ELLSWORTH AND CARLA PETERSON CHARITABLE FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ELLSWORTH AND CARLA PETERSON CHARITABLE FOUNDATION (EIN 39-6566719)
- Tax period
- 2015-11-01 to 2016-10-31
- Filed
- 2017-02-15
- IRS object ID
- 201730469349100333
- Schema version
- 2015v3.0
- 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 Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-15T17:26:04-06:00 | ReturnTs |
| Tax Period End | 2016-10-31 | 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 | 2015-11-01 | 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 | TRUSTEE | PersonTitleTxt |
| Signature | 2017-01-30 | 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 | 2017-02-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | 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 | $805,917 | 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 | $18 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $18 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $33,746 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $33,746 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$116,663 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $495,771 | GrossSalesPriceAmt |
| Total Rev And Expnss | -$82,899 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $33,764 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,560 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $1,560 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $2,685 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $18,030 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $3,465 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $14,565 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $22,275 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $3,465 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $16,125 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $254,520 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $254,520 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $276,795 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $3,465 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $270,645 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$359,694 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $30,299 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $40,871 | CashBOYAmt |
| Cash EOY | $10,061 | CashEOYAmt |
| Cash EOYFMV | $10,057 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $24,856 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,191 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,191 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $488,081 | CorporateStockBOYAmt |
| Corporate Stock EOY | $644,862 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $746,959 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $521,976 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $73,976 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $46,710 | OtherInvestmentsEOYFMVAmt |
| Land BOY | $15,000 | LandBOYAmt |
| Total Assets BOY | $1,090,784 | TotalAssetsBOYAmt |
| Total Assets EOY | $731,090 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $805,917 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $1,090,784 | CapitalStockBOYAmt |
| Capital Stock EOY | $731,090 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,090,784 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $731,090 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,090,784 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $731,090 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,090,784 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$359,694 | ExcessRevenueOverExpensesAmt |
| Subtotal | $731,090 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $731,090 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| JOHNSON CONTROLS | P | 2016-09-06 | 2016-09-06 | $44 | $41 | $3 | $3 |
| AB INC ADVS | P | 2006-07-10 | 2016-05-12 | $27,852 | $26,317 | $1,535 | $1,535 |
| INLAND RE L.P. | P | 2004-06-17 | 2016-04-01 | $4,379 | $4,323 | $56 | $56 |
| JOHNSON CONTROLS | P | 1993-06-22 | 2016-09-16 | $72,192 | $6,644 | $65,548 | $65,548 |
| NICOLET BANKSHARES | P | 1994-12-05 | 2016-05-12 | $12 | $7 | $5 | $5 |
| U.S. BANCORP | P | 1997-05-17 | 2016-05-12 | $17,761 | $5,473 | $12,288 | $12,288 |
| UTOPIA CIRCLE, 2 LOTS | D | 2011-10-31 | 2015-12-30 | $26,047 | $15,000 | $11,047 | $11,047 |
| RETAIL PROPERETIES OF AMERICA | P | 2010-12-31 | 2016-05-12 | $305,179 | $450,579 | -$145,400 | -$145,400 |
