PALMER FAMILY FOUNDATION INC: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PALMER FAMILY FOUNDATION INC (EIN 76-0476424)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-06-13
- IRS object ID
- 201601659349100010
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-06-13T11:37:36-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 392043144 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LULLOFF & TAYLOR LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 N MAYFAIR RD STE 203 | AddressLine1Txt |
| City | WAUWATOSA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760476424 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALMER FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PALM | BusinessNameControlTxt |
| Phone | 2623777976 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1952 MAPLE RD | AddressLine1Txt |
| City | GRAFTON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53024 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN GALVIN | PersonNm |
| Person Title | PRES/TREAS | PersonTitleTxt |
| Phone | 2623777976 | PhoneNum |
| Signature | 2016-05-09 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK S LULLOFF | PreparerPersonNm |
| PTIN | P01224002 | PTIN |
| Phone | 4147770700 | PhoneNum |
| Preparation | 2016-06-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $756,702 | 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 |
| Dividends Rev And Expnss | $19,982 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $19,982 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $17,252 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $302,812 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $17,252 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $37,234 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $37,234 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $550 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $275 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $275 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $2,312 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $2,312 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $1,873 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,873 | TaxesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $4,735 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $4,460 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $275 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $54,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $54,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $58,735 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $4,460 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $54,275 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$21,501 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $32,774 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $7,638 | CashBOYAmt |
| Cash EOY | $25,940 | CashEOYAmt |
| Cash EOYFMV | $25,940 | CashEOYFMVAmt |
| US Government Obligations BOY | $78,255 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $101,455 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $101,887 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $268,214 | CorporateStockBOYAmt |
| Corporate Stock EOY | $265,015 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $349,468 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $257,711 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $168,360 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $168,620 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $83,074 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $112,621 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $110,787 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $694,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $673,391 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $756,702 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $694,892 | CapitalStockBOYAmt |
