CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CAROLYN M AND LEARY E PETERSON FAMILY FOUNDATION INC (EIN 39-1936484)
Tax period
2017-06-01 to 2018-05-31
Filed
2018-07-31
IRS object ID
201832129349100603
Schema version
2017v2.3
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)
Return2018-07-31T08:15:41-05:00ReturnTs
Tax Period End2018-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391769340PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COLLINS & ASSOCIATES SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 120AddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP538210120ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391936484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLYN M & LEARY E PETERSON FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAROBusinessNameControlTxt
Phone6083266496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 EAST HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS F PETERSONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone6083266496PhoneNum
Signature2018-07-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLLINS ASSOCIATES SCPreparerPersonNm
PTINP00146637PTIN
Phone6083266456PhoneNum
Preparation2018-07-30PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$342,801FMVAssetsEOYAmt
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$12,390DividendsRevAndExpnssAmt
Dividends Net Invst Incm$12,390DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$2,636NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$17,077GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$2,636CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$15,026TotalRevAndExpnssAmt
Total Net Invst Incm$15,026TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$7,500CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$7,500CompOfcrDirTrstNetInvstIncmAmt
Accounting Fees Rev And Expnss$1,400AccountingFeesRevAndExpnssAmt
Taxes Rev And Expnss$126TaxesRevAndExpnssAmt
Printing And Pub Rev And Expnss$9PrintingAndPubRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$9,035TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$7,500TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$19,360ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$19,360ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$28,395TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$7,500TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$19,360TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$13,369ExcessRevenueOverExpensesAmt
Net Investment Income$7,526NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY-$873CashBOYAmt
Cash EOY$199CashEOYAmt
Cash EOYFMV$199CashEOYFMVAmt
Corporate Stock BOY$230,838CorporateStockBOYAmt
Corporate Stock EOY$216,397CorporateStockEOYAmt
Corporate Stock EOYFMV$342,602CorporateStockEOYFMVAmt
Total Assets BOY$229,965TotalAssetsBOYAmt
Total Assets EOY$216,596TotalAssetsEOYAmt
Total Assets EOYFMV$342,801TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$229,965CapitalStockBOYAmt
Capital Stock EOY$216,596CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$229,965TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$216,596TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$229,965TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$216,596TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$229,965TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$13,369ExcessRevenueOverExpensesAmt
Subtotal$216,596SubtotalAmt
Tot Net Ast Or Fund Balances EOY$216,596TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PROCTER & GAMBLE COP2011-10-112018-05-30$17,058$14,432$2,626$2,626
DOWDUPONT INCP2011-10-112017-09-01$19$9$10$10
FieldValueIRS element (for citing)
Capital Gain Net Income$2,636CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$20,916AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$383,442NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.054548DistributionYr1Rt
Adjusted Qlfy Distri Yr2$16,396AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$347,349NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.047203DistributionYr2Rt
Adjusted Qlfy Distri Yr3$16,695AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$362,147NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.046100DistributionYr3Rt
Adjusted Qlfy Distri Yr4$21,013AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$356,255NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.058983DistributionYr4Rt
Adjusted Qlfy Distri Yr5$14,413AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$295,009NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.048856DistributionYr5Rt
Total Distribution0.255690TotalDistributionRt
Average Distribution0.051138AverageDistributionRt
Net Vl Noncharitable Assets$362,995NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$18,563AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$75NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$18,638AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$19,360QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$75InvestmentIncomeExciseTaxAmt
Subtotal$75SubtotalAmt
Tax Based On Investment Income$75TaxBasedOnInvestmentIncomeAmt
Tax Due$75TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTHOMAS F PETERSONIndividualWithBooksNm
Phone6083266496PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1110 E HAYDN STAddressLine1Txt
CityPRAIRIE DU CHIENCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53821ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CAROLE SAYER
20890 CHANNEL DREXCELSIORMN55331DIRECTOR000.00$1,500$0$0
JOE MULLEN
662 JENISA DRST CLOUDMN56301DIRECTOR000.00$1,500$0$0
THOMAS F PETERSON
110 E HAYDN STPRAIRIE DU CHIENWI53821DIRECTOR000.00$1,500$0$0
MARY JO RUHL
2740 NICHOLS LANEDAVENPORTIA52803DIRECTOR000.00$1,500$0$0
JOHN L PETERSON
4814 CHAMPIONS RUNMIDDLETONWI53562DIRECTOR000.00$1,500$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION MAKES CHARITABLE CONTRIBUTIONS TO 501(C)(3) ORGANIZATIONS.Description1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$364,357AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$4,166AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$368,523TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$368,523AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,528CashDeemedCharitableAmt
Net Vl Noncharitable Assets$362,995NetVlNoncharitableAssetsAmt
Minimum Investment Return$18,150MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$18,150MinimumInvestmentReturnAmt
Tax Based On Investment Income$75TaxBasedOnInvestmentIncomeAmt
Total Tax$75TotalTaxAmt
Distributable Before Adj$18,075DistributableBeforeAdjAmt
Distributable Before Ded$18,075DistributableBeforeDedAmt
Distributable As Adjusted$18,075DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$19,360ExpensesAndContributionsAmt
Qualifying Distributions$19,360QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$75PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$19,285AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$18,075DistributableAsAdjustedAmt
Undistributed Income PY$14,666UndistributedIncomePYAmt
Qualifying Distributions$19,360QualifyingDistributionsAmt
Applied To Year1$14,666AppliedToYear1Amt
Applied To Current Year$4,694AppliedToCurrentYearAmt
Undistributed Income CY$13,381UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
WI WATERFOWL - PDC CHAPTER
38299 STUCKEY RDPRAIRIE DU CHIENWI53821GENERAL DONATION$750
HOLY FAMILY PARISH
515 N BEAUMONT RDPRAIRIE DU CHIENWI53821GENERAL DONATION$7,744
ST MARY'S CATHOLIC SCHOOL
312 SENECA STSTORM LAKEIA50588GENERAL DONATION$3,872
CROSS PLAINS BASEBALL
2410 MARTIN STCROSS PLAINSWI53528GENERAL DONATION$750
ST WILLIAMS CATHOLIC CHURCH
601 SEAGATE DRNAPLESFL34108GENERAL DONATION$1,200
NEIGHBORHOOD HEALTH CLINIC
121 GOODLETTE ROAD NORTHNAPLESFL34102GENERAL DONATION$2,672
ROADS TO LIFE TANZANIA INC
PO BOX 157PRAIRIE DU CHIENWI53821GENERAL DONATION$2,000
ST FRANCIS XAVIER CATHOLIC CHURCH
2947 THINNES STCROSS PLAINSWI53528GENERAL DONATION$372
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$19,360TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12,390ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$2,636ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$15,026ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$15,026TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
Amt$1,400Amt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (10 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GENERAL ELECTRIC$23,417$20,029
VERIZON COMMUNICATIONS$19,585$29,209
PFIZER INC DEL PV$20,829$39,605
MERCK & CO INC$22,473$41,481
PROCTER & GAMBLE CO$10,940$12,558
AT&T INC$25,617$28,902
CHEVRON CORP$26,909$32,380
E I DU PONT DE NEMOURS & CO$15,849$32,329
JOHNSON & JOHNSON CO$21,833$41,300
INTEL CORP$28,945$64,809

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
Amt$126Amt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.