2020-07-15T19:12:38-05:00 2019-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 205 N MICHIGAN AVE 2800 CHICAGO IL 606015927 990 2019-01-01 474842422 M3 INSURANCE FOUNDATION INC M3IN 8002722443 828 JOHN NOLEN DRIVE MADISON WI 53713 BETH DETTMAN PRESIDENT 8002722443 2020-07-13 1 MARK HEROUX P00959793 3127298000 2020-07-13 24.1.30.194 2020-07-13 19:58:01 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0882A3BD3791635C134A938B8FF3C2B174769BAB 2019 2021-01-29 14:40:06Z BETH DETTMAN 828 JOHN NOLEN DRIVE MADISON WI 53713 326059 0 X WWW.M3INS.COM/ABOUT-US/COMMUNITY-IMPACT X 2015 WI (SEE SCHEDULE O)THE FOUNDATION WAS ORGANIZED TO PROMOTE THE CHARITABLE ATTITUDES OF THE EMPLOYEES AT M3 SOLUTIONS, INC. THE FOUNDATION WILL FOCUS ON THE AREAS OF HEALTH CARE, SAFETY IMPROVEMENT, CATASTROPHIC EVENT RELIEF, FINANCIAL EDUCATION AND LITERACY, AND THE PROMOTION OF CAREERS IN THE INSURANCE INDUSTRY. 8 8 0 12 0 0 543828 325473 0 0 784 586 0 0 544612 326059 196100 257000 0 0 594 594 0 0 0 2649 3815 199343 261409 345269 64650 455430 545649 0 0 455430 545649 X (SEE SCHEDULE O)THE FOUNDATION WAS ORGANIZED TO PROMOTE THE CHARITABLE ATTITUDES OF THE EMPLOYEES AT M3 SOLUTIONS, INC. THE FOUNDATION WILL FOCUS ON THE AREAS OF HEALTH CARE, SAFETY IMPROVEMENT, CATASTROPHIC EVENT RELIEF, FINANCIAL EDUCATION AND LITERACY, AND THE PROMOTION OF CAREERS IN THE INSURANCE INDUSTRY. 0 0 261409 257000 THE FOUNDATION DONATES TO LOCAL ORGANIZATIONS FOCUSING ON HEALTH CARE, SAFETY IMPROVEMENT, CATASTROPHIC EVENT RELIEF, FINANCIAL EDUCATION AND LITERACY, AND THE PROMOTION OF CAREERS IN THE INSURANCE INDUSTRY. 261409 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 WI X BRIAN DONARSKI 6082882732 828 JOHN NOLEN DR MADISON WI 53713 X JEREMY D JENSEN DIRECTOR 0.60 X 0 0 0 KENNETH M MEEKS DIRECTOR 0.60 X 0 0 0 JASON D NORDBY DIRECTOR 0.60 X 0 0 0 MICHAEL E VICTORSON DIRECTOR 0.60 X 0 0 0 KRISTIN S SCHMIDT DIRECTOR 0.60 X 0 0 0 BEC KURZYNSKE DIRECTOR 0.60 X 0 0 0 KELSEY LORENZ DIRECTOR 0.60 X 0 0 0 JESSE MAAS DIRECTOR 0.60 X 0 0 0 THOMAS J GOLDEN PRESIDENT 0.60 X 0 0 0 KEVIN MILLER SECRETARY 0.60 X 0 0 0 LINDSEY HAMIELEC TREASURER 0.60 X 0 0 0 0 0 0 0 0 0 0 0 325473 325473 586 586 326059 0 0 586 255000 255000 2000 2000 594 594 3000 3000 170 170 SOFTWARE 645 645 261409 261409 0 0 215430 280080 240000 265569 455430 545649 0 0 X 0 0 0 0 455430 545649 455430 545649 455430 545649 64650 25569 0 X 0 0 0 X 33174 123676 543828 325473 1026151 33174 123676 543828 325473 1026151 1026151 126 784 586 1496 1027647 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INVESTMENTS 265569 265569 1 BOYS & GIRLS CLUB OF THE WAUSAU AREA PO BOX 2386 WAUSAU WI 54402 391850386 501(C)(3) 10000 GENERAL ASSISTANCE DOMESTIC ABUSE INTERVENTION SERVICES (DAIS) 2102 FORDEM AVENUE MADISON WI 53704 411382134 501(C)(3) 5000 GENERAL ASSISTANCE EAU CLAIRE COMMUNITY FOUNDATION 306 S BARSTOW STREET SUITE 104 EAU CLAIRE WI 54701 391891064 501(C)(3) 10000 GENERAL