| Capital Stock EOY | $673,391 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $694,892 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $673,391 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $694,892 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $673,391 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $694,892 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$21,501 | ExcessRevenueOverExpensesAmt |
| Subtotal | $673,391 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $673,391 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (36 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| 825 SHS ADAMS NATURAL RESOURCES | P | 2014-03-26 | $17,614 | $22,700 | -$5,086 | -$5,086 | |
| 200 SHS ISHARES CORE MSCI | P | 2014-09-09 | $8,683 | $10,805 | -$2,122 | -$2,122 | 2015-10-20 |
| 50 SHS XILINX INC | P | $2,162 | $1,051 | $1,111 | $1,111 | 2015-04-17 | |
| 300 SHS AFFILIATED MANAGERS 5.25% PF | P | 2015-02-11 | $7,500 | $7,784 | -$284 | -$284 | 2015-10-22 |
| 100 SHS JOHNSON CONTROLS INC | P | $5,050 | $2,671 | $2,379 | $2,379 | 2015-04-17 | |
| ASSOCIATED BANC 5.125% 16 | P | $35,365 | $36,308 | -$943 | -$943 | 2015-11-04 | |
| 75 SHS AKAMAI TECHNOLOGIES | P | 2015-04-17 | $4,253 | $5,403 | -$1,150 | -$1,150 | 2015-11-23 |
| 50 SHS MEDTRONIC PLC | P | $3,813 | $2,320 | $1,493 | $1,493 | 2015-04-17 | |
| FT WAYNE IN RDA 5.24 PARTIAL CALL | P | $5,000 | $5,000 | 2015-12-01 | |||
| 50 SHS CA INC | P | $1,545 | $1,153 | $392 | $392 | 2015-04-17 | |
| 75 SHS MICROSOFT CORP | P | $3,108 | $1,955 | $1,153 | $1,153 | 2015-04-17 | |
| WEINGARTEN RLTY 5.25 | P | $25,000 | $25,000 | 2015-03-02 | |||
| 150 SHS CENTURYLINK INC | P | $5,135 | $5,063 | $72 | $72 | 2015-03-13 | |
| 50 SHS NEWFIELD EXPLORATION | P | 2014-12-04 | $1,939 | $1,320 | $619 | $619 | 2015-05-01 |
| WHITING PETROLEUM C 5%19 | P | $24,990 | $25,000 | -$10 | -$10 | 2015-05-07 | |
| 300 SHS CHESAPEAKE ENERGY CO | P | 2015-04-17 | $2,447 | $4,648 | -$2,201 | -$2,201 | 2015-10-20 |
| 25 SHS PRECISION CASTPARTS | P | 2015-04-17 | $5,772 | $5,065 | $707 | $707 | 2015-10-20 |
| ZIONS BANCORP 3.3% 18 CALLED | P | $25,000 | $25,000 | 2015-06-01 | |||
| 250 SHS CISCO SYSTEMS INC | P | $6,994 | $5,310 | $1,684 | $1,684 | 2015-04-17 | |
| 615.9345 SHS ROYCE MICRO-CAP TRUST | P | $5,015 | $5,105 | -$90 | -$90 | 2015-10-20 | |
| 100 SHS DANAHER CORP DEL | P | $8,422 | $2,815 | $5,607 | $5,607 | 2015-04-17 | |
| 371 SHS ROYCE VALUE TRUST | P | $4,481 | $5,581 | -$1,100 | -$1,100 | 2015-10-20 | |
| 100 SHS DISCOVERY COMM | P | 2014-07-10 | $2,912 | $3,840 | -$928 | -$928 | 2015-11-23 |
| 550 SHS SCHWAB EMERGING MARKETS | P | 2015-10-20 | $10,775 | $11,976 | -$1,201 | -$1,201 | 2015-12-31 |
| 100 SHS DU PONT E I DE NEMOUR & CO | P | $7,145 | $4,942 | $2,203 | $2,203 | 2015-04-17 | |
| 270 SHS TEMPLETON DRAGON | P | $5,119 | $7,027 | -$1,908 | -$1,908 | ||
| 225 SHS ENERGY SELECT SECTOR | P | 2015-10-20 | $13,570 | $15,379 | -$1,809 | -$1,809 | 2015-12-31 |
| 75 SHS UNITED TECHNOLOGIES CORP | P | $8,651 | $4,588 | $4,063 | $4,063 | 2015-04-17 | |
| 55 SHS FISERV INC | P | $4,245 | $1,138 | $3,107 | $3,107 | 2015-04-17 | |
| 100 SHS VANGUARD BOND INDEX FUND | P | $7,997 | $8,136 | -$139 | -$139 | 2015-03-13 | |
| 125 SHS GENERAL ELECTRIC COMPANY | P | $3,381 | $3,557 | -$176 | -$176 | 2015-04-17 | |
| 285 SHS VANGUARD FTSE EMERGING | P | $9,353 | $10,920 | -$1,567 | -$1,567 | 2015-12-31 | |
| 10 SHS GOOGLE INC CL A VOTING | P | $5,305 | $1,811 | $3,494 | $3,494 | 2015-04-17 | |
| 60 SHS VERIZON COMMUNICATIONS | P | $2,919 | $1,845 | $1,074 | $1,074 | 2015-04-17 | |
| 50 SHS ILLINOIS TOOL WORKS INC | P | $4,780 | $1,839 | $2,941 | $2,941 | 2015-04-17 | |
