THE PETER J SEIPPEL FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
THE PETER J SEIPPEL FOUNDATION INC (EIN 39-1833671)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-09
IRS object ID
201602229349100730
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)
Return2016-08-09T14:32:39-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391139422PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PARENT DOTT AND COMPANY LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 516AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP539160516ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391833671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PETER J SEIPPEL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPETEBusinessNameControlTxt
Phone9208877454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 297AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53916ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN C RALSTONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9208877454PhoneNum
Signature2016-08-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTACY M BRAAKSMA CPAPreparerPersonNm
PTINP00448228PTIN
Phone9208853388PhoneNum
Preparation2016-08-03PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,237,386FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$120,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$46InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$46InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$55,464DividendsRevAndExpnssAmt
Dividends Net Invst Incm$55,464DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$21,688NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$258,290GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$21,688CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$228OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$197,426TotalRevAndExpnssAmt
Total Net Invst Incm$77,198TotalNetInvstIncmAmt
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$10,459AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$10,459AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$20,028OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$20,028OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$7,058TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,175TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$1,390TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$12,100OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$210OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$11,890OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$49,645TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$21,413TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$23,739TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$76,320ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$76,320ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$125,965TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$21,413TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$100,059TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$71,461ExcessRevenueOverExpensesAmt
Net Investment Income$55,785NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,770CashBOYAmt
Cash EOY$1,751CashEOYAmt
Cash EOYFMV$1,751CashEOYFMVAmt
Sav And Temp Cash Invst BOY$241,429SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$45,357SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$45,357SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,262,335CorporateStockBOYAmt
Corporate Stock EOY$1,341,683CorporateStockEOYAmt
Corporate Stock EOYFMV$1,417,513CorporateStockEOYFMVAmt
Corporate Bonds BOY$347,800CorporateBondsBOYAmt
Corporate Bonds EOY$440,553CorporateBondsEOYAmt
Corporate Bonds EOYFMV$426,598CorporateBondsEOYFMVAmt
Invst Land Cost Or Other Basis$387,820InvstLandCostOrOtherBasisAmt
Land Bldg Investments BOY$267,820LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$387,820LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$387,820LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$521,352OtherInvestmentsBOYAmt
