THE PETER J SEIPPEL FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THE PETER J SEIPPEL FOUNDATION INC (EIN 39-1833671)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-07-01
- IRS object ID
- 202101829349100905
- Schema version
- 2020v4.1
- 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 Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-07-01T16:04:15-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391742997 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'CONNOR WELLS & VANDER WERFF LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 E MAIN STREET | AddressLine1Txt |
| City | WAUPUN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391833671 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PETER J SEIPPEL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PETE | BusinessNameControlTxt |
| Phone | 4144308943 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 755 | AddressLine1Txt |
| City | BEAVER DAM | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53916 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHELSEY A SEIPPEL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4152992957 | PhoneNum |
| Signature | 2021-05-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHELSEY | PersonFirstNm |
| Person Last | SEIPPEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PETER VANDER WERFF | PreparerPersonNm |
| PTIN | P00055651 | PTIN |
| Phone | 9203249711 | PhoneNum |
| Preparation | 2021-05-27 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,965,858 | 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 |
| Dividends Rev And Expnss | $64,860 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $64,860 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $57,867 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $784,029 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $57,867 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $853 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $853 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $123,580 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $123,580 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $15,912 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $796 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $12,730 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $10,053 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $10,053 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $10,024 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $4,008 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $20,814 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $20,814 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $769 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $769 | TaxesDsbrsChrtblAmt |
| Occupancy Rev And Expnss | $15,738 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $853 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $14,885 | OccupancyDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $3,217 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $3,217 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $37,595 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $34,874 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $114,122 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,463 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $80,536 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $42,322 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $42,322 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $156,444 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,463 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $122,858 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$32,864 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $101,117 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $76,365 | CashBOYAmt |
| Cash EOY | $137,475 | CashEOYAmt |
| Cash EOYFMV | $137,475 | CashEOYFMVAmt |
| US Government Obligations BOY | $372,442 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $354,871 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $384,543 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $826,036 | CorporateStockBOYAmt |
| Corporate Stock EOY | $833,262 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,235,934 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $339,774 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $363,806 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $378,542 | CorporateBondsEOYFMVAmt |