| 50 SHS WALGREENS BOOTS ALLIANCE | P | $4,591 | $1,505 | $3,086 | $3,086 | 2015-04-15 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $17,252 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$5,319 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $60,355 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $811,113 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.074410 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $60,200 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $791,395 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.076068 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $59,827 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $724,028 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.082631 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $59,704 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $707,399 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.084399 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $59,824 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $732,955 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.081620 | DistributionYr5Rt |
| Total Distribution | 0.399128 | TotalDistributionRt |
| Average Distribution | 0.079826 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $769,445 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $61,422 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $328 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $61,750 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $54,275 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $655 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $655 | SubtotalAmt |
| Tax Based On Investment Income | $655 | TaxBasedOnInvestmentIncomeAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $16 | EsPenaltyAmt |
| Tax Due | $671 | 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 |
| Individual With Books | JEAN GALVIN | IndividualWithBooksNm |
| Phone | 2623777976 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1952 MAPLE RD | AddressLine1Txt |
| City | GRAFTON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53024 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| JEAN GALVIN | ||||||||
| 1952 MAPLE RD | GRAFTON | WI | 53024 | PRES/TREAS | 0.00 | $0 | $0 | $0 |
| JAMES PALMER | ||||||||
| 1270 E SHERIDAN BRIDGE LN | OLATHE | KS | 66062 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| MICHAEL GALVIN | ||||||||
| 1952 MAPLE RD | GRAFTON | WI | 53024 | VP/SEC | 0.00 | $0 | $0 | $0 |
| JENNIFER CLEMENT | ||||||||
| 101 W ZEDLER LN | MEQUON | WI | 53092 | DIRECTOR | 0.00 | $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 |
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 | $764,373 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $16,789 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $781,162 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $781,162 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $11,717 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $769,445 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $38,472 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $38,472 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $655 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $655 | TotalTaxAmt |
| Distributable Before Adj | $37,817 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $37,817 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $37,817 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $54,275 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $54,275 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $54,275 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $37,817 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $25,707 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $24,926 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $24,003 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $21,589 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $21,502 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $117,727 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $54,275 | QualifyingDistributionsAmt |
| Applied To Current Year | $37,817 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $16,458 | RemainingDistriFromCorpusAmt |
