CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC (EIN 39-1936484)
Tax period
2020-06-01 to 2021-05-31
Filed
2021-10-13
IRS object ID
202132869349100718
Schema version
2020v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-13T12:35:19-05:00ReturnTs
Tax Period End2021-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391769340PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COLLINS & ASSOCIATES SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 120AddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP538210120ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391936484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLYN M & LEARY E PETERSON FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAROBusinessNameControlTxt
Phone6083266496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 EAST HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS F PETERSONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone6083266496PhoneNum
Signature2021-10-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastPETERSONPersonLastNm
FieldValueIRS element (for citing)
SSN888008888SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLLINS ASSOCIATES SCPreparerPersonNm
PTINP00146637PTIN
Phone6083266456PhoneNum
Preparation2021-10-11PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$995,410FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$26,727DividendsRevAndExpnssAmt
Dividends Net Invst Incm$26,727DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$14,278NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$34,644GrossSalesPriceAmt
Total Rev And Expnss$12,449TotalRevAndExpnssAmt
Total Net Invst Incm$26,727TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$7,500CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$7,500CompOfcrDirTrstNetInvstIncmAmt
Legal Fees Rev And Expnss$1,487LegalFeesRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,600AccountingFeesRevAndExpnssAmt
Taxes Rev And Expnss$482TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$140OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$11,209TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$7,500TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$45,770ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$45,770ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$56,979TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$7,500TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$45,770TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$44,530ExcessRevenueOverExpensesAmt
Net Investment Income$19,227NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$81CashBOYAmt
Cash EOY$4,614CashEOYAmt
Cash EOYFMV$4,614CashEOYFMVAmt
Corporate Stock BOY$512,097CorporateStockBOYAmt
Corporate Stock EOY$463,169CorporateStockEOYAmt
Corporate Stock EOYFMV$929,886CorporateStockEOYFMVAmt
Other Investments BOY$59,301OtherInvestmentsBOYAmt
Other Investments EOY$59,166OtherInvestmentsEOYAmt
Other Investments EOYFMV$60,910OtherInvestmentsEOYFMVAmt
Total Assets BOY$571,479TotalAssetsBOYAmt
Total Assets EOY$526,949TotalAssetsEOYAmt
Total Assets EOYFMV$995,410TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$571,479CapitalStockBOYAmt
Capital Stock EOY$526,949CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$571,479TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$526,949TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$571,479TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$526,949TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$571,479TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$44,530ExcessRevenueOverExpensesAmt
Subtotal$526,949SubtotalAmt
Tot Net Ast Or Fund Balances EOY$526,949TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyGENERAL ELECTRIC COPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2011-10-11AcquiredDt
Sold2021-05-18SoldDt
Gross Sales Price$34,644GrossSalesPriceAmt
Cost Or Other Basis$48,922CostOrOtherBasisAmt
Gain Or Loss-$14,278GainOrLossAmt
Gains Minus Excess Or Losses-$14,278GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$14,278CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$267InvestmentIncomeExciseTaxAmt
Subtotal$267SubtotalAmt
Tax Based On Investment Income$267TaxBasedOnInvestmentIncomeAmt
Tax Due$267TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTHOMAS F PETERSONIndividualWithBooksNm