| KINDER MORGAN INC | P | 2014-12-03 | 2016-05-12 | $42,242 | $104,050 | -$61,808 | -$61,808 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$116,663 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $3 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $84,271 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $961,389 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.087655 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $80,048 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $978,069 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.081843 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $69,804 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $950,525 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.073437 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $99,217 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $866,689 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.114478 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $81,794 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $884,815 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.092442 | DistributionYr5Rt |
| Total Distribution | 0.449855 | TotalDistributionRt |
| Average Distribution | 0.089971 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $884,871 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $79,613 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $303 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $79,916 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $270,645 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $303 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $303 | SubtotalAmt |
| Tax Based On Investment Income | $303 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $600 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $600 | TotalPaymentsAndCreditsAmt |
| Overpayment | $297 | OverpaymentAmt |
| Applied To ES Tax | $297 | 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 |
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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| 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 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| CARLA J PETERSON | ||||||||
| 3797 BAY SHORE DRIVE | STURGEON BAY | WI | 54235 | TRUSTEE | 1.00 | $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 | $832,148 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $64,323 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,875 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $898,346 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $898,346 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $13,475 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $884,871 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $44,244 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $44,244 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $303 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $303 | TotalTaxAmt |
| Distributable Before Adj | $43,941 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $43,941 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $43,941 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $270,645 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $270,645 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $303 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $270,342 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $43,941 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $38,539 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $56,227 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $53,930 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $31,731 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $38,887 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $219,314 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $270,645 | QualifyingDistributionsAmt |
| Applied To Current Year | $43,941 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $226,704 | RemainingDistriFromCorpusAmt |
| Total Corpus | $446,018 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $38,539 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $407,479 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $56,227 | ExcessFromYear4Amt |
| Excess From Year3 | $53,930 | ExcessFromYear3Amt |
| Excess From Year2 | $31,731 | ExcessFromYear2Amt |
| Excess From Year1 | $38,887 | ExcessFromYear1Amt |
| Excess From Current Year | $226,704 | 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 | 25 | 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 (23 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | Address Line2RecipientUSAddress/AddressLine2Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ALZHEIMERS ASSOCIATION-ALOHA CHAPTE | |||||||||
| PO BOX 96011 | PO BOX 96011 | WASHINGTON | DC | 20090 | NONE | PUBLIC | GENERAL OPERATIONS | $50 | |
| DIAMOND HEAD THEATRE | |||||||||
| 520 MAKAPUU AVENUE | 520 MAKAPUU AVENUE | HONOLULU | HI | 96816 | NONE | PUBLIC | ANNUAL FUND | $500 | |