| Total Corpus | $134,185 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $25,707 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $108,478 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $24,926 | ExcessFromYear4Amt |
| Excess From Year3 | $24,003 | ExcessFromYear3Amt |
| Excess From Year2 | $21,589 | ExcessFromYear2Amt |
| Excess From Year1 | $21,502 | ExcessFromYear1Amt |
| Excess From Current Year | $16,458 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|
| ALZHEIMERS ASSOCIATION | |||||||
| 620 S 76TH ST STE 160 | MILWAUKEE | WI | 53214 | NON PROFIT | GENERAL SUPPORT | $2,000 | |
| AMERICAN RED CROSS | |||||||
| 2025 E STREET NW | WASHINGTON | DC | 20006 | NON PROFIT | GENERAL SUPPORT | $3,000 | |
| CARE NET PREGNANCY CENTER | |||||||
| 2917 N OAKLAND AVE | MILWAUKEE | WI | 53211 | NON PROFIT | GENERAL SUPPORT | $1,000 | |
| CATHOLIC EDUCATION FOUNDATION | |||||||
| 12615 PARALLEL PARKWAY | KANSAS CITY | KS | 66109 | NON PROFIT | GENERAL SUPPORT | $2,500 | ARCHDIOCESE OF KANSAS CITY |
| COOKIE CART | |||||||
| 2655 LYDIARD AVE | EXCELSIOR | MN | 55331 | NON PROFIT | GENERAL SUPPORT | $1,000 | |
| FOCUS ON THE FAMILY | |||||||
| 8605 EXPLORER DR | COLORADO SPRINGS | CO | 80920 | NON PROFIT | GENERAL SUPPORT | $2,000 | |
| HOPE NETWORK | |||||||
| PO BOX 531 | MENOMONEE FALLS | WI | 53052 | NON PROFIT | GENERAL SUPPORT | $2,000 | |
| INTERFAITH HOSPITALITY NETWORK | |||||||
| 6315 W 110TH ST | OVERLAND PARK | KS | 66211 | NON PROFIT | GENERAL SUPPORT | $1,000 | |
| KANASAS CITY RESCUE MISSION | |||||||
| 1520 CHERRY ST | KANSAS CITY | MO | 64108 | NON PROFIT | GENERAL SUPPORT | $2,500 | |
| KIDS TLC | |||||||
| 480 S ROGERS RD | OLATHE | KS | 66062 | NON-PROFIT | GENERAL SUPPORT | $1,500 | |
| KINDNESS CONNECTION | |||||||
| 8445 W 113TH ST | OVERLAND PARK | KS | 66210 | NON PROFIT | GENERAL SUPPORT | $5,000 | |
| KOHLER ART CENTER | |||||||
| 608 NEW YORK AVE | SHEBOYGAN | WI | 53081 | NON PROFIT | YOUTH PROGRAMS | $2,000 | |
| LA CAUSA INC | |||||||
| PO BOX 04188 | MILWAUKEE | WI | 53204 | NON PROFIT | CRISIS NURSERY AND RESPITE CENTER | $5,000 | |
| MILWAUKEE ART MUSEUM | |||||||
| 700 N ART MUSEUM DR | MILWAUKEE | WI | 53202 | NON PROFIT | YOUTH PROGRAMS | $2,000 | |
| MILWAUKEE RESCUE MISSION | |||||||
| 830 NORTH 19TH ST | MILWAUKEE | WI | 53233 | NON PROFIT | GENERAL SUPPORT | $4,000 | |
| NELSON GALLERY FOUNDATION | |||||||
| 4525 OAK ST | KANSAS CITY | MO | 64111 | NON-PROFIT | GENERAL SUPPORT | $4,000 | |
| NEW AVENUES FOR YOUTH | |||||||
| 1220 SW COLUMBIA ST | PORTLAND | OR | 97201 | NON PROFIT | GENERAL SUPPORT | $5,000 | |
| SALVATION ARMY | |||||||
| 11315 W WATERTOWN PLANK R | MILWAUKEE | WI | 53226 | NON PROFIT | GENERAL SUPPORT | $2,000 | |
| STEPHEN'S CENTER INC | |||||||
| 2723 Q ST | OMAHA | NE | 68107 | NON PROFIT | GENERAL SUPPORT | $1,500 | |
| SPENCER C DUNCAN MAKE IT COUNT FOUN | |||||||
| 119 N PARKER 175 | OLATHE | KS | 66061 | NON PROFIT | GENERAL SUPPORT | $1,000 | |
| WHATSOEVER CIRCLE COMMUNITY HOUSE | |||||||
| 1201 EWING AVE | KANSAS CITY | MO | 64126 | NON PROFIT | GENERAL SUPPORT | $1,000 | |
| WORLD VISION | |||||||
| PO BOX 9716 | FEDERAL WAY | WA | 98063 | NON PROFIT | FOOD SECURITY | $3,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $54,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $19,982 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $17,252 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $37,234 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $37,234 | 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 | $550 | Amt |
| Net Investment Income | $275 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $275 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (9 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ASSOCIATED BANC | ||
| COMPUTER SCIENCE | $26,438 | $25,668 |
| GENERAL ELECTRIC 3.1% | $35,140 | $35,485 |
| UNION PACIFIC | $35,350 | $37,726 |
| VERISIGN | $25,160 | $24,500 |
| WASHINGTON REIT | $19,555 | $19,614 |
| WEINGARTEN RLTY | $26,717 | $25,627 |