ASSISTANCE STARTINGBLOCK MADISON 6410 LANDFALL DRIVE MADISON WI 53705 463631409 501(C)(3) 10000 GENERAL ASSISTANCE UNITED WAY OF DANE COUNTY PO BOX 7548 MADISON WI 53707 390817532 501(C)(3) 28000 GENERAL ASSISTANCE WISCONSIN HOMES FOR THE AGING RESEARCH & EDUCATION CORP 204 SOUTH HAMILTON ST MADISON WI 53703 237448555 501(C)(3) 5000 GENERAL ASSISTANCE MILWAUKEE CENTER FOR INDEPENDENCE 2020 W WELLS ST MILWAUKEE WI 53233 390806257 501(C)(3) 20000 GENERAL ASSISTANCE UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY BOX 88110 MILWAUKEE WI 53288 390806190 501(C)(3) 5000 GENERAL ASSISTANCE AMERICAN RED CROSS - WISCONSIN REGION 4860 SHEBOYGAN AVE MADISON WI 53705 530196605 501(C)(3) 7500 GENERAL ASSISTANCE MADISON COLLEGE FOUNDATION 3591 ANDERSON ST SUITE 203A MADISON WI 53704 237265867 501(C)(3) 16500 GENERAL ASSISTANCE EDGEWOOD COLLEGE 1000 EDGEWOOD COLLEGE DRIVE MADISON WI 53711 390806202 501(C)(3) 5000 GENERAL ASSISTANCE MARSHFIELD AREA COMMUNITY FOUNDATION INC PO BOX 456 MARSHFIELD WI 54449 473441083 501(C)(3) 5000 GENERAL ASSISTANCE UNITED WAY OF MARATHON COUNTY 705 S 24TH AVE SUITE 400B WAUSAU WI 54401 390935496 501(C)(3) 5000 GENERAL ASSISTANCE MIDWEST ATHLETES AGAINST CHILDHOOD CANCER (MAAC FUND) 10000 W INNOVATION DRIVE SUITE 135 MILWAUKEE WI 53226 391270290 501(C)(3) 5000 GENERAL ASSISTANCE BOYS & GIRLS CLUB OF DANE COUNTY 1818 WEST BELTLINE HIGHWAY MADISON WI 53713 391925617 501(C)(3) 5000 GENERAL ASSISTANCE LUTHERAN SOCIAL SERVICES 6737 W WASHING ST 227 MILWAUKEE WI 53214 390816846 501(C)(3) 20000 GENERAL ASSISTANCE L E PHILLLIPS CAREER DEVELOPMENT CENTER PO BOX 600 EAU CLAIRE WI 54702 390971649 501(C)(3) 1000 GENERAL ASSISTANCE UW CARBONE CANCER CENTER 1848 UNIVERSITY AVENUE MADISON WI 53726 390743975 501(C)(3) 2500 GENERAL ASSISTANCE PARADIGM FOUNDATION INC 1850 DEMING WAY SUITE 120 MIDDLETON WI 53562 832252338 501(C)(3) 5000 GENERAL ASSISTANCE FEED MY PEOPLE INC 2610 ALPINE RD EAU CLAIRE WI 54703 361488941 501(C)(3) 5000 GENERAL ASSISTANCE GREAT LAKE HEMOPHILIA FOUNDATION INC 638 N 18TH ST SUITE 108 MILWAUKEE WI 53233 237367636 501(C)(3) 1000 GENERAL ASSISTANCE PERFECT HARMONY MEN'S CHORUS PO BOX 14706 MADISON WI 53708 320052707 501(C)(3) 1000 GENERAL ASSISTANCE HABITAT FOR HUMANITY OF WAUKESHA COUNTY 2020 SPRINGDALE ROAD WAUKESHA WI 53186 391642114 501(C)(3) 2500 GENERAL ASSISTANCE HABITAT FOR HUMANITY OF DANE COUNTY 3101 LATHAM DRIVE MADISON WI 53713 391592769 501(C)(3) 5000 GENERAL ASSISTANCE FOUNDATION FOR MADISON'S PUBLIC SCHOOLS 101 NOB HILL RD SUITE 300 MADISON WI 53713 392043104 501(C)(3) 7500 GENERAL ASSISTANCE SPECIAL OLYMPICS WISCONSIN 2310 CROSSROADS DR SUITE 1000 MADISON WI 53718 391176591 501(C)(3) 2500 GENERAL ASSISTANCE GOODMAN COMMUNITY CENTER 214 WAUBESA ST MADISON WI 53704 391919172 501(C)(3) 2500 GENERAL ASSISTANCE ST MARY'S FOUNDATION W4608 RIVER RD FREDONIA WI 53021 832465927 501(C)(3) 2500 GENERAL ASSISTANCE CHIPPEWA VALLEY MUSEUM 1204 E HALF MOON