ELLSWORTH AND CARLA PETERSON CHARITABLE FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ELLSWORTH AND CARLA PETERSON CHARITABLE FOUNDATION (EIN 39-6566719)
- Tax period
- 2016-11-01 to 2017-10-31
- Filed
- 2018-03-05
- IRS object ID
- 201830649349100753
- Schema version
- 2016v3.1
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-05T16:41:07-06:00 | ReturnTs |
| Tax Period End | 2017-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 260627400 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHER & WOOD LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 N 18TH AVE STE 9A | AddressLine1Txt |
| City | STURGEON BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 542353207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 396566719 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLSWORTH AND CARLA PETERSON | BusinessNameLine1Txt |
| Business Name Line2 | CHARITABLE FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELLS | BusinessNameControlTxt |
| Phone | 9207434501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3797 BAY SHORE DRIVE | AddressLine1Txt |
| City | STURGEON BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54235 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA J PETERSON | PersonNm |
| Person Title | CO-TRUSTEE | PersonTitleTxt |
| Signature | 2018-02-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROGER L WOOD CPA | PreparerPersonNm |
| PTIN | P00572627 | PTIN |
| Phone | 9207438699 | PhoneNum |
| Preparation | 2018-03-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 8CB274A0633B3851729042C193827A566176C6BD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8CB274A0633B3851729042C193827A566176C6BD | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $889,257 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $65 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $65 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $15,207 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $15,207 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $171,412 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $411,090 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $171,412 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $186,684 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $186,684 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,590 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $1,590 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $13 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $14,668 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,452 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $13,216 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $16,271 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,452 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $14,806 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $53,930 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $53,930 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $70,201 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,452 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $68,736 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $116,483 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $185,232 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $10,061 | CashBOYAmt |
| Cash EOY | $3,861 | CashEOYAmt |
| Cash EOYFMV | $3,861 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $2,191 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $53,223 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $53,223 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $629,599 | CorporateStockBOYAmt |
| Corporate Stock EOY | $522,377 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $585,546 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $89,239 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $268,112 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $246,627 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $731,090 | TotalAssetsBOYAmt |
| Total Assets EOY | $847,573 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $889,257 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $731,090 | CapitalStockBOYAmt |
| Capital Stock EOY | $847,573 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $731,090 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $847,573 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $731,090 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $847,573 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $731,090 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $116,483 | ExcessRevenueOverExpensesAmt |
| Subtotal | $847,573 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $847,573 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 0.3 SHARES ADIENT PLC | P | 2016-11-04 | 2016-11-04 | $13 | $14 | -$1 | -$1 |
| 137 SHARES ADIENT PLC | P | 2016-10-31 | 2017-09-22 | $11,156 | $6,382 | $4,774 | $4,774 |
| 1275 SHARES NICOLET BANKSHARES INC | P | 1994-12-05 | 2016-12-06 | $56,451 | $32,931 | $23,520 | $23,520 |
| 1 SHARE NICOLET BANKSHARES INC | P | 1994-12-05 | 2016-12-07 | $37 | $26 | $11 | $11 |
| 332 SHARES NICOLET BANKSHARES INC | P | 1994-12-05 | 2016-12-08 | $14,694 | $8,575 | $6,119 | $6,119 |
| 7424 SHARES NICOLET BANKSHARES INC | P | 1994-12-05 | 2016-12-09 | $328,739 | $191,750 | $136,989 | $136,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $171,412 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $4,773 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $270,342 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $884,871 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.305516 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $84,271 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $961,389 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.087655 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $80,048 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $978,069 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.081843 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $69,804 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $950,525 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.073437 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $99,217 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $866,689 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.114478 | DistributionYr5Rt |
| Total Distribution | 0.662929 | TotalDistributionRt |
| Average Distribution | 0.132586 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $858,959 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $113,886 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,852 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $115,738 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $68,736 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $3,705 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $3,705 | SubtotalAmt |
| Tax Based On Investment Income | $3,705 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $310 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $310 | TotalPaymentsAndCreditsAmt |
| Tax Due | $3,395 | TaxDueAmt |
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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLA J PETERSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9207434501 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3797 BAY SHORE DRIVE | AddressLine1Txt |