Phone6083266496PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1110 E HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CAROLE SAYER
20890 CHANNEL DREXCELSIORMN55331DIRECTOR000.00$1,500$0$0
JOE MULLEN
662 JENISA DRST CLOUDMN56301DIRECTOR000.00$1,500$0$0
THOMAS F PETERSON
110 E HAYDN STPRAIRIE DU CHIENWI53821DIRECTOR000.00$1,500$0$0
MARY JO RUHL
2740 NICHOLS LANEDAVENPORTIA52803DIRECTOR000.00$1,500$0$0
JOHN L PETERSON
4814 CHAMPIONS RUNMIDDLETONWI53562DIRECTOR000.00$1,500$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION MAKES CHARITABLE CONTRIBUTIONS TO 501(C)(3) ORGANIZATIONS.Description1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$957,368AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$10,803AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$968,171TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$968,171AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$14,523CashDeemedCharitableAmt
Net Vl Noncharitable Assets$953,648NetVlNoncharitableAssetsAmt
Minimum Investment Return$47,682MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$47,682MinimumInvestmentReturnAmt
Tax Based On Investment Income$267TaxBasedOnInvestmentIncomeAmt
Total Tax$267TotalTaxAmt
Distributable Before Adj$47,415DistributableBeforeAdjAmt
Distributable Before Ded$47,415DistributableBeforeDedAmt
Distributable As Adjusted$47,415DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$45,770ExpensesAndContributionsAmt
Qualifying Distributions$45,770QualifyingDistributionsAmt
Adjusted Qualifying Distri$45,770AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$47,415DistributableAsAdjustedAmt
Undistributed Income PY$12,327UndistributedIncomePYAmt
Qualifying Distributions$45,770QualifyingDistributionsAmt
Applied To Year1$12,327AppliedToYear1Amt
Applied To Current Year$33,443AppliedToCurrentYearAmt
Undistributed Income CY$13,972UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
WI WATERFOWL - PDC CHAPTER
38299 STUCKEY RDPRAIRIE DU CHIENWI53821GENERAL DONATION$819
HOLY FAMILY CATHOLIC SCHOOL
515 N BEAUMONT RDPRAIRIE DU CHIENWI53821GENERAL DONATION$9,154
CROSS PLAINS BASEBALL
2410 MARTIN STCROSS PLAINSWI53528GENERAL DONATION$800
ST MARY'S ELEMENTARY SCHOOL
823 1ST ST SST CLOUDMN56301GENERAL DONATION$3,000
FATHER FAGAN
PO BOX 157PRAIRIE DU CHIENWI53821GENERAL DONATION$2,500
PDC POLICE DEPT
228 N BEAUMONT RDPRAIRIE DU CHIENWI53821GENERAL DONATION$4,500
WISCONSIN PARKINSON'S FDN
16655 W BLUEMOUND RDBROOKFIELDWI53005GENERAL DONATION$535
ST JOHN THE BAPTIST SCHOOL
114 E 3RD STWAUNAKEEWI53597GENERAL DONATION$9,154
ST JOHN'S UNIVERSITY
2850 ABBEY PLAZACOLLEGEVILLEMN56321GENERAL DONATION$3,000
ANNA MARIE'S SHELTER
505 10TH AVE NEST CLOUDMN56301GENERAL DONATION$3,154
NEIGHBORHOOD HEALTH CLINIC
120 GOODLETTE RD NNAPLESFL34102GENERAL DONATION$5,000
HEADWATERS FOOD PANTRY
6516 OLYMPIC 76 STLAND O LAKESWI54540GENERAL DONATION$2,077
ST ALBERT CATHOLIC CHURCH
PO BOX 237LAND O LAKESWI54540GENERAL DONATION$2,077
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$45,770TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$26,727ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$14,278ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Exclusion18ExclusionCd

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$12,449ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$12,449TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$1,600Amt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GENERAL ELECTRIC
VERIZON COMMUNICATIONS$40,402$66,093
PFIZER INC DEL PV$36,913$81,720
MERCK & CO INC$38,465$91,220
PROCTER & GAMBLE CO$23,486$48,951
AT&T INC$46,256$47,235
CHEVRON CORP$55,561$51,687
JOHNSON & JOHNSON CO$21,833$57,545
INTEL CORP$40,433$95,333
AMAZON COM INC$60,023$96,692
APPLE INC$49,948$190,404
CATERPILLAR, INC$20,933$60,270
COCA-COLA CO$26,897$38,758
VIATRIS INC$2,019$3,978

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
FIRST TRUST INTERMEDIATEAT COST$24,775$25,090
ISHARES S&P US PFD STOCKAT COST$34,391$35,820

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryINDIRECT LEGAL FEESCategoryTxt
Legal Fees$1,487LegalFeesAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
EXPENSES
MISC EXP$140

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT TAXES/LICENSESCategoryTxt
Amt$482Amt

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