Other Investments EOY$496,941OtherInvestmentsEOYAmt
Other Investments EOYFMV$456,800OtherInvestmentsEOYFMVAmt
Other Assets BOY$31,220OtherAssetsBOYAmt
Other Assets EOY$31,854OtherAssetsEOYAmt
Other Assets EOYFMV$501,547OtherAssetsEOYFMVAmt
Total Assets BOY$2,673,726TotalAssetsBOYAmt
Total Assets EOY$2,745,959TotalAssetsEOYAmt
Total Assets EOYFMV$3,237,386TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$1,381,622CapitalStockBOYAmt
Capital Stock EOY$1,381,622CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,292,104RetainedEarningBOYAmt
Retained Earning EOY$1,364,337RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,673,726TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,745,959TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,673,726TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,745,959TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,673,726TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$71,461ExcessRevenueOverExpensesAmt
Other Increases$775OtherIncreasesAmt
Subtotal$2,745,962SubtotalAmt
Other Decreases$3OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,745,959TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$216,879$236,602-$19,723-$19,723
CAPITAL GAINS DIVIDENDSP$41,411$41,411$41,411
FieldValueIRS element (for citing)
Capital Gain Net Income$21,688CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$109,689AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,569,983NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.042681DistributionYr1Rt
Adjusted Qlfy Distri Yr2$116,772AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,464,935NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.047373DistributionYr2Rt
Adjusted Qlfy Distri Yr3$94,046AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,834,112NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.051276DistributionYr3Rt
Adjusted Qlfy Distri Yr4$87,895AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,471,221NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.059743DistributionYr4Rt
Adjusted Qlfy Distri Yr5$66,468AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,419,010NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046841DistributionYr5Rt
Total Distribution0.247914TotalDistributionRt
Average Distribution0.049583AverageDistributionRt
Net Vl Noncharitable Assets$2,489,280NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$123,426AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$558NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$123,984AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$100,059QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,116InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,116SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,116TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,800EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$2,800TotalPaymentsAndCreditsAmt
Overpayment$1,684OverpaymentAmt
Applied To ES Tax$1,120AppliedToESTaxAmt
Refund$564RefundAmt

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 BooksKAREN WENDTIndividualWithBooksNm
Phone9208877454PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 297AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53916ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ASHLEY N SEIPPEL
1224 LAKESHORE DRIVEBEAVER DAMWI53916PRESIDENT1.00$0$0$0
CHELSEY A SEIPPEL
1224 LAKESHORE DRIVEBEAVER DAMWI53916PRESIDENT ELECT1.00$0$0$0
PHILLIP R SEIPPEL
PO BOX 297BEAVER DAMWI53916VICE PRESIDENT1.00$0$0$0
KAREN A WENDT
N8490 COVENTRY LANEBEAVER DAMWI53916SECRETARY1.00$0$0$0
JOHN C RALSTON
W6211 HWY 33BEAVER DAMWI53039TREASURER1.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE 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.Description1Txt
Expenses1$11,209Expenses1Amt

