THE PETER J SEIPPEL FOUNDATION INC: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
THE PETER J SEIPPEL FOUNDATION INC (EIN 39-1833671)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-06-17
IRS object ID
201901689349100750
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-06-17T16:21:19-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391139422PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PARENT DOTT AND COMPANY LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 516AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP539160516ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391833671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PETER J SEIPPEL FOUNDATION INCBusinessNameLine1Txt
Business Name Line2C/O CHELSEY SEIPPELBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPETEBusinessNameControlTxt
Phone4144308943PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line171 WEST HUBBARD ST NO 2702AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60654ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHELSEY SEIPPELPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9208877454PhoneNum
Signature2019-06-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTACY M BRAAKSMA CPAPreparerPersonNm
PTINP00448228PTIN
Phone9208853388PhoneNum
Preparation2019-06-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-17IPDt
IP Tm16:21:09IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id028CD4C5BCCCB897599D140C5047EFEB8817961FAtSubmissionCreationDeviceId
At Submission Filing Device Id6C96EDFEF4AF08E1EACD48FD29FD85C19BFC4C5AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,542,067FMVAssetsEOYAmt
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$50,925DividendsRevAndExpnssAmt
Dividends Net Invst Incm$50,925DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$297,663NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,594,268GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$297,663CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$3,843OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$352,431TotalRevAndExpnssAmt
Total Net Invst Incm$348,588TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$26,548OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$26,548OthEmplSlrsWgsDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,307LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$1,307LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$11,895AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$11,895AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$28,612OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$28,612OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$11,820TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,711TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$8,109TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss$2,975OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$2,975OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$59,594OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,594OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$142,751TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$32,323TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$110,428TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$137,020ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$137,020ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$279,771TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$32,323TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$247,448TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$72,660ExcessRevenueOverExpensesAmt
Net Investment Income$316,265NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$8,723CashBOYAmt
Cash EOY$28,729CashEOYAmt
Cash EOYFMV$28,729CashEOYFMVAmt
Sav And Temp Cash Invst BOY$279,483SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$169,188SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$169,188SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses EOY$5,325PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$5,325PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$0USGovernmentObligationsBOYAmt
US Government Obligations EOY$320,932USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$321,728USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,205,849CorporateStockBOYAmt
Corporate Stock EOY$829,325CorporateStockEOYAmt
Corporate Stock EOYFMV$778,248CorporateStockEOYFMVAmt
Corporate Bonds BOY$639,077CorporateBondsBOYAmt
Corporate Bonds EOY$358,192CorporateBondsEOYAmt
Corporate Bonds EOYFMV$354,554CorporateBondsEOYFMVAmt
Invst Land Cost Or Other Basis$429,952InvstLandCostOrOtherBasisAmt
Land Bldg Investments BOY$387,820LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$429,952LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$429,952LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$522,283OtherInvestmentsBOYAmt
Other Investments EOY$972,809OtherInvestmentsEOYAmt
Other Investments EOYFMV$948,520OtherInvestmentsEOYFMVAmt
Other Assets BOY$31,497OtherAssetsBOYAmt
Other Assets EOY$36,130OtherAssetsEOYAmt
Other Assets EOYFMV$505,823OtherAssetsEOYFMVAmt
Total Assets BOY$3,074,732TotalAssetsBOYAmt
Total Assets EOY$3,150,582TotalAssetsEOYAmt
Total Assets EOYFMV$3,542,067TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$1,381,622CapitalStockBOYAmt
Capital Stock EOY$1,381,622CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,693,110RetainedEarningBOYAmt
Retained Earning EOY$1,768,960RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,074,732TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,150,582TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,074,732TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,150,582TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,074,732TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$72,660ExcessRevenueOverExpensesAmt
Other Increases$3,190OtherIncreasesAmt
Subtotal$3,150,582SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,150,582TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$2,565,648$2,296,605$269,043$269,043
CAPITAL GAINS DIVIDENDSP$28,620$28,620$28,620
FieldValueIRS element (for citing)
Capital Gain Net Income$297,663CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$190,709AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,764,797NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.068978DistributionYr1Rt
Adjusted Qlfy Distri Yr2$139,484AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,425,906NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.057498DistributionYr2Rt
Adjusted Qlfy Distri Yr3$100,059AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,489,280NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.040196DistributionYr3Rt
Adjusted Qlfy Distri Yr4$109,689AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,569,983NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.042681DistributionYr4Rt
Adjusted Qlfy Distri Yr5$116,772AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,464,935NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047373DistributionYr5Rt
Total Distribution0.256726TotalDistributionRt
Average Distribution0.051345AverageDistributionRt
Net Vl Noncharitable Assets$2,761,508NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$141,790AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,163NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$144,953AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$247,448QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$3,163InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,163SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,163TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,400EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,400TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$763TaxDueAmt

