LUTSEY FAMILY FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LUTSEY FAMILY FOUNDATION INC (EIN 39-1657029)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-03
IRS object ID
201613089349100111
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-03T15:14:44-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391173131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 23819AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543053819ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391657029EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTSEY FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTSBusinessNameControlTxt
Phone9203399823PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22074AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54305ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS LUTSEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9203399823PhoneNum
Signature2016-10-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL J YOUNGPreparerPersonNm
PTINP00035095PTIN
Phone9204367800PhoneNum
Preparation2016-10-27PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,819,506FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$120,036DividendsRevAndExpnssAmt
Dividends Net Invst Incm$120,036DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$316,282NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,814,307GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$316,282CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$436,318TotalRevAndExpnssAmt
Total Net Invst Incm$436,318TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,526AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,763AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,763AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$8,939TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,726TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$97,135OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$70,665OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$11,794OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$111,600TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$76,154TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$14,557TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$242,982ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$242,982ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$354,582TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$76,154TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$257,539TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$81,736ExcessRevenueOverExpensesAmt
Net Investment Income$360,164NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$365,585SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$152,605SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$152,605SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$73,455USGovernmentObligationsBOYAmt
US Government Obligations EOY$75,748USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$75,475USGovtObligationsEOYFMVAmt
Corporate Stock BOY$3,534,883CorporateStockBOYAmt
Corporate Stock EOY$3,791,593CorporateStockEOYAmt
Corporate Stock EOYFMV$3,859,299CorporateStockEOYFMVAmt
Corporate Bonds BOY$53,353CorporateBondsBOYAmt
Corporate Bonds EOY$43,644CorporateBondsEOYAmt
Corporate Bonds EOYFMV$42,173CorporateBondsEOYFMVAmt
Other Investments BOY$552,326OtherInvestmentsBOYAmt
Other Investments EOY$597,748OtherInvestmentsEOYAmt
Other Investments EOYFMV$689,954OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,579,602TotalAssetsBOYAmt
Total Assets EOY$4,661,338TotalAssetsEOYAmt
Total Assets EOYFMV$4,819,506TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$4,579,602UnrestrictedBOYAmt
Unrestricted EOY$4,661,338UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$4,579,602TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,661,338TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,579,602TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,661,338TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,579,602TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$81,736ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,661,338SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,661,338TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
MERRILL LYNCH$2,798,719$2,498,025$300,694$300,694
CAPITAL GAIN DISTRIBUTIONS$1,379$1,379$1,379
LONG-TERM CAPITAL GAINS - PARTNERSHIPS$14,209$14,209$14,209
FieldValueIRS element (for citing)
Capital Gain Net Income$316,282CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$250,097AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$5,204,170NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048057DistributionYr1Rt
Adjusted Qlfy Distri Yr2$223,271AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,998,219NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.044670DistributionYr2Rt
Adjusted Qlfy Distri Yr3$229,042AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,635,627NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.049409DistributionYr3Rt
Adjusted Qlfy Distri Yr4$192,309AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,603,372NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.041776DistributionYr4Rt
