2020-02-06T13:43:36-06:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 200 EAST WASHINGTON STREET PO BOX 1739 APPLETON WI 54912 990 2018-07-01 396074258 MIELKE FAMILY FOUNDATION INC MIEL 9208301290 4455 W LAWRENCE ST APPLETON WI 54914 PAM GRUNER PRESIDENT 9208301290 2020-02-06 1 MICHAEL VANDENHOGEN P00499282 9207318111 2020-02-06 67.137.57.251 2020-02-06 10:00:18 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B9154812F2A1CFB042C171B4E7313471224972C2 2018 2020-11-19 02:30:22Z PAM GRUNER 4455 W LAWRENCE ST APPLETON WI 54914 5094632 0 X N/A X 1963 WI PROVIDE GRANTS TO QUALIFIED CHARITABLE ORGANIZATIONS AS DETERMINED BY THE BOARD OF DIRECTORS. 13 13 0 16 0 0 3038 6000 0 0 540853 330177 0 0 543891 336177 196105 318667 0 0 0 0 0 0 33 135760 94738 331865 413405 212026 -77228 10181257 9868266 394175 228209 9787082 9640057 MAKING A DIFFERENCE BY GIVING TO OUR COMMUNITIES. 0 0 342716 318667 PROVIDED APPROXIMATELY 24 GRANTS TO 19 CHARITABLE ORGANIZATIONS. 342716 1 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEVE VELDHORST 9208301290 4455 W LAWRENCE ST APPLETON WI 54914 X JOHN MIELKE DIRECTOR 1.00 X 0 0 0 ANNE WEST DIRECTOR 0.30 X 0 0 0 KEVIN LOOMANS VP/TREASURER & DIRECTOR 0.50 X X 0 0 0 DOUG MIELKE DIRECTOR 0.30 X 0 0 0 JANE DWYRE GARTON DIRECTOR 0.30 X 0 0 0 GREGG CURRY VP/SECRETARY & DIRECTOR 0.50 X X 0 0 0 RENEE ULMAN DIRECTOR 0.30 X 0 0 0 DAVID PLEKENPOL DIRECTOR 0.30 X 0 0 0 PAM GRUNER PRESIDENT & DIRECTOR 1.50 X X 0 0 0 LARRY SOBAL DIRECTOR 0.30 X 0 0 0 LEE ALLINGER DIRECTOR 0.30 X 0 0 0 PATRICK GILL DIRECTOR 0.30 X 0 0 0 LINDSAY JOHNSON DIRECTOR 0.30 X 0 0 0 DIANE HIEKES PAST DIRECTOR 0.30 X 0 0 0 RICHARD CALDER PAST DIRECTOR 0.30 X 0 0 0 ED GRYS PAST DIRECTOR 0.30 X 0 0 0 0 0 0 0 0 0 0 0 6000 6000 189886 189886 4898746 4758455 140291 140291 140291 336177 0 0 330177 318667 318667 45951 22975 22976 3950 3950 41752 41752 33 33 890 560 330 467 294 173 350 220 130 1345 1345 413405 342716 70656 33 424881 5064531 9756376 4803735 10181257 9868266 394175 228209 394175 228209 X 9787082 9640057 9787082 9640057 10181257 9868266 -77228 -69797 0 X 0 1 X 1 0 X X 1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 391548450 8 1 55951 0 1 55951 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17 3 6000 0 11424 307243 469950 9170107 1 1 0 EQUITIES 1500730 F FIXED INCOME 681971 F HEDGE FUNDS 2045930 F VENTURE CAPITAL 550817 F REAL ESTATE 24287 F 4803735 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 1456860 0 0 0 0 0 0 1456860 0 1456860 0 0 1 1 1 0 PART I, LINE 3: COLUMN F INCLUDES $1,456,860 OF BOOK VALUE OF INVESTMENTS. THE ORGANIZATION FOLLOWS THE ACCRUAL METHOD OF ACCOUNTING AND ITS INVESTMENTS ARE RECORDED AT FAIR MARKET VALUE. MIELKE FAMILY FOUNDATION IS A SUPPORTING ORGANIZATION OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. THE REPORTED AMOUNT OF INVESTMENTS REPRESENTS MIELKE FAMILY FOUNDATION'S ALLOCATED PERCENTAGE OF THE INVESTMENTS THAT ARE LEGALLY OWNED BY THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. 1 APPLETON EDUCATION FOUNDATION 122 E COLLEGE AVE SUITE 1-B APPLETON WI 54911 391866090 501(C)3 26000 PHILANTHROPY BOYS & GIRLS CLUBS OF THE FOX VALLEY 160 SOUTH BADGER AVENUE APPLETON WI 54914 391225709 501(C)3 10000 BOYS AND GIRLS CLUBS COMMUNITY FOUNDATION OF THE FOX VALLEY REGION 4455 W LAWRENCE ST APPLETON WI 54914 391548450 501(C)3 10000 PHILANTHROPY FAMILY SERVICES OF NORTHEAST WISCONSIN PO BOX 22308 GREEN BAY WI 543052308 390827320 501(C)3 10000 FAMILY SERVICES FOX VALLEY SYMPHONY ORCHESTRA ASSOCIATION 111 WEST COLLEGE AVENUE 550 APPLETON WI 549115706 391089489 501(C)3 20000 SYMPHONY ORCHESTRAS GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN 1800 APPLETON RD MENASHA WI 549523727 391144913 501(C)3 15000 PUBLIC AND SOCIETAL BENEFIT LAWRENCE UNIVERSITY 711 EAST BOLDT WAY SPC 1847 APPLETON WI 549115595 390806297 501(C)3 150000 EDUCATION MAKAROFF YOUTH BALLET 111 WEST COLLEGE AVENUE APPLETON WI 54911 680652111 501(C)3 40000 BALLET - EDUCATION THE BUILDING FOR KIDS 100 WEST COLLEGE AVENUE APPLETON WI 54911 391706260 501(C)3 