MARVIN P VERHULST FOUNDATION INC: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MARVIN P VERHULST FOUNDATION INC (EIN 33-0998350)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-11
- IRS object ID
- 201931319349100608
- 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
- Form 990-PF
- Accounting Fees Schedule
- All Oth Prog Rltd Investments Sch
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-11T14:49:37-07:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDALL S GROBE CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3404 CIRCLE CLOSE | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537051409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330998350 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARVIN P VERHULST FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARV | BusinessNameControlTxt |
| Phone | 6088314177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKAHAUK TRAIL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY S BURBACH | PersonNm |
| Person Title | PRESIDENT/TREASURER | PersonTitleTxt |
| Phone | 6088314177 | PhoneNum |
| Signature | 2019-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RANDALL S GROBE | PreparerPersonNm |
| PTIN | P01211811 | PTIN |
| Phone | 6082176115 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 104.159.208.171 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-11 | IPDt |
| IP Tm | 14:49:32 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D1252202CE05E05089DD51B7670CC4A468E81F50 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D1252202CE05E05089DD51B7670CC4A468E81F50 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $4,319,660 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $121,301 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $121,301 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $33,227 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $6,388,251 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $33,227 | CapGainNetIncmNetInvstIncmAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $0 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $154,528 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $154,528 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $3,722 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $998 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $997 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $0 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $9,829 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,303 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $14,897 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $14,897 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $28,448 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $17,198 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $997 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $223,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $223,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $251,948 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $17,198 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $224,497 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$97,420 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $137,330 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $30,609 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $167,928 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $167,928 | SavAndTempCashInvstEOYFMVAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Corporate Stock BOY | $19,422 | CorporateStockBOYAmt |
| Corporate Stock EOY | $19,422 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $137,500 | CorporateStockEOYFMVAmt |
| Land Bldg Investments EOY | $0 | LandBldgInvestmentsEOYAmt |
| Other Investments BOY | $3,987,123 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,752,409 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,014,232 | OtherInvestmentsEOYFMVAmt |
| Land EOY | $0 | LandEOYAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,037,154 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,939,759 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,319,660 | TotalAssetsEOYFMVAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $4,037,154 | RetainedEarningBOYAmt |
| Retained Earning EOY | $3,939,759 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,037,154 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,939,759 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,037,154 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,939,759 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,037,154 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$97,420 | ExcessRevenueOverExpensesAmt |
| Other Increases | $25 | OtherIncreasesAmt |
| Subtotal | $3,939,759 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $3,939,759 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | PUBLICLY TRADED SECURITIES | PropertyDesc |
| Gross Sales Price | $6,388,251 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $6,355,024 | CostOrOtherBasisAmt |
| Gain Or Loss | $33,227 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $33,227 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $33,227 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | Yes (true) | LiableSection4942TaxInd |
| Adj Nonchrtbl Net Invst Incm Pct | $0 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $0 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,747 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,747 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,747 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,600 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $5,600 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$5,600 | OriginalReturnOverpaymentAmt |
| Overpayment | $2,853 | OverpaymentAmt |
| Applied To ES Tax | $2,853 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MARY S BURBACH | IndividualWithBooksNm |
| Phone | 6088314177 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKAHAUK TRL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MARY S BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| KENNETH M BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | SECRETARY | 1.00 | $0 | $0 | $0 |
| PATRICIA DORFMAN | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRIAN BURBACH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| SARAH BRUCH | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| ROBERT DORFMAN | ||||||||
| 6616 N CHICKAHAUK TRL | MIDDLETON | WI | 53562 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
| All Other Program Rltd Invst Tot | $0 | AllOtherProgramRltdInvstTotAmt |