Adjusted Qlfy Distri Yr5$204,980AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$4,326,685NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047376DistributionYr5Rt
Total Distribution0.231288TotalDistributionRt
Average Distribution0.046258AverageDistributionRt
Net Vl Noncharitable Assets$5,005,859NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$231,561AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,602NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$235,163AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$257,539QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$3,602InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,602SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,602TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$14,120EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$14,120TotalPaymentsAndCreditsAmt
Overpayment$10,518OverpaymentAmt
Applied To ES Tax$10,518AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTHOMAS LUTSEYIndividualWithBooksNm
Phone9203399823PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22074AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543052074ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
THOMAS J LUTSEY
1675 REMINGTON RIDGE ROADDEPEREWI54115PRESIDENT1.00$0$0$0
SHARON L LUTSEY
1675 REMINGTON RIDGE ROADDEPEREWI54115DIRECTOR1.00$0$0$0
MATTHEW T LUTSEY
PO BOX 22074GREEN BAYWI54305DIRECTOR0.00$0$0$0
JEFFREY K LUTSEY
PO BOX 22074GREEN BAYWI54305DIRECTOR0.00$0$0$0
NICHOLAS P LUTSEY
PO BOX 22074GREEN BAYWI54305DIRECTOR0.00$0$0$0
ANDREW J LUTSEY
PO BOX 22074GREEN BAYWI54305DIRECTOR0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,827,558AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$254,532AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,082,090TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,082,090AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$76,231CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,005,859NetVlNoncharitableAssetsAmt
Minimum Investment Return$250,293MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$250,293MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,602TaxBasedOnInvestmentIncomeAmt
Total Tax$3,602TotalTaxAmt
Distributable Before Adj$246,691DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$246,691DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$246,691DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$257,539ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$257,539QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$3,602PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$253,937AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$246,691DistributableAsAdjustedAmt
Undistributed Income PY$230,396UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$257,539QualifyingDistributionsAmt
Applied To Year1$230,396AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$27,143AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$219,548UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTOM AND SHARON LUTSEYRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11675 REMINGTON RIDGE ROADAddressLine1Txt
CityDEPERECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54115ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9203399823RecipientPhoneNum
Form And Info And MaterialsNO STANDARD FORM OR APPLICATION PROCESS IS REQUIRED BY THE FOUNDATION.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (41 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN CANCER SOCIETY
3311 S PACKERLAND DRIVEGREEN BAYWI54115NONEPUBLIC CHARITYGENERAL OPERATIONS$50
AMERICAN RED CROSS
PO BOX 8295GREEN BAYWI54308NONEPUBLIC CHARITYGENERAL OPERATIONS$5,000
BIG BROTHERS BIG SISTERS GREEN BAY
1345 W MASON ST 210GREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$1,500
BOYS AND GIRLS CLUB OF GREEN BAY
311 S ONEIDAGREEN BAYWI54301NONEPUBLIC CHARITYGENERAL CHARITY$4,450
BOYS AND GIRLS CLUB OF STURGEON BAY
60 185 E WALNUTSTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$101,800
CATS ANONYMOUS INC
2701 LARSON ROAD STE BA 115GREEN BAYWI54303NONEPUBLIC CHARITYGENERAL OPERATIONS$300
DOOR COUNTY COMMUNITY FOUNDATION
342 LOUISIANA STREETSTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$7,000
DOOR COUNTY ECONOMIC DEVELOPMENT
222 N 3RD AVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$200
FAMILY FARMED
7115 W NORTH AVE 504OAK PARKIL60302NONEPUBLIC CHARITYGENERAL CHARITABLE$7,500
FRESH TASTE
5555 N SHERIDAN ROAD STE 18CHICAGOIL60640NONEPUBLIC CHARITYGENERAL CHARITABLE$12,000
GREATER GREEN BAY COMMUNITY FOUNDATION
310 W WALNUT ST SUITE 350GREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$10,500
HORIZON HOSPICE AND PALLIATIVE CARE
833 W CHICAGO AVE 300CHICAGOIL60642NONEPUBLIC CHARITYGENERAL CHARITABLE$1,500
HOUSE OF HOPE GREEN BAY
1660 CHRISTIANA STGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$10,060
JACKIE NITSCHKE CENTER INC
630 CHERRY STREETGREEN BAYWI54301NONEPUBLIC CHARITYGENERAL CHARITABLE$6,100
JACKSONPORT WOMEN'S CLUB
5296 WEST SHORE DRIVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$1,200
JUVENILLE DIABETES RESEARCH FUND
1800 APPLETON ROAD STE 2MENASHAWI54952NONEPUBLIC CHARITYGENERAL CHARITABLE$120
KEY EVENT -NOTRE DAME OF DEPERE
1919 OLD VALLEY COURTDE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$1,000
MUSCULAR DYSTROPHY ASSN
2670 S ASHLAND AVE SUITE 102GREEN BAYWI54304NONEPUBLIC CHARITYGENERAL OPERATIONS$250