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 AddressN/AWebsiteAddressTxt
Individual With BooksCHELSEY SEIPPELIndividualWithBooksNm
Phone4152992957PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line171 WEST HUBBARD ST 2702AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60654ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CHELSEY A SEIPPEL
71 WEST HUBBARD STCHICAGOIL60654PRESIDENT1.00$0$0$0
ASHLEY N SEIPPEL
1305 W BELL STHOUSTONTX77019PRESIDENT ELECT1.00$0$0$0
PHILLIP R SEIPPEL
PO BOX 313BEAVER DAMWI53916VICE PRESIDENT1.00$0$0$0
JOHN C RALSTON
W6211 HWY 33BEAVER DAMWI53916TREASURER1.00$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 PROVIDED REAL ESTATE, LOCATED AT 1605 N SPRING ST BEAVER DAM, WISCONSIN TO A LOCAL NOT-FOR-PROFIT AGENCY. THE SEIPPEL HOMESTEAD AND CENTER FOR THE ARTS IS USED BY THE BEAVER DAM AREA ARTS ASSOCIATION TO PROMOTE THE ARTS TO BEAVER DAM AND SURROUNDING COMMUNITIES AND ALSO TO PROVIDE EDUCATIONAL OPPORTUNITIES RELATED TO THE ARTS. THIS ARRANGEMENT ENDED AS OF 06/30/2018Description1Txt
Expenses1$29,044Expenses1Amt
Description2THE FOUNDATION IS IN THE PROCESS OF CONVERTING THE REAL ESTATE LOCATED AT 1605 N SPRING ST, BEAVER DAM, WISCONSIN TO PROVIDE MUSIC LESSONS AND PROMOTE MUSIC WITHIN THE COMMUNITY.Description2Txt
Expenses2$31,451Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,554,127AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$245,927AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$3,507FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,803,561TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,803,561AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$42,053CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,761,508NetVlNoncharitableAssetsAmt
Minimum Investment Return$138,075MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$138,075MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,163TaxBasedOnInvestmentIncomeAmt
Total Tax$3,163TotalTaxAmt
Distributable Before Adj$134,912DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$134,912DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$134,912DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$247,448ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$247,448QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$3,163PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$244,285AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$134,912DistributableAsAdjustedAmt
Undistributed Income PY$1,962UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$247,448QualifyingDistributionsAmt
Applied To Year1$1,962AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$134,912AppliedToCurrentYearAmt
Remaining Distri From Corpus$110,574RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$110,574TotalCorpusAmt
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$110,574ExcessDistriCyovToNextYrAmt
Excess From Current Year$110,574ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
LES TURNER ALS FOUNDATION
5550 W TOUHY AVE 302SKOKIEIL60077NONEPCTO PROVIDE FINANCIAL SUPPORT FOR RESEARCH FOR PREVENTION AND TREATMENT OF ALS$500
ARTHRITIS FOUNDATION
4550 POST OAK PLACE DRIVE 307HOUSTONTX77027NONEPCGENERAL SUPPORT OF PROGRAMS AND SERVICES RELATED TO THE PREVENTION AND CURE OF ARTHRITIS$39,500
BEAVER DAM AREA ARTS ASSOCIATION
1605 NORTH SPRING STBEAVER DAMWI53916NONEPCFINANCIAL ASSISTANCE WITH OPERATIONAL EXPENSES$17,000
AMERICAN HEARTH ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231PCTO PROVIDE FINANCIAL SUPPORT FOR RESEARCH AND EDUCATION RELATED TO PREVENTION AND TREATMENT OF HEART DISEASE$1,000
BEAVER DAM COMMUNITY HOSPITALS INC PINK RIBBON CLASSIC
707 SOUTH UNIVERSITY AVEBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL SUPPORT FOR RESEARCH AND EDUCATION RELATED TO PREVENTION AND TREATMENT OF BREAST CANCERTO PROVIDE FINANCIAL SUPPORT TO EVENT WHICH PROMOTES BREAST CANCER AWARENESS AND SUPPORT TO SUSAN G KOMEN FOR THE CURE ORGANIZATION$500
BEAVER DAM SCHOLARSHIP FOUNDATION
PO BOX 98BEAVER DAMWI53916NONEPCTO SUPPORT THE MISSION OF PROVIDING HIGHER EDUCATION COST ASSISTANCE TO YOUTH FROM BEAVER DAM WISCONSIN$450
JEFFREY THOMAS STROKE SHIELD FOUNDATION
