2017-07-12T14:23:40-05:00 2016-12-31 391139422 PARENT DOTT AND COMPANY LTD P O BOX 516 BEAVER DAM WI 539160516 990PF 2016-01-01 391833671 THE PETER J SEIPPEL FOUNDATION INC PETE 9208877454 PO BOX 297 BEAVER DAM WI 53916 JOHN C RALSTON TREASURER 9208877454 2017-06-23 1 STACY M BRAAKSMA CPA P00448228 9208853388 2017-06-23 64.88.174.3 2017-06-23 11:45:37 CD P 7900F05EA2738CE35D58CC5EC4902D19AA3A2BB0 3A8E1307D5A083BE7B0DDAD7C35340AABE5099FD 2016 2021-01-29 14:40:06Z X 3258893 X X 129 129 50246 50246 -29300 916082 0 3180 0 24255 50375 0 0 0 22256 0 22256 19894 18944 950 6462 1000 5462 22364 165 22199 70976 20109 50867 88920 88920 159896 20109 139787 -135641 30266 1751 1979 1979 45357 92344 92344 1341683 1126053 1323456 440553 443972 434483 387820 387820 387820 387820 496941 527251 517942 31854 31176 500869 2745959 2610595 3258893 0 0 X 1381622 1381622 0 0 1364337 1228973 2745959 2610595 2745959 2610595 2745959 -135641 279 2610597 2 2610595 PUBLICLY TRADED SECURITIES P 894379 945382 -51003 -51003 CAPITAL GAINS DIVIDENDS P 21703 21703 21703 -29300 0 100059 2489280 0.040196 109689 2569983 0.042681 116772 2464935 0.047373 94046 1834112 0.051276 87895 1471221 0.059743 0.241269 0.048254 2425906 117060 303 117363 139787 X 303 0 303 0 303 1120 1120 817 817 0 0 0 0 0 0 0 0 0 0 0 1 1 WI 1 0 0 0 0 1 N/A KAREN WENDT 9208877454 PO BOX 297 BEAVER DAM WI 53916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHELSEY A SEIPPEL 1177 CALIFORNIA ST 314 SAN FRANCISCO CA 94108 PRESIDENT 1.00 0 0 0 ASHLEY N SEIPPEL 1305 W BLL ST HOUSTON TX 77019 PRESIDENT ELECT 1.00 0 0 0 PHILLIP R SEIPPEL PO BOX 297 BEAVER DAM WI 53916 VICE PRESIDENT 1.00 0 0 0 KAREN A WENDT N8490 COVENTRY LANE BEAVER DAM WI 53916 SECRETARY 1.00 0 0 0 JOHN C RALSTON W6211 HWY 33 BEAVER DAM WI 53916 TREASURER 1.00 0 0 0 NONE 0 NONE 0 THE FOUNDATION PROVIDES REAL ESTATE, LOCATED AT 1605 N SPRING ST BEAVER DAM, WISCONSIN TO A LOCAL NOT-FOR-PROFIT AGENCY. THE SEIPPEL HOMESTEAD AND CENTER FOR THE ARTS IS USED BY THE BEAVER DAM AREA ARTS ASSOCIATION TO PROMOTE THE ARTS TO BEAVER DAM AND SURROUNDING COMMUNITIES AND ALSO TO PROVIDE EDUCATIONAL OPPORTUNITIES RELATED TO THE ARTS. 26759 0 2266847 75133 120869 2462849 0 0 2462849 36943 2425906 121295 121295 303 303 120992 0 120992 0 120992 139787 0 139787 303 139484 120992 77416 0 0 139787 77416 0 0 62371 0 0 0 0 0 0 0 0 58621 0 0 0 X AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 NONE PC GENERAL SUPPORT OF PROGRAMS AND SERVICES RELATED TO CANCER 600 ARC OF DODGE COUNTY PO BOX 173 BEAVER DAM WI 53916 NONE PC SUPPORT PARTICIPATION IN SPECIAL OLYMPICS OF CHILDREN WITH SPECIAL NEEDS 250 ARTHRITIS FOUNDATION 4550 POST OAK PLACE DRIVE 307 HOUSTON TX 77027 NONE PC GENERAL SUPPORT OF PROGRAMS AND SERVICES RELATED TO THE PREVENTION AND CURE OF ARTHRITIS 14000 BEAVER DAM AREA ARTS ASSOCIATION 1605 NORTH SPRING ST BEAVER DAM WI 53916 NONE PC FINANCIAL ASSISTANCE WITH OPERATIONAL EXPENSES 22000 BEAVER DAM COMMUNITY HOSPITALS INC 707 SOUTH UNIVERSITY AVE BEAVER DAM WI 53916 NONE PC TO SUPPORT LOCAL HEALTH CARE AND COMMUNITY BASED HEALTH PROGRAMS 1500 BEAVER DAM YOUTH