| Invst Land Cost Or Other Basis | $574,338 | InvstLandCostOrOtherBasisAmt |
| Land Bldg Investments BOY | $460,609 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $574,338 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $574,338 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $850,271 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $628,881 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $755,026 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $30,307 | OtherAssetsBOYAmt |
| Other Assets EOY | $30,307 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $500,000 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $2,955,804 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,922,940 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,965,858 | 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 | $2,955,804 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,922,940 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,955,804 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,922,940 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,955,804 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,922,940 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,955,804 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$32,864 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,922,940 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,922,940 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | PUBLICLLY TRADED SECURITIES | PropertyDesc |
| Gross Sales Price | $784,029 | GrossSalesPriceAmt |
| Cost Or Other Basis | $726,162 | CostOrOtherBasisAmt |
| Gain Or Loss | $57,867 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $57,867 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $57,867 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,406 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,406 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,406 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $616 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $2,250 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,866 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $13 | EsPenaltyAmt |
| Overpayment | $1,447 | OverpaymentAmt |
| Applied To ES Tax | $1,447 | 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 | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | THESEIPPELCENTER.ORG | WebsiteAddressTxt |
| Individual With Books | CHELSEY A SEIPPEL | IndividualWithBooksNm |
| Phone | 4152992957 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 755 | AddressLine1Txt |
| City | BEAVER DAM | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53916 | 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 |
|---|---|---|---|---|---|---|---|---|
| CHELSEY A SEIPPEL | ||||||||
| PO BOX 755 | BEAVER DAM | WI | 53916 | PRESIDENT, DIRECTOR | 15.00 | $15,912 | $0 | $0 |
| ASHLEY N SEIPPEL | ||||||||
| 1305 W BELL STREET | HOUSTON | TX | 77019 | PRESIDENT ELECT, DIRECTOR | 1.00 | $0 | $0 | $0 |
| PHILIP R SEIPPEL | ||||||||
| PO BOX 313 | BEAVER DAM | WI | 53916 | VICE PRESIDENT, 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 | THE 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 | $50,962 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE 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 | $113,729 | Expenses1Amt |
| Total | $113,729 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,545,407 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $123,661 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,669,068 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,669,068 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $40,036 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,629,032 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $131,452 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $131,452 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,406 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,406 | TotalTaxAmt |