DR EAU CLAIRE WI 54703 396092129 501(C)(3) 500 GENERAL ASSISTANCE SECOND HARVEST FOODBANK OF SOUTHERN WISCONSIN 2802 DAIRY DR MADISON WI 53718 391490691 501(C)(3) 10000 GENERAL ASSISTANCE REAP FOOD GROUP 306 E WILSON ST SUITE 2W MADISON WI 53703 392043788 501(C)(3) 1000 GENERAL ASSISTANCE THE WOMEN'S CENTER 505 EAST AVE WAUKESHA WI 53186 391269698 501(C)(3) 3000 GENERAL ASSISTANCE EASTER SEALS WISCONSIN 8001 EXCELSIOR DR SUITE 200 MADISON WI 53717 390824877 501(C)(3) 2000 GENERAL ASSISTANCE VSA WISCONSIN 1709 ABERG AVE SUITE 1 MADISON WI 53704 391526913 501(C)(3) 1500 GENERAL ASSISTANCE JOSHUA'S CAMP 2106 DECLARATION DR EAU CLAIRE WI 54703 453416856 501(C)(3) 2500 GENERAL ASSISTANCE M3 INSURANCE FOUNDATION 828 JOHN NOLEN DRIVE MADISON WI 53713 474842422 501(C)(3) 1000 GENERAL ASSISTANCE JUNIOR ACHIEVEMENT 111 W LIBERTY DR MILWAUKEE WI 53224 390826295 501(C)(3) 2500 GENERAL ASSISTANCE ZOOLOGICAL SOCIETY OF MILWAUKEE 10005 W BLUEMOUND RD MILWAUKEE WI 53226 396077242 501(C)(3) 2500 GENERAL ASSISTANCE GILDA'S CLUB MADISON 7907 UW HEALTH CT MIDDLETON WI 53562 061662883 501(C)(3) 2500 GENERAL ASSISTANCE WISCONSIN EARLY CHILDHOOD ASSOCIATION INC 2908 MARKETPLACE DR SUITE 101 FITCHBURG WI 53719 391345572 501(C)(3) 5000 GENERAL ASSISTANCE GREATER GREEN BAY HABITAT FOR HUMANITY 1967 ALLOUEZ AVE GREEN BAY WI 54311 391589910 501(C)(3) 1000 GENERAL ASSISTANCE GIGI'S PLAYHOUSE-MADISON 41041 MONONA DR MADISON WI 53716 463445347 501(C)(3) 1500 GENERAL ASSISTANCE URBAN LEAGUE OF GREATER MADISON 2222 S PARK ST SUITE 200 MADISON WI 53713 391098146 501(C)(3) 5000 GENERAL ASSISTANCE MEALS ON WHEELS OF EAU CLAIRE COUNTY 721 OXFORD AVE SUITE 1550 EAU CLAIRE WI 54703 396005694 501(C)(3) 500 GENERAL ASSISTANCE GOODWILL OF SOUTH CENTRAL WISCONSIN 2127 E SPRINGS DR MADISON WI 53704 391147571 501(C)(3) 2500 GENERAL ASSISTANCE AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 2500 GENERAL ASSISTANCE ONE CITY SCHOOLS INC 2012 FISHER ST MADISON WI 53713 471490574 501(C)(3) 2500 GENERAL ASSISTANCE RAPE CRISIS CENTER 2801 COHO ST SUITE 301 MADISON WI 53713 237329215 501(C)(3) 1500 GENERAL ASSISTANCE COMMUNITY SHARES OF WISCONSIN 612 W MAIN ST SUITE 200 MADISON WI 53703 391172378 501(C)(3) 1500 GENERAL ASSISTANCE THE ROAD HOME OF DANE COUNTY 890 W WINGRA DR MADISON WI 53715 311618925 501(C)(3) 2500 GENERAL ASSISTANCE 50 0 SCHOLARSHIP - DIANE WILKINSON SCHOLARSHIP 2 2000 PART I, LINE 2: M3 INSURANCE FOUNDATION HAS A FORMAL APPLICATION PROCESS FOR GRANT REQUESTS. MOST GRANTS ARE APPLICATION BASED. THE BOARD MEMBERS HAVE THE ABILITY TO RECOMMEND GRANTEES BASED ON THEIR COMMUNITY CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS REVIEWED BY THE BOARD AND APPROVED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL PROVIDE CERTAIN DOCUMENTS INCLUDING OUR FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS THAT SUPPORT OUR TAX EXEMPT STATUS, INCLUDING, BUT NOT LIMITED TO, ARTICLES OF INCORPORATION AND BYLAWS.