WRESTLING CLUB PO BOX 692 BEAVER DAM WI 53916 NONE PC TO SUPPORT YOUTH WRESTLING CLUB WHOSE MISSION IS TO USE WRESTLING TO POSITIVELY AFFECT AREA YOUTH 250 CITY OF BEAVER DAM FIRE-RESCUE DEPARTMENT 205 S LINCOLN AVE BEAVER DAM WI 53916 NONE GOV TO SUPPORT FIRE PREVENTION PROGRAMS 120 BEAVER DAM SCHOLARSHIP FOUNDATION PO BOX 98 BEAVER DAM WI 53916 NONE PC TO SUPPORT THE MISSION OF PROVIDING HIGHER EDUCATION COST ASSISTANCE TO YOUTH FROM BEAVER DAM WISCONSIN 450 BEAVER DAM UNIFIED SCHOOL DISTRICT 705 MCKINLEY STREET BEAVER DAM WI 53916 NONE GOV TO SUPPORT THE PARTNERS ARE LEARNING PROGRAM WHICH PROVIDES TUTORING AND MENTORING TO ELEMENTARY SCHOOL STUDENTS 2500 BIG BROTHERSBIG SISTERS 415 S 8TH ST WATERTOWN WI 53094 NONE PC TO SUPPORT PROGRAM AND ACTIVITIES FOR CHILDREN FACING ADVERSITY 250 BOYS AND GIRLS CLUB 925 N SILVERBROOK DRIVE WEST BEND WI 53090 NONE PC TO SUPPORT MISSION OF THE CLUB WHICH PROVIDES PROGRAMMING FOR YOUTH 700 CLOTHES FOR KIDS INC 103 EAST MAPLE AVE BEAVER DAM WI 53916 NONE PC TO PROVIDE LOW COST CLOTHING ACQUISITION OPTIONS FOR UNDERPRIVILAGED CHILDREN 500 CHURCH HEALTH SERVICES 115 N CENTER ST BEAVER DAM WI 53916 NONE PC TO PROVIDE LOW COST HEALTH CARE SERVICES FOR THE POOR, UNINSURED, AND UNDERINSURED OF DODGE COUNTY WISCONSIN 4250 DISABLED AMERICAN VETERANS AUXILIARY INC 708 E MILL ST BEAVER DAM WI 53916 NONE PC TO SUPPORT PROGRAMMING FOR DISABLED AMERICAN VETERANS 500 DEMENTIA CONCERNS COALITION OF DODGE COUNTY 229 MARY ST MAYVILLE WI 53050 NONE PC TO PROVIDE ASSISTANCE FOR PROGRAMMING DESIGNED TO ENHANCE THE QUALITY OF LIFE OF PERSONS LIVING WITH DEMENTIA 250 DODGE COUNTY TOY BANK INC PO BOX 438 BEAVER DAM WI 53916 NONE PC TO PROVIDE CHRISTMAS PRESENTS TO UNDERPRIVILAGED CHILDREN IN DODGE COUNTY WISCONSIN 200 GREEN VALLEY ENTERPRISES INC OF BEAVER DAM 1223 MADISON ST BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL SUPPORT FOR PROGRAMS DESIGNED TO HELP INDIVIDUALS WITH SPECIAL NEEDS 500 LEUKEMIA & LYMPHOMA SOCIETY 200 SOUTH EXECUTIVE DRIVE BROOKFIELD WI 53005 NONE PC TO SUPPORT PROGRAMMING FOR RESEARCH TO FIND A CURE FOR LEUKEMIA & LYMPHOMA AND TO IMPROVE THE LIVES OF THOSE AFFECTED 500 LOWELL FIRE DEPARTMENT 105 NORTH RIVER STREET LOWELL WI 53557 NONE GOV TO SUPPORT PURCHASE OF RESCUE VEHICLE 1000 MAKE-A-WISH FOUNDATION OF WISCONSIN INC 13195 W HAMPTON AVE BUTLER WI 53151 NONE PC TO PROVIDE FINANCIAL SUPPORT TO PROGRAMS DESIGNED TO HELP AND EMPOWER CHILDREN BATTLING LIFE THREATENING MEDICAL CONDITIONS 6000 NEW BEGINNINGS HOMELESS SHELTER OF DODGE COUNTY INC PO BOX 119 BEAVER DAM WI 53916 NONE PC TO PROVIDE TEMPORARY EMERGENCY SHELTER FOR PEOPLE EXPERIENCING HOMELESSNESS IN DODGE COUNTY WISCONSIN 250 BEAVER DAM COMMUNITY HOSPITALS INC 707 SOUTH UNIVERSITY AVE BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL SUPPORT TO EVENT WHICH PROMOTES BREAST CANCER AWARENESS AND SUPPORT TO SUSAN G KOMEN FOR THE CURE ORGANIZATION 500 PEOPLE AGAINST A VIOLENT ENVIRONMENT INC PO BOX 561 BEAVER DAM WI 53916 NONE PC TO EMPOWER THOSE AFFECTED BY VIOLENCE IN DODGE COUNTY WISCONSIN 500 SAN FRANCISCO BAY AREA ARITHRITIS 657 MISSION