| Distributable Before Adj | $130,046 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $130,046 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $130,046 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $122,858 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $113,729 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $236,587 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $236,587 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $130,046 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $133,590 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $110,574 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $205,091 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $315,665 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $236,587 | QualifyingDistributionsAmt |
| Applied To Year1 | $133,590 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $102,997 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $27,049 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $27,049 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $288,616 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $288,616 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $83,525 | ExcessFromYear2Amt |
| Excess From Year1 | $205,091 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (17 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|
| AMERICAN FOUNDATION FOR SUICIDE | |||||
| 199 WATER ST 11TH FLOOR | NEW YORK | NY | 10038 | SUICIDE PREVENTION | $522 |
| BDCH FOUNDATION TREE OF LIGHTS | |||||
| 707 S UNIVERSITY AVE | BEAVER DAM | WI | 53916 | TO CREATE A HEALTHY COMMUNITY | $500 |
| BEAVER DAM KIWANIS CLUB | |||||
| PO BOX 824 | BEAVER DAM | WI | 53916 | IMPROVING THE WORLD ONE CHILD AND ONE COMMUNITY AT A TIME | $250 |
| BEAVER DAM SCHOLARSHIP | |||||
| 718 PARK AVE | BEAVER DAM | WI | 53916 | SCHOLARSHIP | $50 |
| CHILDREN'S RADIOATHON | |||||
| 100 BILL MCCOLLUM WAY | BEAVER DAM | WI | 53916 | PROVIDING FUNDS FOR LOCAL NON-PROFITS THAT BENEFIT CHILDREN IN DODGE COUNTY | $1,000 |
| CHURCH HEALTH SERVICES | |||||
| 115 N CENTER ST | BEAVER DAM | WI | 53916 | PROVIDING HEALTHCARE FOR POOR, UNISURED AND UNDER-INSURED. | $1,000 |
| CLOTHES 4 KIDS | |||||
| 1019 SOUTH SPRING STREET | BEAVER DAM | WI | 53916 | PROVIDE CLOTHING EXCHANGE FOR FAMILIES IN NEED | $500 |
| DODGE COUNTY TOY BANK | |||||
| PO BOX 438 | BEAVER DAM | WI | 53916 | TO ENSURE EVERY CHILD IN DODGE COUNTY HAS ONE GIFT TO OPEN ON CHRISTMAS DAY | $250 |
| HEROS FOR CHILDREN | |||||
| 6363 RICHMOND AVE | HOUSTON | TX | 77057 | FINANCIAL SUPPORT FOR FAMILIES WITH CHILDREN BATTLING CANCER | $15,000 |
| MAKE-A-WISH FOUNDATION OF WI | |||||
| 13195 W HAMPTON AVE | BUTLER | WI | 53151 | HELP CHILDREN FIGHTING LIFE THREATENING DISEASE | $11,000 |
| PREGNANCY SUPPORT CENTER OF DODGE COUNTY | |||||
| 108 PARALLEL STREET | BEAVER DAM | WI | 53916 | MEDICAL SERVICES, COUNSELING, AND EDUCATION | $500 |
| PAVE | |||||
| PO BOX 561 | BEAVER DAM | WI | 53916 | EMPOWERING THOSE AFFECTED BY VIOLENCE | $2,500 |
| SALVATION ARMY RED KETTLE | |||||
| 615 SLATERS LANE | ALEXANDRIA | IL | 22314 | PROVIDING FOR THOSE IN NEED IN DODGE COUNTY. | $500 |
| SHOP WITH COPS | |||||
| 128 CROSS ST | JUNEAU | WI | 53039 | TO FOSTER A POSITIVE RELATIONSHIP BETWEEN YOUTH AND COPS | $250 |
| SWAN CITY ICE SKATERS | |||||
| 609 GOULD STREET | BEAVER DAM | WI | 53916 | FIGURE SKATING CLUB | $2,500 |
| THE ARTHRITIS FOUNDATION | |||||
| 4550 POST OAK PLACE DR 307 | HOUSTON | TX | 77027 | PREVENTION AND CURE OF DISEASE | $5,000 |
| THE ELKS FOOD BANK | |||||
| 207 UNIVERSITY STREET | ELK MOUND | WI | 54739 | PROVIDE FOOD FOR THOSE IN NEED | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $42,322 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MUSIC CENTER RENTAL | Desc |
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 16 | ExclusionCd |
| Exclusion | $853 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $64,860 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $57,867 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $123,580 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $123,580 | 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 (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| ACCOUNTING AND TAX | $9,125 | $0 | $3,109 |
| PAYROLL PROCESSING FEES | $899 | $0 | $899 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (18 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| WELL FARGO & CO 2.5%21 | $19,805 | $20,067 |
| BANK OF AMERICA | $19,874 | $20,137 |
| ORACLE CORP | $19,466 | $20,202 |
| MORGAN STANLEY | $20,182 | $20,388 |
| VERIZON COMMUNICATION | $25,548 | $25,265 |
| THE GOLDMAN SACHS | $19,853 | $20,167 |
| INTEL CORP | $25,209 | $25,078 |
| CONOCOPHILLIPS | $30,687 | $30,210 |
| JOHN DEERE CAPITA | $19,822 | $21,097 |