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$2,341,308AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$158,032AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$27,848FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,527,188TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,527,188AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$37,908CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,489,280NetVlNoncharitableAssetsAmt
Minimum Investment Return$124,464MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$124,464MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,116TaxBasedOnInvestmentIncomeAmt
Total Tax$1,116TotalTaxAmt
Distributable Before Adj$123,348DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$123,348DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$123,348DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$100,059ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$100,059QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$100,059AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$123,348DistributableAsAdjustedAmt
Undistributed Income PY$54,127UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$100,059QualifyingDistributionsAmt
Applied To Year1$54,127AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$45,932AppliedToCurrentYearAmt
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$77,416UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (32 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BEAVER DAM COMMUNITY HOSPITALS INC
707 SOUTH UNIVERSITY AVEBEAVER DAMWI53916NONEPCTO FINANCIALLY SUPPORT THE BDCH ANNUAL WOMENS GOLF TOURNAMENT PROMOTING BREAST CANCER AWARENESS. EVENT PROCEEDS BENEFIT SUSAN G KOMEN FOR THE CURE ORGANIZATION.$500
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303NONEPCGENERAL SUPPORT OF PROGRAMS AND SERVICES RELATED TO CANCER$600
ARC OF DODGE COUNTY
PO BOX 173BEAVER DAMWI53916NONEPCFOR ASSISTANCE WITH SPECIAL OLYMPICS PARTICIPATION$250
ARTHITIS FOUNDATION INC
1330 W PEACHTREE ST SUITE 100ATLANTAGA30309NONEPCSUPPORT TO PROGRAMS RELATED TO THE PREVENTION, CONTROL, AND CURE OF ARTHRITIS$7,500
ARTHRITIS FOUNDATION GREAT WEST REGION SAN FRANCISCO OFFICE
657 MISSION STREET SUITE 603SAN FRANCISCOCA94105NONEPCTO PROVIDE FINANCIAL SUPPORT TO PROGRAMMING DESIGNED TO ADDRESS THE PREVENTION, CONTROL, AND CURE OF ARTHRITIS$7,500
BEAVER DAM AREA ARTS ASSOCIATION
1605 NORTH SPRING STBEAVER DAMWI53916NONEPCASSISTANCE WITH SALARY COST OF THE ORGANIZATIONS EXECUTIVE DIRECTOR$22,000
BEAVER DAM COMMUNITY HOSPITALS INC
707 SOUTH UNIVERSITY AVEBEAVER DAMWI53916NONEPCTO SUPPORT LOCAL HEALTH CARE AND COMMUNITY PROGRAMS$1,500
BEAVER DAM HOCKEY ASSOCIATION
609 GOULD STREETBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL ASSISTANCE TO THE SWAN CITY ICE SKATERS SKATING CLUB WHICH PROMOTES POSITIVE YOUTH DEVELOPMENT THROUGH VARIOUS SKATING PROGRAMMING$3,750
BEAVER DAM SCHOLARSHIP FOUNDATION
PO BOX 98BEAVER DAMWI53916NONEPCTO PROVIDE HIGHER EDUCATION COST ASSISTANCE TO YOUTH FROM THE BEAVER DAM WISCONSIN COMMUNITY$450
BEAVER DAM UNIFIED SCHOOL DISTRICT
705 MCKINLEY STREETBEAVER DAMWI53916NONEGOVTO SUPPORT THE PARTNERS ARE LEARNING PROGRAM WHICH PROVIDES TUTORING AND MENTORING TO ELEMENTARY SCHOOL STUDENTS$2,500
BEAVER DAM YOUTH WRESTLING
500 GOULD ST PO BOX 692BEAVER DAMWI53916NONEPCSUPPORT TO YOUTH WRESTLING CLUB WHOSE MISSION IS TO USE WRESTLING TO POSITIVELY AFFECT AREA YOUTH.$250
CHURCH HEALTH SERVICES INC
115 N CENTER STBEAVER DAMWI53916NONEPCTO PROVIDE HEALTH CARE SERVICES FOR THE POOR, UNINSURED, AND UNDERINSURED IN DODGE COUNTY WISCONSIN$2,750
CITY OF BEAVER DAM FIRE-RESCUE DEPARTMENT
205 S LINCOLN AVEBEAVER DAMWI53916NONEGOVTO SUPPORT FIRE PREVENTION PROGRAMS$120
CLOTHES FOR KIDS INC
103 E MAPLE AVEBEAVER DAMWI53916NONEPCTO PROVIDE LOW COST CLOTHING ACQUISITON OPTIONS TO UNDERPRIVILAGED CHILDREN$500
DAV AUXILIARY STATE OF WISCONSIN UNIT #50
708 E MILL STBEAVER DAMWI53916NONEPCTO UPPORT PROGRAMMING THAT PROVIDES ASSISTANCE FOR LIFE CHALLENGES OF DISABLED AMERICAN VETERANS$500
DEMENTIA CONCERNS COALITION OF DODGE COUNTY
229 MARY STMAYVILLEWI53050NONEPCTO PROVIDE ASSISTANCE FOR PROGRAMS THAT ENHANCE THE QUALITY OF LIFE OF PERSONS WITH DEMENTIA$250