12500 CHILDREN'S MUSEUMS 9 PART I, LINE 2: GRANT RECIPIENTS ARE EXPECTED TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH IN THE GRANT APPLICATION AND GRANT AGREEMENT, INCLUDING SUBMISSION OF PROGRESS OR FINAL REPORTS AS DEEMED APPROPRIATE BY INDIVIDUAL GRANTMAKING COMMITTEES. ELIGIBILITY FOR FUTURE FUNDING IS CONTINGENT UPON CHARITABLE ORGANIZATIONS' MEETING THESE TERMS AND CONDITIONS. FORM 990, PART VI, SECTION A, LINE 2 JOHN MIELKE AND DOUG MIELKE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF TWO CLASSES: APPOINTED DIRECTORS AND ELECTED DIRECTORS. THE NUMBER OF APPOINTED DIRECTORS SHALL AT ALL TIMES BE AT LEAST ONE MORE THAN THE NUMBER OF ELECTED DIRECTORS. THE APPOINTED DIRECTORS ARE APPOINTED BY THE BOARD OF DIRECTORS OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. OR DULY-AUTHORIZED COMMITTEE OF THE COMMUNITY FOUNDATION. THE COMMUNITY FOUNDATION IS THE SUPPORTED ORGANIZATION OF THE MIELKE FAMILY FOUNDATION, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S FORM 990 IS PREPARED BY THE CPA FIRM COMPLETING THE ANNUAL AUDIT OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. THE CFO FOR THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. REVIEWS IT FOR REASONABLENESS. THE BOARD OF DIRECTORS WILL APPROVE THE FORM 990 FOR FILING AT A MEETING OR VIA EMAIL POLL BETWEEN NOVEMBER AND FEBRUARY OF EACH FISCAL YEAR. THE BOARD PRESIDENT OR ANOTHER OFFICER SIGNS THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, DIRECTORS OF THE FOUNDATION ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT DESCRIBING THEIR RELATIONSHIPS AND THEIR FAMILY RELATIONSHIPS WITH OTHER ENTITIES DOING BUSINESS WITH THE FOUNDATION AND ALL RELATED ORGANIZATIONS. WHEN THE BOARD CONSIDERS A GRANT FOR APPROVAL, A DIRECTOR SHALL BE DEEMED TO HAVE ABSTAINED AS TO THAT PORTION OF THE GRANT REQUEST WHICH AFFECTS ANY ENTITY NOTED ON THAT DIRECTOR'S CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THERE IS NO COMPENSATION FOR ANY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR THE FOLLOWING DOCUMENTS CAN BE SENT TO: EXECUTIVE ASSISTANT COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. 4455 W. LAWRENCE ST. APPLETON, WI 54914 -APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION 501(C)(3)(FORM 1023) -IRS DETERMINATION LETTER -ARTICLES AND BY-LAWS -CONFLICT OF INTEREST POLICY THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC. (SUPPORTED ORGANIZATION) PUBLISHES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, ANNUAL REPORT AND COMPETITIVE GRANT GUIDELINES, WHICH INCLUDES THE MIELKE FAMILY FOUNDATION INC., ON ITS WEBSITE AT WWW.CFFOXVALLEY.ORG. COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 4455 W LAWRENCE ST APPLETON WI 54914 391548450 SERVE A RANGE OF PHILANTHROPICAL INTEREST BENEFITING THE FV AREA WI 501(C)(3) 8 N/A 0 DOUG & CARLA SALMON FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 820566250 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 APPLETON EDUCATION FOUNDATION INC 122 E COLLEGE AVE SUITE 1-B APPLETON WI 54911 391866090 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 THE WILLIAM J AND BARBARA A SCHMIDT FAMILY FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 391869271 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 COMMUNITY REAL ESTATE AND PERSONAL PROPERTY FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 200875816 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 MYRA M AND ROBERT L VANDEHEY FOUNDATION LTD 4455 W LAWRENCE ST APPLETON WI 54914 391649245 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 WOMEN'S FUND FOR THE FOX VALLEY REGION INC 4455 W LAWRENCE ST APPLETON WI 54914 203096562 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 ROBERT AND PATRICIA ENDRIES FAMILY FOUNDATION LTD 4455 W LAWRENCE ST APPLETON WI 54914 203896774 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 THE BOLDT FAMILY FUND INC 4455 W LAWRENCE ST APPLETON WI 54914 812176525 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 12-1 CFFVR INC 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0