| APPLE INC | $19,480 | $20,969 |
| THE BANK OF NEW Y | $19,103 | $20,943 |
| COMCAST CORP | $19,776 | $21,527 |
| PFIZER INC | $20,444 | $21,975 |
| ELECTRONIC ARTS | $23,234 | $23,788 |
| JPMORGAN CHASE & | $19,090 | $22,170 |
| ABBOTT LABORATOR | $15,750 | $17,544 |
| CINTAS CORP | $5,446 | $5,754 |
| WELLS FARGO & CO VAR | $21,037 | $21,261 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (55 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOTT LABORATORIES | $17,641 | $21,898 |
| ADOBE INC | $9,467 | $23,005 |
| ALPHABET INC | $6,197 | $7,011 |
| ALPHABET INC | $33,042 | $52,556 |
| AMAZON.COM | $36,453 | $84,680 |
| AMER ELECTRIC PWR CO | $14,837 | $13,656 |
| AMERICAN WATER WORKS | $11,266 | $13,505 |
| ANALOG DIVICES INC | $9,760 | $17,284 |
| APPLE INC | $15,697 | $48,166 |
| ASTRAZENECA PLC | $17,395 | $15,697 |
| AUTO DATA PROCESSING | $8,895 | $13,391 |
| BLACKROCK IN | $13,706 | $19,482 |
| BLACKSTONE GROUP | $16,774 | $22,165 |
| CHARLES SCHWAB CORP | $21,355 | $26,255 |
| CHEVRON CORP | $12,379 | $8,614 |
| CIGNA CORP | $11,291 | $13,115 |
| CISCO SYSTEMS | $21,782 | $23,539 |
| COMCAST CORP | $9,515 | $13,048 |
| DANAHER CORP | $10,687 | $24,435 |
| DOLLAR GENERAL CORP | $9,077 | $16,193 |
| ECOLAB INC | $13,779 | $17,958 |
| FIDELITY NATL INFO | $16,722 | $23,765 |
| FISERV INC | $14,217 | $21,520 |
| HOME DEPOT INC | $15,100 | $21,781 |
| HONEYWELL INTL | $20,239 | $29,353 |
| INTERCONTINENTAL EXC | $13,338 | $20,983 |
| JOHNSON & JOHNSON | $23,886 | $27,542 |
| JPMORGAN CHASE & CO | $22,470 | $25,287 |
| LINDE PLC | $12,917 | $20,817 |
| MEDTRONIC PLC | $12,684 | $18,040 |
| MICROSOFT CORP | $30,057 | $73,399 |
| MONDELEZ INTL | $18,507 | $20,640 |
| NEXTERA ENERGY | $11,752 | $19,133 |
| OTIS WORLDWIDE CORP | $10,121 | $11,889 |
| PEPSICO INC | $14,687 | $18,686 |
| PIONEER NATURAL RES | $12,902 | $8,770 |
| PNC FINL SERVICES | $12,653 | $14,900 |
| QUALCOMM INC | $11,511 | $26,507 |
| RAYTHEON TECHNOLOGIES CO | $18,575 | $18,378 |
| ROPER TECHNOLOGIES | $12,455 | $16,813 |
| S&P GLOBAL INC | $12,736 | $12,492 |
| SALESFORCE COM | $9,537 | $15,577 |
| STRYKER CORP | $11,350 | $17,153 |
| T-MOBILE US INC | $12,975 | $26,970 |
| TEXAS INSTRUMENTS | $10,510 | $13,623 |
| THERMO FISHER SCNTFC | $10,216 | $22,823 |
| TJX COMPANIES | $12,926 | $20,214 |
| US BANCORP | $19,803 | $17,052 |
| UNION PACIFIC CORP | $13,528 | $19,989 |
| UNITEDHEALTH GRP | $23,259 | $34,717 |
| VF CORP | $9,540 | $11,616 |
| VISA INC | $20,823 | $37,622 |
| WALT DISNEY CO | $10,896 | $14,493 |
| WASTE MANAGEMENT | $16,397 | $18,043 |
| ZOETIS INC | $12,978 | $19,694 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $354,871 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $384,543 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (6 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| CIBC ATLAS ALL CAP GROWT | AT COST | $134,877 | $160,431 |
| CIBC ATLAS INCOME OPPORT | AT COST | $85,385 | $104,298 |
| CIBC ATLAS INTERNATIONAL | AT COST | $140,103 | $174,628 |
| COHEN & STEERS PREFERRED | AT COST | $45,015 | $46,285 |
| MATTHEWS PACIFIC TIGER | AT COST | $216,950 | $258,385 |
| AMERN TOWER CORP | AT COST | $6,551 | $10,999 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY Book Value | $30,307 | BOYBookValueAmt |
| EOY Book Value | $30,307 | EOYBookValueAmt |
| EOYFMV | $500,000 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (10 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK SERVICE CHARGE | $110 | $0 | $110 |
| SUBCONTRACTORS | $9,572 | $0 | $9,572 |
| DECORATIONS | $3,014 | $0 | $3,014 |
| DUES | $763 | $0 | $763 |
| GAS | $442 | $0 | $221 |
| INSURANCE | $12,047 | $0 | $9,547 |
| OFFICE SUPPLIES | $780 | $0 | $780 |
| REPAIRS & MAINTENANCE | $4,699 | $0 | $4,699 |
| SUPPLIES | $3,528 | $0 | $3,528 |
| MISC | $2,640 | $0 | $2,640 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MUSIC CENTER RENTAL | Desc |
| Revenue And Expenses Per Books | $853 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $853 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $853 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT | CategoryTxt |
| Amt | $20,814 | Amt |
| Net Investment Income | $20,814 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PAYROLL TAXES | CategoryTxt |
| Amt | $769 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $769 | DisbursementsCharitablePrpsAmt |
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