3053 FILLMORE ST 268SAN FRANCISCOCA94123NONEPCTO PROVIDE FINANCIAL SUPPORT FOR RESEARCH TO PREVENT AND TREAT STROKES$1,000
BIG BROTHERSBIG SISTERS
415 S 8TH STWATERTOWNWI53094NONEPCTO SUPPORT PROGRAM AND ACTIVITIES FOR CHILDREN FACING ADVERSITY$250
DAVID ADLER CULTURAL CENTER
1700 NORTH MILWAUKEE AVELIBERTYVILLEIL60048NONEPCTO PROVIDE SCHOLARSHIP FOR MUSIC AND ART EDUCATION AND INSTRUCTION$500
CHURCH HEALTH SERVICES
115 N CENTER STBEAVER DAMWI53916NONEPCTO PROVIDE LOW COST HEALTH CARE SERVICES FOR THE POOR, UNINSURED, AND UNDERINSURED OF DODGE COUNTY WISCONSIN$4,450
CITY OF BEAVER DAM FIRE-RESCUE DEPARTMENT
205 S LINCOLN AVEBEAVER DAMWI53916NONEGOVTO SUPPORT FIRE PREVENTION PROGRAMS$120
DEMENTIA CONCERNS COALITION OF DODGE COUNTY
229 MARY STMAYVILLEWI53050NONEPCTO PROVIDE ASSISTANCE FOR PROGRAMMING DESIGNED TO ENHANCE THE QUALITY OF LIFE OF PERSONS LIVING WITH DEMENTIA$250
DODGE COUNTY TOY BANK INC
PO BOX 438BEAVER DAMWI53916NONEPCTO PROVIDE CHRISTMAS PRESENTS TO UNDERPRIVILAGED CHILDREN IN DODGE COUNTY WISCONSIN$200
GREEN VALLEY ENTERPRISES INC OF BEAVER DAM
1223 MADISON STBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL SUPPORT FOR PROGRAMS DESIGNED TO HELP INDIVIDUALS WITH SPECIAL NEEDS$500
LEUKEMIA & LYMPHOMA SOCIETY
200 SOUTH EXECUTIVE DRIVEBROOKFIELDWI53005NONEPCTO SUPPORT PROGRAMMING FOR RESEARCH TO FIND A CURE FOR LEUKEMIA & LYMPHOMA AND TO IMPROVE THE LIVES OF THOSE AFFECTED$500
ELKS OF BEAVER DAM
PO BOX 96BEAVER DAMWI53916NONEPCTO PROVIDE FOOD TO UNDERPRIVILAGED FAMILIES IN DODGE COUNTY WISCONSIN AT CHRISTMAS$150
MAKE-A-WISH FOUNDATION OF WISCONSIN INC
13195 W HAMPTON AVEBUTLERWI53151NONEPCTO PROVIDE FINANCIAL SUPPORT TO PROGRAMS DESIGNED TO HELP AND EMPOWER CHILDREN BATTLING LIFE THREATENING MEDICAL CONDITIONS$6,000
PEOPLE AGAINST A VIOLENT ENVIRONMENT INC
PO BOX 561BEAVER DAMWI53916NONEPCTO EMPOWER THOSE AFFECTED BY VIOLENCE IN DODGE COUNTY WISCONSIN$500
ST VINCENT DE PAUL SOCIETY
125 DODGE DRIVEBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL ASSISTANCE FOR PROGRAMMING THAT IS DESIGNED TO SERVE THE POOR AND UNDERPRIVILAGED WITH HUNGER AND POVERTY ISSUES$4,000
SWAN CITY ICE SKATERS
609 GOULD STREETBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL SUPPORT FOR PROGRAMMING DESIGNED TO PROMOTE POSITIVE YOUTH DEVELOPMENT THROUGH ICE SKATING TEAM PARTICIPATION AND COMPETITION$3,500
WAYLAND ACADEMY
101 N UNIVERSITY AVEBEAVER DAMWI53916NONEPCTO FUND THE SUSAN SEIPPEL GROW SCHOLARSHIP FUND OF THIS PRIVATE SECONDARY EDUCATIONAL INSTITUTION$3,000
IWRITE LITERACY ORGANIZATIONS
6824 LONG DRIVEHOUSTONTX77087NONEPCTO PROMOTE READING AND WRITING IN YOUTH BY PROVIDING PUBLISHING AND LEADERSHIP OPPORTUNITIES$1,500
YMCA OF DODGE COUNTY
220 CORPORATE DRBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL ASSISTANCE TO SUPPORT YOUTH PROGRAMMING AND MEMBERSHIP COSTS OF UNDERPRIVALEGED INDIVIDUALS AND FAMILIES AND HONOR PLEDGE OF DEBT REDUCTION CAMPAIGN$45,250
FONDY FOOTBALL
389 MORRIS STREETFOND DU LACWI54936NONEPCTO PROVIDE FINANCIAL SUPPORT FOR PROGRAMMING DESIGNED TO PROMOTE TEAMWORK AND ACTIVE LIFE STYLES THROUGH THE GAME OF FOOTBALL$500
HEROES FOR CHILDREN
6363 RICHMOND AVENUEHOUSTONTX77057NONEPCTO PROVIDE FINANCIAL SUPPORT FOR FAMILIES WITH CHILDREN BATTLING CANCER$2,500
BEAVER DAM COMMUNITY HOSPITALS INC TREE OF LIGHTS - HOSPICE
707 SOUTH UNIVERSITY AVEBEAVER DAMWI53916NONEPFTO ASSIST PATIENTS AND THEIR FAMILIES DEALING WITH TERMINAL ILLNESS$500
LUPUS FOUNDATION
2635 N FIRST STREET 211SAN JOSECA95134NONEPFTO SUPPORT PROGRAMMING FOR RESEARCH TO FIND A CURE FOR LUPUS AND TO IMPROVE QUALITY OF LIFE FOR THOSE LIVING WITH LUPUS$2,000
PREGNANCY SUPPORT CENTER OF DODGE COUNTY INC
108 PARALLEL STREETBEAVER DAMWI53916NONEPFTO PROVIDE MEDICAL SERVICES, COUNSELING AND EDUCATION TO WOMEN EXPERIENCING UNEXPECTED$700
SHOP WITH COPS
128 E CROSS STREETJUNEAUWI53039NONEGOVTO PROMOTE POSITIVE RELATIONSHIPS BETWEEN CHILDREN AND LAW ENFORCEMENT$200
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$137,020TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$50,925ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$297,663ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescUnrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmtExclusionExclusionCd
MISCELLANEOUS$2,64301
BOOKEEPING REIMBURSEMENT$1,20001