| WHITING PETROLEUM | ||
| ZIONS BANCORPORATION |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (71 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOTT LABORATORIES | $3,516 | $6,736 |
| ACI WORLDWIDE INC | $4,139 | $4,815 |
| ADOBE SYSTEMS INC | $1,590 | $7,045 |
| AES CORP | $3,494 | $3,349 |
| AFFLILIATED MANAGERS GRP | $2,832 | $7,988 |
| AFLAC INC | $4,692 | $4,492 |
| ALLSCRIPTS HEALTHCARE | $5,974 | $6,152 |
| ALPHABET INC CL A VOTING | $1,806 | $7,589 |
| ALPHABET INC CL C NON VOTING | ||
| ADAMS NATURAL RESOURCES FUND INC | $14,111 | $14,192 |
| AMETEK INC | $5,190 | $5,359 |
| APPLE INC | $6,261 | $5,263 |
| BOTTOMLINE TECHNOLOGIES | $8,247 | $8,919 |
| BRYN MAWR BANK CORP | $2,339 | $2,154 |
| CA INC | $5,763 | $7,140 |
| CABELAS INC | $3,055 | $2,336 |
| CENTURYLINK INC | ||
| CISCO SYSTEMS INC | ||
| COGNIZANT TECH SOL CL A | $5,005 | $6,002 |
| DANAHER CORP DEL | ||
| DISCOVER FINANCIAL SVCS | $4,769 | $4,021 |
| DISCOVERY COMMUN SER C | $5,002 | $4,413 |
| DU PONT E I DE NEMOUR & CO | ||
| DUN & BRADSTREET CP NEW | $2,452 | $2,598 |
| EBAY INC | $2,294 | $2,748 |
| ECHO GLOBAL LOGISTIC | $5,028 | $4,588 |
| ECOLAB OMC | $4,631 | $4,575 |
| EMC CORP | $6,644 | $6,420 |
| EQUIFAX INC | $1,346 | $5,568 |
| EVERTEC INC | $14,198 | $12,555 |
| EXPRESS SCRIPTS HOLDING CO | $4,291 | $4,371 |
| FIDELITY NATL INFO SVCS | $2,345 | $6,787 |
| FISERV INC | $1,449 | $6,402 |
| FRANKLIN RESOURCES INC | $3,413 | $6,628 |
| GENERAL ELECTRIC COMPANY | $9,106 | $9,968 |
| GLOBAL PAYMENT INC | $3,626 | $6,451 |
| GOLDMAN SACHS GROUP INC | $4,003 | $4,506 |
| HAEMONETICS CORP | $5,405 | $4,836 |
| HANCOCK JOHN FINANCIAL | $7,542 | $14,716 |
| HOLOGIC INC | $4,493 | $6,771 |
| ILLINOIS TOOL WORKS INC | $1,839 | $4,634 |
| JOHNSON CONTROLS INC | $2,671 | $3,949 |
| MEDTRONIC INC | ||
| MERCANTILE BANK CORP | $2,296 | $2,454 |
| MICROSOFT CORP | $3,259 | $6,935 |
| NEWFIELD EXPLORATION CO | $2,641 | $3,256 |
| ORACLE CORPORATION | $4,006 | $3,653 |
| PAYPAL HOLDINGS INC | $3,548 | $3,620 |
| PEPSICO INC | $5,778 | $8,993 |
| PERRIGO CO PLC | $4,122 | $3,618 |
| PFIZER INC | $3,498 | $4,842 |
| PRINCIPAL FINANCIAL GRP | $4,981 | $6,972 |
| QUALCOMM INC | $4,555 | $4,999 |
| ROCKWELL AUTOMATION INC | $4,626 | $4,104 |
| RPM INTERNATIONAL INC | $3,594 | $3,304 |
| ROYCE MICROCAP TRUST | ||
| ROYCE VALUE TRUST INC | ||
| SEI INVESTMENTS CO | $4,395 | $5,240 |
| STRYKER CORP | $4,592 | $6,971 |
| T ROWE PRICE GROUP INC | $2,253 | $6,434 |
| TEMPLETON DRAGON FUND | ||
| TOWERS WATSON & CO | $4,552 | $4,496 |
| TREEHOUSE FOODS INC | $3,520 | $3,923 |
| UNION PACIFIC CORP | $4,086 | $3,128 |
| UNITED TECHONOLOGIES CORP | ||
| VERIZON COMMUNICATIONS | $4,612 | $6,933 |
| VISA INC | $2,876 | $12,408 |
| WALGREENS BOOTS ALLIANCE | ||
| WYNDHAM WORLDWIDE CORP | $5,882 | $5,449 |
| XILINX INC | $3,154 | $7,046 |
| YUM BRANDS INC | $3,628 | $3,654 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| State Local Sec Book Vl EOY | $101,455 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $101,887 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (11 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| HARBOR INTERNATIONAL FD | AT COST | $35,372 | $36,563 |
| TWEEDY BROWNE GLOBAL VALUE FD | AT COST | $16,536 | $15,110 |
| AES TRUST III | AT COST | $13,932 | $15,024 |
| ISHARES ETF | AT COST | ||
| OLD SECOND BANCO | AT COST | $12,459 | $9,950 |
| SLM CORPORATION | AT COST | $7,395 | $7,080 |
| STIFEL FINANCIAL | AT COST | $7,755 | $7,531 |
| VANGUARD BOND INDEX FD | AT COST | ||
| VANGUARD FTSE EMERGING MARKETS ETF | AT COST | ||
| WSFS FINANCIAL | AT COST | $7,965 | $8,025 |
| ZIONS BANCORPOR | AT COST | $11,207 | $11,504 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES AND CHARGES | CategoryTxt |
| Amt | $2,312 | Amt |
| Net Investment Income | $2,312 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| FOREIGN TAXES | $148 | $148 |
| FEDERAL INCOME TAX | $1,725 | $1,725 |
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