NEW COMMUNITY SHELTER
301 MATHER STGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL OPERATIONS$18,150
PRIESTS OF THE SACRED HEART
6889 S LOVERS LANE RDFRANKLINWI53132NONEPUBLIC CHARITYGENERAL OPERATIONS$400
REHABILITATION INSTITUTE OF CHICAGO
345 E SUPERIOR STREETCHICAGOIL60611NONEPUBLIC CHARITYGENERAL CHARITABLE$4,017
RIDGES SANCTUARY
8270 WISCONSIN 57BAILEYS HARBORWI54202NONEPUBLIC CHARITYGENERAL CHARITABLE$1,500
STELLA MARIS CHURCH - ST JOHN THE BAPTIST CHURCH
PO BOX 49EGG HARBORWI54209NONEPUBLIC CHARITYGENERAL OPERATIONS$1,000
THE WOMEN'S FUND - DOOR COUNTY
PO BOX 802STURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL OPERATIONS$17,000
UNITED WAY OF DOOR COUNTY
57 N 3RD AVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$630
YMCA OF DOOR COUNTY
3866 GIBRALTAR RDFISH CREEKWI54212NONEPUBLIC CHARITYGENERAL CHARITABLE$5,000
CHICAGO GREENCITY MARKET
2613 W LAWRENCE AVECHICAGOIL60625NONEPUBLIC CHARITYGENERAL CHARITABLE$1,500
DEFINITELY DEPERE
320 MAIN AVENUE 102DE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$1,330
DEPERE CHRISTIAN OUTREACH
506 BUTLER STREETDE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$500
EVENT BRITE - INDUSTRIAL INNOVATION - NORTHBRANCH WORKS
1415 NORTH CHERRY AVENUECHICAGOIL60642NONEPUBLIC CHARITYGENERAL CHARITABLE$525
HEART OF GOLD CHARITY
PO BOX 116TWIN LAKESWI53181NONEPUBLIC CHARITYGENERAL CHARITABLE$1,000
HUTERRA FOUNDATION
1385 W MAIN AVEDE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$500
NWTC FOUNDATION
2740 W MASON STREETGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$5,000
REST HAVEN CEMETARY PROJECT
3115 MERCEDES DRGREEN BAYWI54313NONEPUBLIC CHARITYGENERAL CHARITABLE$6,000
ST BALDRICKS FOUNDATION
1333 S MAYFLOWER AVE 400MONROVIACA91016NONEPUBLIC CHARITYGENERAL CHARITABLE$500
ST NORBERTS
100 GRANT STREETDE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$1,800
STURGEON BAY PROFESSIONAL POLICE ASSOCIATION
421 MICHIGAN STSTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$5,000
WRITE ON DOOR COUNTY
PO BOX 457FISH CREEKWI54212NONEPUBLIC CHARITYGENERAL CHARITABLE$500
LURIE CHILDRENS HOSPITAL
225 E CHICAGO AVECHICAGOIL60611NONEPUBLIC CHARITYGENERAL CHARITABLE$250
BAILEYS HARBOR COMMUNITY ASSOCIATION
PO BOX 31BAILEYS HARBORWI54202NONEPUBLIC CHARITYGENERAL CHARITABLE$100
GATOR WINES FUND - BENEFIT
W471 KIEL ROADNEW HOLSTEINWI53061NONEPUBLIC CHARITYGENERAL CHARITABLE$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$242,982TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$120,036ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$316,282ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$436,318ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$436,318TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEECategoryTxt
Amt$5,526Amt
Net Investment Income$2,763NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,763DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondML #6AF-02183 CORPORATE BONDSBondNm
EOY Book Value$43,644EOYBookValueAmt
EOYFMV$42,173EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (34 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ML #6AF-02178 EQUITIES$117,529$157,912
PHILIP MORRIS INTL$11,818$17,142
PFIZER$5,284$11,137
STARWOOD PPTY TR INC.$8,093$11,719
VENTAS INC.$6,787$10,722
ML #6AF-02180 EQUITIES$146,009$144,752
ML #6AF-02181 EQUITIES$117,162$137,124
ML #6AF-02179 EQUITIES$140,574$136,566
ML #6AF-02177 EQUITIES$158,291$157,648
ML #6AF-02175 EQUITIES$172,004$179,167
ML #6AF-02176 EQUITIES$188,136$175,070
ML #6AF-02183 MUTUAL FDS/CLOSED END FDS$119,035$113,770
ML #6AF-02017$1,262,660$1,232,900
ML #6AF-02174 EQUITIES$162,597$158,482
ML #6AF-02182 EQUITIES$120,922$148,596
ML #6AF-02219 EQUITIES$376,059$391,657
GOLAR LNG LIMITED$7,236$2,921
LOCKHEED MARTIN CORP$8,634$22,801
BLACKSTONE ALTERNATIVES$114,385$114,937
BREP EUROPE IV REAL ESTATE FUND$196,250$188,952
CRESCENT VI MEZZANINE$235,500$212,244
DUPONT FABROS TECHNOLOGY$6,261$8,265
OMEGA HEALTHCARE INVS REIT$9,776$10,669
WILLIAMS COMPANIES DEL$13,720$9,895
REYNOLDS AMERICAN INC$9,346$15,414
KINDER MORGAN INC. DEL$9,339$7,087
CME GROUP INC$15,409$19,932
EPR PPTYS COM$4,274$16,074
CARE CAPITAL PROPERTIES$998$1,437
LAS VEGAS SANDS CORP$13,368$11,179
PACWEST BANCORP$6,727$6,034
PJT PARTNERS INC$46$339
WEYERHAEUSWER$11,691$10,493
MACQUARIE INFRASTRUCTURE CO$15,673$16,262

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$75,748USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$75,475USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (5 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
GREEN BAY PACKERS SUPER BOWL RINGAT COST$20,000$20,000
PUBLICLY TRADED PARTNERSHIPSAT COST$121,723$129,263
ACP POWER AND ENERGYAT COST$76,377$176,251
ML WINTON FUTURES ACCESSAT COST$306,206$296,911
LS REAL ESTATE RECOVERTY IV TRUSTAT COST$73,442$67,529

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGES$450$450$0
MERRILL LYNCH BROKERAGE FEES$26,879$26,879$0
ADMINISTRATIVE - OTHER$920$0$0
LUTSEY ENTERPRISES MANAGEMENT FEE$20,000$10,000$10,000
POSTAGE & PRINTING$2,088$1,044$1,044
WEBSITE$1,500$750$750
INVESTMENT LOSSES$45,298$31,542$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MERRILL LYNCH FOREIGN TAXES$2,726$2,726$0
EXCISE TAX$6,213$0$0

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