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$3,843UnrelatedBusinessTaxblIncmAmt
Exclusion$348,588ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$352,431TotalIncomeProducingActyAmt

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 EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEAVER DAM AREA ARTS ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Organization Type501(C)(3)OrganizationTypeDesc
Relationship DescriptionCONTINUING RELATIONSHIP BY ASSISTING WITH BUDGET SHORTFALLS AND PROVIDING RENT FREE FACILITIESRelationshipDescriptionTxt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PREPARATION OF FORM 990-PF$4,410$0$4,410
OFFICE ADMINISTRATION SERVICES$6,089$0$6,089
PAYROLL PROCESSING FEES$1,396$0$1,396

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCHARLES SCHWAB & CO INCBondNm
EOY Book Value$358,192EOYBookValueAmt
EOYFMV$354,554EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCHARLES SCHWAB & CO INCStockNm
EOY Book Value$829,325EOYBookValueAmt
EOYFMV$778,248EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$320,932USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$321,728USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCHARLES SCHWAB & CO INCCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$972,809BookValueAmt
EOYFMV$948,520EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$1,307LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,307DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ROCKWELL PRINT$30,307$30,307$500,000
ACCRUED DIVIDENDS$1,190$5,823$5,823

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$18,065$0$18,065
HOMESTEAD EXPENSE$26,429$0$26,429
MISCELLANEOUS$4,729$0$4,729
TRUSTEE EXPENSE$100$0$100
CONTRACT LABOR$10,271$0$10,271

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
MISCELLANEOUS$2,643$2,643
BOOKEEPING REIMBURSEMENT$1,200$1,200

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPRIOR PERIOD ADJUSTMENTDesc
Amt$3,190Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$28,612Amt
Net Investment Income$28,612NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
REAL ESTATE$5,731$0$5,731
PAYROLL TAXES$2,378$0$2,378
FEDERAL INCOME TAXES$3,711$3,711$0

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