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,736,789 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $50,092 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,786,881 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $4,786,881 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $71,803 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,715,078 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $235,754 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $235,754 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,747 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,747 | TotalTaxAmt |
| Distributable Before Adj | $233,007 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $233,007 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $233,007 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $224,497 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $224,497 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $224,497 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $233,007 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $221,515 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $224,497 | QualifyingDistributionsAmt |
| Applied To Year1 | $221,515 | AppliedToYear1Amt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Remaining Distri From Corpus | $2,982 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,982 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $233,007 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,982 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $2,982 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MARY S BURBACH | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6616 N CHICKSAHAUK TRAIL | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Info And Materials | N/A | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| NORTH HUDSON ELEMENTARY SCHOOL | ||||||
| 510 LEMON ST NORTH | HUDSON | WI | 54016 | GOVT | PROGRAM SUPPORT | $10,500 |
| ST MARKS EPISCOPAL CHURCH | ||||||
| 3395 BURNS ROAD | PALM BEACH GARDENS | FL | 33410 | PC | PROGRAM SUPPORT | $6,000 |
| STCROIX VALLEY HABITATE FOR HUMANITY | ||||||
| 116 E ELM ST | RIVER FALLS | WI | 54022 | PC | PROGRAM SUPPORT | $5,000 |
| MID-CONTINENT RAILWAY HISTORICAL SOCIETY | ||||||
| PO BOX 358 | NORTH FREEDOM | WI | 53951 | PC | PROGRAM SUPPORT | $50,000 |
| HIGH POINT UNIVERSITY | ||||||
| 833 MONTLIEU AVE | HIGH POINT | NC | 27268 | PC | PROGRAM SUPPORT | $25,000 |
| AUDUBON CENTER OF THE NORTHWOODS INC | ||||||
| PO BOX 530 | SANDSTONE | MN | 55072 | PC | PROGRAM SUPPORT | $10,000 |
| MAKING EVERY DAY COUNT | ||||||
| 501 SOUTH FLAGLER DR | WEST PALM BEACH | FL | 33401 | PC | PROGRAM SUPPORT | $10,000 |
| THE SHARING TREE INC | ||||||
| 218 E 3RD AVE | TALLAHASSEE | FL | 32303 | PC | PROGRAM SUPPORT | $5,000 |
| RONALD MCDONALD HOUSE CHARITIES INC | ||||||
| ONE KROC DRIVE | OAK BROOK | IL | 60523 | PC | PROGRAM SUPPORT | $8,000 |
| NEW HORIZONS OF SW FLORIDA | ||||||
| PO BOX 111833 | NAPLES | FL | 34108 | PC | PROGRAM SUPPORT | $10,000 |
| FRIENDS OF WILLOW RIVER & KINNICKINNIC STATE PARKS | ||||||
| 1034 COUNTY ROAD A | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $5,000 |
| OPEN DOOR MENTORING FOR TEEN MOTHERS INC | ||||||
| 3395 BURNS ROAD | PALM BEACH GARDENS | FL | 33410 | PC | PROGRAM SUPPORT | $16,000 |
| JOHN COUGHLIN FOOD & RESOURCE CENTER | ||||||
| 201 2ND ST SOUTH STE 300 | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $5,000 |
| WINGS FOUNDATION | ||||||
| 1625A 230TH AVE | LUCK | WI | 54853 | PC | PROGRAM SUPPORT | $3,000 |
| HUDSON HOSPITAL & CLINIC | ||||||
| 405 STAGELINE ROAD | HUDSON | WI | 54016 | PC | PROGRAM SUPPORT | $2,500 |
| HUDSON HIGH SCHOOL | ||||||
| 644 BRAKKE DRIVE | HUDSON | WI | 54016 | GOVT | PROGRAM SUPPORT | $2,500 |
| BSP FREE CLINIC WI MED SOC FD | ||||||
| 2711 ALLEN BLVD | MIDDLETON | WI | 53562 | PC | PROGRAM SUPPORT | $35,000 |
| THE TENEMENT MUSEUM | ||||||
| 103 ORCHARD ST | NEW YORK | NY | 10002 | PC | PROGRAM SUPPORT | $10,000 |
| AVENUE FOR HOMELESS YOUTH | ||||||
| 1708 OAK PARK AVE | MINNEAPOLIS | MN | 55411 | PC | PROGRAM SUPPORT | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $223,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $121,301 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $33,227 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $154,528 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $154,528 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| RANDALL GROBE, CPA TAX PREPARATION | $1,995 |
| GRANT THORNTON TAX PREPARATION | $1,727 |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONE | Desc |
| Amt | $0 | Amt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|
| PUBLIC TRADED SECURITIES | $6,245,738 | $6,355,024 | -$109,286 |
| TOTAL CAPITAL GAIN DISTRIBUTIONS | $142,513 | $142,513 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOTT LABORATORIES | $4,295 | $36,165 |
| ABBVIE, INC. | $4,658 | $46,095 |
| PEPSICO, INC. | $10,469 | $55,240 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (22 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| DFA US SMALL CAP PORTFOLIO | $100,000 | $101,156 |
| DFGA US CORE EQUITY 1 PORTFOLIO | $400,000 | $403,535 |
| FIDELITY ADV STK SELECTOR - MIDCAP FD | $137,200 | $195,385 |
| FIDELITY ADV NEW INSIGHTS FD | $72,127 | $93,684 |
| FUNDAMENTAL INVESTORS | $282,463 | $347,470 |
| GROWTH FUND OF AMERICA | $49,647 | $87,019 |
| PRIME CAP ODYSSEY GROWTH FD | $150,000 | $151,748 |
| WASHINGTON MUTUAL INV FD | $273,112 | $302,836 |
| DFA EMERGING MARKETS CORE EQUITY FD | $100,000 | $100,944 |
| DFA INTL CORE EQUITY PORTFOLIO | $200,000 | $202,773 |
| DFA INVT DIMENSIONS LARGE CAP GWTH PORT. | $100,000 | $100,989 |
| DODGE & COX GLOBAL STOCK FD | $250,000 | $253,680 |
| EUROPACIFIC GROWTH FD | $41,107 | $65,457 |
| SMALLCAP WORLD FD | $53,614 | $90,886 |
| BLACKROCK STRATEGIC INCOME OPTIONS PORT. | $154,215 | $151,687 |
| DODGE & COX INCOME FD | $273,454 | $270,597 |
| FED GOVT ULTRASHORT DURATION FD | $94,929 | $94,929 |
| FIDELITY ADVISOR STRATEGIC INCOME FD | $156,748 | $150,457 |
| JOHN HANCOCK STRATEGIC INCOME OPPORT FD | $156,289 | $149,370 |
| PGIM TOTAL RETURN BOND FD | $276,550 | $272,650 |
| TEMPLETON INC TOTAL RETURN FD | $152,491 | $151,709 |
| WESTERN ASSET CORE PLUS BOND FD | $278,463 | $275,271 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| WIRE FEE | $80 | $80 |
| INV PROGRAM FEES | $14,817 | $14,817 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-TAXABLE DISTRIBUTIONS | Desc |
| Amt | $25 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| ESTIMATED TAX PAYMENTS | $5,600 | |
| FED INC TAXES - 2017 | $2,357 | |
| FED INC TAXES - 2016 | $569 | |
| FOREIGN TAXES | $1,303 | $1,303 |
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