STREET SAN FRANCISCO WI 94105 NONE PC TO SUPPORT PROGRAMMING DESIGNED TO ADDRESS THE PREVENTION, CONTROL, AND CURE OF ARTHRITIS TO SUPPORT PROGRAMS DESIGNED TO EASE AND ENRICH THE LIVES OF PEOPLE IMPACTED BY DISABILITY 11000 ST VINCENT DE PAUL SOCIETY 125 DODGE DRIVE BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL ASSISTANCE FOR PROGRAMMING THAT IS DESIGNED TO SERVE THE POOR AND UNDERPRIVILAGED WITH HUNGER AND POVERTY ISSUES 2000 ST KATHARINE DREXEL SCHOOL 503 SOUTH SPRING STREET BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL SUPPORT FOR CHILDREN OF DISADVANTAGED FAMILIES WISHING TO ATTEND THE PARISH SCHOOL 250 SPECIAL TOUCH MINISTRY INC PO BOX 25 WAUPACA WI 54981 NONE PC TO PROVIDE FINANCIAL SUPPORT FOR PROGRAMMING DESIGNED TO EASE AND ENRICH THE LIVES OF INDIVIDUALS IMPACTED BY DISABILITY 100 SWAN CITY ICE SKATERS 609 GOULD STREET BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL SUPPORT FOR PROGRAMMING DESIGNED TO PROMOTE POSITIVE YOUTH DEVELOPMENT THROUGH ICE SKATING TEAM PARTICIPATION AND COMPETITION 3750 UNITED WAY OF DODGE COUNTY PO BOX 158 BEAVER DAM WI 53916 NONE PC INDIRECT SUPPORT OF LOCAL NOT FOR PROFIT AGENCIES LOCATED IN DODGE COUNTY WISCONSIN 500 WAYLAND ACADEMY 101 N UNIVERSITY AVE BEAVER DAM WI 53916 NONE PC TO FUND THE SUSAN SEIPPEL GROW SCHOLARSHIP FUND OF THIS PRIVATE SECONDARY EDUCATIONAL INSTITUTION 3000 WOUNDED WARRIOR PROJECT 4899 BELFORT ROAD JACKSONVILLE FL 32256 NONE PC TO PROVIDE FINANCIAL SUPPORT FOR FREE PROGRAMS AND SERVICES DESIGNED TO ADDRESS THE NEEDS OF VETERANS AND SERVICES MEMBERSWHO INCURRED A PHYSICAL OR MENTAL INJURY, ILLNESS, OR WOUND, CO-INCIDENT TO THEIR MILITARY SERVICES ON OR AFTER 9/11/01; AND FILL GAPS IN GOVERNMENT CARE. 500 YMCA OF DODGE COUNTY 220 CORPORATE DR BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL ASSISTANCE TO SUPPORT YOUTH PROGRAMMING AND MEMBERSHIP COSTS OF UNDERPRIVALEGED INDIVIDUALS AND FAMILIES AND HONOR PLEDGE OF DEBT REDUCTION CAMPAIGN 10250 88920 0 14 129 14 50246 18 -29300 2015 EXCISE TAX REFUND 01 564 EXPENSE REIMBURSEMENT 01 660 MISCELLANEOUS 01 1956 0 24255 0 24255 0 0 0 0 0 0 0 0 0 1 BEAVER DAM AREA ARTS ASSOCIATION 501(C)(3) CONTINUING RELATIONSHIP BY ASSISTING WITH BUDGET SHORTFALLS AND PROVIDING RENT FREE FACILITIES PREPARATION OF FORM 990-PF 4190 0 4190 OFFICE ADMINISTRATION SERVICES 18066 0 18066 JPMORGAN CHASE BANK ACCT A58190009 443972 434483 JPMORGAN CHASE BANK ACCT A58190009 1126053 1323456 JPMORGAN CHASE BANK ACCT A58190009 AT COST 527251 517942 ROCKWELL PRINT 30307 30307 500000 ACCRUED INCOME OF JPMORGAN CHASE BANK ACCT A58190009 1547 869 869 ACCRUED INTEREST INCOME BEGINNING OF YEAR 2 INSURANCE 9788 0 9788 HOMESTEAD EXPENSE 11509 0 11509 WIRE TRANSFER FEES 165 165 0 TRUSTEE EXPENSE 478 0 478 MISCELLANEOUS 424 0 424 2015 EXCISE TAX REFUND 564 564 EXPENSE REIMBURSEMENT 660 660 MISCELLANEOUS 1956 1956 OTHER COST BASIS ADJUSTMENTS 256 ACCRUED INTEREST INCOME END OF YEAR 23 JPMORGAN CHASE INVESTMENT MANAGEMENT FEES 18944 18944 0 APPRAISAL 500 0 500 LEGAL 450 0 450 FOREIGN TAX WITHHELD ON DIVIDENDS 1000 1000 0 REAL ESTATE 5462 0 5462