2019-05-15T08:26:45-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 205 N MICHIGAN AVE 2800 CHICAGO IL 606015927 990 2018-01-01 474842422 M3 INSURANCE FOUNDATION INC M3IN 8002722443 828 JOHN NOLEN DRIVE MADISON WI 53713 THOMAS J GOLDEN PRESIDENT 8002722443 2019-05-10 1 MARK HEROUX P00959793 3127298000 2019-05-10 38.88.202.179 2019-05-10 13:34:40 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0882A3BD3791635C134A938B8FF3C2B174769BAB 2018 2019-02-21 02:37:17Z THOMAS J GOLDEN 828 JOHN NOLEN DRIVE MADISON WI 53713 544612 0 X N/A 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 11 0 0 123676 543828 0 0 0 784 126 0 123802 544612 40500 196100 0 0 0 594 210 0 0 952 2649 41662 199343 82140 345269 110161 455430 0 0 110161 455430 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 199343 196100 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. 199343 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 0 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 0.00 X 0 0 0 KENNETH M MEEKS DIRECTOR 0.60 0.00 X 0 0 0 JASON D NORDBY DIRECTOR 0.60 0.00 X 0 0 0 MICHAEL E VICTORSON DIRECTOR 0.60 0.00 X 0 0 0 KRISTIN S SCHMIDT DIRECTOR 0.60 0.00 X 0 0 0 THOMAS J GOLDEN PRESIDENT 0.60 0.00 X 0 0 0 KEVIN MILLER SECRETARY 0.60 0.00 X 0 0 0 LINDSEY HAMIELEC TREASURER 0.60 0.00 X 0 0 0 0 0 0 0 0 0 0 0 543828 543828 784 784 544612 0 0 784 193100 193100 3000 3000 594 594 2108 2108 SOFTWARE 541 541 199343 199343 0 0 110161 215430 0 240000 110161 455430 0 0 X 0 0 0 0 110161 455430 110161 455430 110161 455430 345269 0 X 0 0 0 X 33174 123676 543828 700678 33174 123676 543828 700678 700678 126 784 910 701588 X 0 INVESTMENTS 240000 240000 1 HABITAT FOR HUMANITY OF DANE COUNTY 1014 FIELDER LAND 29 MADISON WI 53713 391592769 501(C)(3) 5000 GENERAL ASSISTANCE 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) 10000 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) 26000 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 UNIVERSITY OF WISCONSIN FOUNDATION US BANK LOCKBOX BOX 78807 MILWAUKEE WI 53278 390743975 501(C)(3) 5000 GENERAL ASSISTANCE AMERICAN RED CROSS - WISCONSIN REGION 4860 SHEBOYGAN AVE MADISON WI 53705 530196605 501(C)(3) 6500 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 COMMUNITY FOUNDATION OF NORTH CENTRAL WISCONSIN 500 FIRST ST SUITE 2600 WAUSAU WI 54403 391577472 501(C)(3) 7500 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) 5100 GENERAL ASSISTANCE BOYS & GIRLS CLUB OF DANE COUNTY 1818 WEST BELTLINE HIGHWAY MADISON WI 53713 391925617 501(C)(3) 5000 GENERAL ASSISTANCE 18 0 SCHOLARSHIP - EDGEWOOD COLLEGE 1 1000 UNIVERSITY OF MINNESOTA - TWIN CITIES 1 1000 SCHOLARSHIP - ST. LOUIS UNIVERSITY 1 1000 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.