766
CME GROUP$8,762$10,052
COSTCO WHOLESALE$12,849$22,140
D R HORTON$6,017$6,941
MARTIN MARIETTA MATERIAL$13,565$16,299
TE CONNECTIVITY LTD$17,475$21,458
STANLEY BLACK & DECK$19,241$19,428
BOOKING HOLDINGS INC$22,941$23,992

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$323,783USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$339,547USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CIBC ATLAS ALL CAP GROWTAT COST$155,088$200,861
CIBC ATLAS INCOME OPPORTAT COST$87,894$121,515
CIBC ATLAS INTERNATIONALAT COST$123,097$152,847
COHEN & STEERS PREFERREDAT COST$45,015$45,321
MATTHEWS PACIFIC TIGERAT COST$260,336$246,953
AMERN TOWER CORPAT COST$5,749$12,578

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
BOY Book Value$30,307BOYBookValueAmt
EOY Book Value$30,307EOYBookValueAmt
EOYFMV$30,307EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGE$300$0$300
SUBCONTRACTORS$8,000$0$8,000
GAS$318$0$254
OFFICE SUPPLIES$1,863$0$1,863
REPAIRS & MAINTENANCE$926$0$926
SUPPLIES$3,504$0$3,504
MISC$2,610$0$2,612
CLEANING$1,312$0$1,312
MUSIC NIGHTS$6,528$0$6,528
PEST CONTROL$450$0$450
INTERNET/WEBSITE$2,336$0$2,336
LAWN MOWING$460$0$368

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENTCategoryTxt
Amt$22,486Amt
Net Investment Income$22,486NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
Amt$4,256Amt
Net Investment Income$4,233NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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