| City | STURGEON BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54235 | 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 | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| ELLSWORTH L PETERSON | ||||||||
| 3797 BAY SHORE DRIVE | STURGEON BAY | WI | 54235 | CO-TRUSTEE | 2.00 | $0 | $0 | $0 |
| CARLA J PETERSON | ||||||||
| 3797 BAY SHORE DRIVE | STURGEON BAY | WI | 54235 | CO-TRUSTEE | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $578,369 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $293,671 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $872,040 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $872,040 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $13,081 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $858,959 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $42,948 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $42,948 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,705 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,705 | TotalTaxAmt |
| Distributable Before Adj | $39,243 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $39,243 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $39,243 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $68,736 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $68,736 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $68,736 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $39,243 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $56,227 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $53,930 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $31,731 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $38,887 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $226,704 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $407,479 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $68,736 | QualifyingDistributionsAmt |
| Applied To Current Year | $39,243 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $29,493 | RemainingDistriFromCorpusAmt |
| Total Corpus | $436,972 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $56,227 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $380,745 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $53,930 | ExcessFromYear4Amt |
| Excess From Year3 | $31,731 | ExcessFromYear3Amt |
| Excess From Year2 | $38,887 | ExcessFromYear2Amt |
| Excess From Year1 | $226,704 | ExcessFromYear1Amt |
| Excess From Current Year | $29,493 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | ELLSWORTH L PETERSON | ContributingManagerNm |
| Contributing Manager | CARLA J PETERSON | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | ELLSWORTH L CARLA J PETERSON T | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3797 BAY SHORE DRIVE | AddressLine1Txt |
| City | STURGEON BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54235 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9207434501 | RecipientPhoneNum |
| Form And Info And Materials | N/A | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | APPLICATIONS ARE ACCEPTED AT ANY TIME. | SubmissionDeadlinesTxt |
| Restrictions On Awards | SEE ATTACHED SUPPLEMENTARY STATEMENT. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| CROSSROADS AT BIG CREEK | |||||||||
| 2041 MICHIGAN STREET | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $500 | ||
| DIAMOND HEAD THEATRE | |||||||||
| 520 MAKAPUU AVENUE | HONOLULU | HI | 96816 | NONE | PUBLIC | ANNUAL FUND | $500 | 520 MAKAPUU AVENUE | |
| DOOR CANCER INC | |||||||||
| PO BOX 423 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $100 | PO BOX 423 | |
| DOOR COUNTY MEDICAL CENTER FOUNDATI | |||||||||
| PO BOX 230 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | ANNUAL CAMPAIGN | $100 | PO BOX 230 | ON |
| DOOR COUNTY YMCA | |||||||||
| 1900 MICHIGAN STREET | STURGEON BAY | WI | 54235 | NONE | PUBLIC | ANNUAL CAMPAIGN | $25,000 | 1900 MICHIGAN STREET | |
| HAZELDON BETTY FORD FOUNDATION | |||||||||
| PO BOX 11 | CENTER CITY | MN | 55012 | NONE | PUBLIC | GENERAL OPERATIONS | $1,000 | ||
| HAWAII THEATRE CENTER | |||||||||
| 1130 BETHEL STREET | HONOLULU | HI | 96813 | NONE | PUBLIC | GENERAL OPERTIONS | $1,000 | 1130 BETHEL STREET | |
| HONOLULU MUSEUM OF ART | |||||||||
| 900 S BERETANIA STREET | HONOLULU | HI | 96814 | NONE | PUBLIC | GENERAL OPERATIONS | $2,500 | ||
| HOLY TRINITY CHURCH | |||||||||
| 5919 KALANIANAOLE HWY | HONOLULU | HI | 96825 | NONE | PUBLIC | GENERAL OPERATIONS | $2,000 | ||
| INLAND SEAS EDUCATION ASSOCIATION | |||||||||
| PO BOX 218 | SUTTONS BAY | MI | 49682 | NONE | PUBLIC | GENERAL OPERATIONS | $500 | PO BOX 218 | |
| MAYO CLINIC | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | NONE | PUBLIC | GENERAL OPERATIONS | $10,000 | ||
| NEIGHBOR-TO-NEIGHBOR VOLUNTEER | |||||||||
| 62 S 3RD AVENUE 2 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $100 | CAREGIVERS OF DOOR COUNTY INC | |
| NORTHERN SKY THEATER | |||||||||
| PO BOX 273 | FISH CREEK | WI | 54212 | NONE | PUBLIC | CAPITAL CAMPAIGN | $5,000 | PO BOX 273 | |
| ROTARY CLUB OF STURGEON BAY | |||||||||
| PO BOX 81 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $80 | FOUNDATION | |
| STRAUB FOUNDATION | |||||||||
| 868 S KING STREET | HONOLULU | HI | 96813 | NONE | PUBLIC | GENERAL OPERATIONS | $1,000 | 868 S KING STREET | |
| UNITED WAY OF DOOR COUNTY | |||||||||
| PO BOX 223 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $4,500 | PO BOX 223 | |
| US NAVY MEMORIAL FOUNDATION | |||||||||
| PO BOX 96570 | WASHINGTON | DC | 20090 | NONE | PUBLIC | GENERAL OPERATIONS | $25 | PO BOX 96570 | |
| USO | |||||||||
| PO BOX 96860 | WASHINGTON | DC | 20077 | NONE | PUBLIC | GENERAL OPERATIONS | $25 | PO BOX 96860 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $53,930 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $65 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $15,207 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $171,412 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $186,684 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $186,684 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION | CategoryTxt |
| Amt | $1,590 | Amt |
| Disbursements Charitable Prps | $1,590 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| VANGUARD INT TERM CORP BONDS | $93,328 | $92,963 |
| ALPS RIVERFRONT STRATEGIC INC FD | $85,545 | $85,049 |
| PIMCO FLOATING RATE INC FD | $49,550 | $30,125 |
| ISHARES U.S. PREFERRED | $39,689 | $38,490 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ALPHABET INC | $30,975 | $33,549 |
| BLACKROCK INC | $31,166 | $33,429 |
| C&S ADV INC REALTY FD | $36,957 | $20,400 |
| MICROSOFT CORP | $23,630 | $26,119 |
| APPLE INC | $65,915 | $118,328 |
| ROCHE HOLDING LIMITED | $23,316 | $20,703 |
| BERKSHIRE HATHAWAY INC CL B | $64,120 | $84,123 |
| JOHNSON CONTROLS INT'L | $56,336 | $56,828 |
| NICOLET BANKSHARES | $25,828 | $56,940 |
| ISHARES INTERNATIONAL SELECT | $66,788 | $77,027 |
| SCHLUMBERGER LTD | $23,370 | $21,440 |
| RETAIL PRPERTIES OF AMER A | $73,976 | $36,660 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXPENSES | |||
| LEASED LABOR | $14,524 | $1,452 | $13,072 |
| OFFICE EXPENSE | $144 | $144 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAXES | CategoryTxt |
| Amt | $13 | Amt |
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