| DOCTORS WITHOUT BORDERS | |||||||||
| PO BOX 5023 | PO BOX 5023 | HAGERSTOWN | MD | 21741 | NONE | PUBLIC | GENERAL OPERATIONS | $100 | |
| DOOR CANCER INC | |||||||||
| PO BOX 423 | PO BOX 423 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $100 | |
| DOOR COUNTY MARITIME MUSEUM & LIGHT | |||||||||
| 120 N MADISON AVENUE | 120 N MADISON AVENUE | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $500 | HOUSE PRESERVATION SOCIETY |
| DOOR COUNTY MEDICAL CENTER FOUNDATI | |||||||||
| PO BOX 230 | PO BOX 230 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | 2016 GOLF MARATHON | $100 | ON |
| DOOR COUNTY YMCA | |||||||||
| 1900 MICHIGAN STREET | 1900 MICHIGAN STREET | STURGEON BAY | WI | 54235 | NONE | PUBLIC | ANNUAL GOLF OUTING | $900 | |
| DOOR COUNTY YMCA | |||||||||
| 1900 MICHIGAN STREET | 1900 MICHIGAN STREET | STURGEON BAY | WI | 54235 | NONE | PUBLIC | ANNUAL CAMPAIGN | $25,000 | |
| FISC CONSUMER CREDIT COUNSELING SER | |||||||||
| 57 N 12TH AVENUE | 57 N 12TH AVENUE | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $1,000 | VICES INC |
| HAWAII ARTS ALLIANCE | |||||||||
| PO BOX 3948 | PO BOX 3948 | HONOLULU | HI | 96812 | NONE | PUBLIC | GENERAL OPERATIONS | $100 | |
| HAWAII THEATRE CENTER | |||||||||
| 1130 BETHEL STREET | 1130 BETHEL STREET | HONOLULU | HI | 96813 | NONE | PUBLIC | GENERAL OPERTIONS | $1,000 | |
| INLAND SEAS EDUCATION ASSOCIATION | |||||||||
| PO BOX 218 | PO BOX 218 | SUTTONS BAY | MI | 49682 | NONE | PUBLIC | GENERAL OPERATIONS | $60,000 | |
| NORTHERN SKY THEATER | |||||||||
| PO BOX 273 | PO BOX 273 | FISH CREEK | WI | 54212 | NONE | PUBLIC | CAPITAL CAMPAIGN | $150,000 | |
| NORTHERN SKY THEATER | |||||||||
| PO BOX 273 | PO BOX 273 | FISH CREEK | WI | 54212 | NONE | PUBLIC | CHALLENGE GIFT | $1,000 | |
| NORTHERN SKY THEATER | |||||||||
| PO BOX 273 | PO BOX 273 | FISH CREEK | WI | 54212 | NONE | PUBLIC | GENERAL OPERATIONS | $5,000 | |
| STRAUB FOUNDATION | |||||||||
| 868 S KING STREET | 868 S KING STREET | HONOLULU | HI | 96813 | NONE | PUBLIC | GENERAL | $5,000 | |
| THE CHILDRENS ALLIANCE OF HAWAII | |||||||||
| 200 N VINEYARD BLVD | 200 N VINEYARD BLVD | HONOLULU | HI | 96817 | NONE | PUBLIC | GENERAL OPERATIONS | $1,500 | |
| THE SALVATION ARMY | |||||||||
| PO BOX 30040 | PO BOX 30040 | HONOLULU | HI | 96820 | NONE | PUBLIC | GENERAL OPERATIONS | $50 | |
| UNITED WAY OF DOOR COUNTY | |||||||||
| PO BOX 223 | PO BOX 223 | STURGEON BAY | WI | 54235 | NONE | PUBLIC | GENERAL OPERATIONS | $1,500 | |
| US NAVY MEMORIAL FOUNDATION | |||||||||
| PO BOX 96570 | PO BOX 96570 | WASHINGTON | DC | 20090 | NONE | PUBLIC | GENERAL OPERATIONS | $25 | |
| USO | |||||||||
| PO BOX 96860 | PO BOX 96860 | WASHINGTON | DC | 20077 | NONE | PUBLIC | GENERAL OPERATIONS | $50 | |
| USMMA ALUMNI ASSOCIATION & FOUNDATI | |||||||||
| 14 BOND STREET STE 1000 | 14 BOND STREET STE 1000 | GREAT NECK | NY | 11021 | NONE | PUBLIC | GENERAL OPERATIONS | $1,000 | ON INC |
| WISCONSIN MARINE HISTORICAL SOCIETY | |||||||||
| 814 W WISCONSIN AVENUE | 814 W WISCONSIN AVENUE | MILWAUKEE | WI | 53233 | NONE | PUBLIC | GENERAL OPERATIONS | $45 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $254,520 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $18 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $33,746 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | -$116,663 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | -$82,899 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$82,899 | 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 | $1,560 | Amt |
| Disbursements Charitable Prps | $1,560 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BAYLAKE CORPORATION | ||
| JOHNSON CONTROLS | ||
| U.S. BANCORP | ||
| ALLIANCEBERNSTEIN INCOME FUND | ||
| C&S ADV INC REALTY FD | $36,957 | $19,682 |
| ADIENT PLC | $6,235 | |
| APPLE INC | $65,915 | $79,478 |
| PIMCO FLOATING RATE INC FD | $49,550 | $26,550 |
| KINDER MORGAN INC | ||
| BERKSHIRE HATHAWAY INC CL B | $64,120 | $64,935 |
| ISHARES U.S. PREFERRED | $39,689 | $38,950 |
| JOHNSON CONTROLS INT'L | $62,732 | $55,359 |
| NICOLET BANKSHARES | $259,111 | $388,840 |
| ISHARES INTERNATIONAL SELECT | $66,788 | $66,930 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| INLAND RE L.P. | FMV | ||
| RETAIL PROPERTIES OF AMER A | FMV | $73,976 | $46,710 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | LAND | CategoryOrItemTxt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXPENSES | |||
| LEASED LABOR | $16,183 | $1,618 | $14,565 |
| REAL ESTATE LOT MAINTENANCE | $1,780 | $1,780 | |
| INSURANCE | $35 | $35 | |
| UTILITIES | $32 | $32 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAXES | CategoryTxt |
| Amt | $2,685 | Amt |
Comments