DODGE COUNTY HUMANE SOCIETY
N6839 STATE ROAD 26JUNEAUWI53039NONEPCTO PROVIDE ASSISTANCE FOR MAINTAINING THE ANIMALS BEING CARED FOR AT THE ORGANIZATIONS FACILITY$250
DODGE COUNTY TOY BANK INC
PO BOX 438BEAVER DAMWI53916NONEPCTO PROVIDE CHRISTMAS PRESENTS TO UNDERPRIVILAGED CHILDREN OF DODGE COUNTY WISCONSIN$200
GREEN VALLEY ENTERPRISES INC OF BEAVER DAM
1223 MADISON STBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL SUPPORT TO PROGRAMMING DESIGNED TO HELP INDIVIDUALS WITH SPECIAL NEEDS$500
MAKE-A-WISH FOUNDATION OF WISCONSIN INC
13195 W HAMPTON AVEBUTLERWI53007NONEPCTO PROVIDE FINANCIAL SUPPORT TO PROGRAMS DESIGNED TO HELP AND EMPOWER CHILDREN BATTLING LIFE THREATENING MEDICAL CONDITIONS$6,000
NEW BEGINNINGS HOMELESS SHELTER OF DODGE COUNTY INC
845 MADISON STREETBEAVER DAMWI53916NONEPCTO PROVIDE TEMPORARY EMERGENCY SHELTER FOR PEOPLE EXPERIENCING HOMELESSNESS IN DODGE COUNTY WISCONSIN$250
PEOPLE AGAINST A VIOLENT ENVIRONMENT INC
PO BOX 561BEAVER DAMWI53916NONEPCTO EMPOWER THOSE AFFECTED BY VIOLENCE IN DODGE COUNTY WISCONSIN$500
ST VINCENT DE PAUL SOCIETY
125 DODGE DRIVEBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL ASSISTANCE FOR PROGRAMMING THAT IS DESIGNED TO SERVE THE POOR AND UNDERPRIVILAGED WITH HUNGER AND POVERTY ISSUES$2,000
ST KATHARINE DREXEL SCHOOL
503 SOUTH SPRING STREETBEAVER DAMWI53916NONEPCTO PROVIDE FINANCIAL SUPPORT TO DISADVANTAGED FAMILIES TO OFFSET COST TO ATTEND PARISH SCHOOL$250
UNITED WAY OF DODGE COUNTY
PO BOX 158BEAVER DAMWI53916NONEPCINDIRECT SUPPORT OF LOCAL NOT FOR PROFIT AGENCIES LOCATED IN DODGE COUNTY WISCONSIN$500
WAYLAND ACADEMY
101 N UNIVERSITY AVEBEAVER DAMWI53916NONEPCTO FUND THE SUSAN SEIPPEL GROW SCHOLARSHIP FUND OF THIS PRIVATE SECONDARY EDUCATIONAL INSTITUTION$3,000
YMCA OF DODGE COUNTY
220 CORPORATE DRBEAVER DAMWI53916NONEPCFINANCIAL ASSISTANCE TO SUPPORT YOUTH PROGRAMMING AND MEMBERSHIP COSTS OF UNDERPRIVALEGED INDIVIDUALS AND FAMILIES AND HONOR PLEDGE OF DEBT REDUCTION CAMPAIGN$10,250
FRIENDSHIP INTERNATIONAL MINISTRIES INC
3365 RED ONION CIRCLECOLORADO SPRINGSCO80918NONEPCFINANCIAL ASSISTANCE TO SUPPORT MISSIONS TO EASTERN EUROPE AND CHILE FOR THE PURPOSE OF SPREADING THE GOSPEL OF JESUS CHRIST.$500
THE GATHERING SOURCE INC
209 S MAIN STREETREESEVILLEWI53579NONEPCFINANCIAL ASSISTANCE TO SUPPORT PROGRAMS DEVOTED TO CARING FOR HUNGAR, EDUCATION AND WELLNESS IN RURAL COMMUNITIES THROUGH A FOOD PANTRY.$100
THE LEUKEMIA & LYMPHOMA SOCIETY INC
1311 MAMARONECK AVEWHITE PLAINSNY10605NONEPCTO SUPPORT THE ORGANIZATIONS MISSION TO CURE LEUKEMIA AND LYMPHONA AND ALSO TO IMPROVE QUALITY OF LIFE OF PATIENTS AND THEIR FAMILIES.$500
SPECIAL TOUCH MINISTRY INC
PO BOX 25WAUPACAWI54981NONEPCTO SUPPORT PROGRAMS DESIGNED TO EASE AND ENRICH THE LIVES OF PEOPLE IMPACTED BY DISABILITYTO SUPPORT PROGRAMS DESIGNED TO EASE AND ENRICH THE LIVES OF PEOPLE IMPACTED BY DISABILITY$100
WBEV WXRO CHILDRENS RADIOTHON INC
100 STODDART STREETBEAVER DAMWI53916NONEPCTO SUPPORT THE FEDERATED FUNDRAISING CAMPAIGN DESIGNED TO PROVIDE FUNDING TO ASSIST LOCAL NOT-FOR-PROFIT ORGANIZATONS THAT PROVIDE AID AND SEDRVICES TO CHILDREN OF DODGE COUNTY WISCONSIN$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$76,320TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$46ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$55,464ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$21,688ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescCLASS ACTION LITIGATION SETTLEMENTDesc
Exclusion01ExclusionCd
Exclusion$228ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$77,426ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$77,426TotalIncomeProducingActyAmt

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 EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEAVER DAM AREA ARTS ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Organization Type501(C)(3)OrganizationTypeDesc
Relationship DescriptionCONTINUING RELATIONSHIP BY ASSISTING WITH BUDGET SHORTFALLS AND PROVIDING RENT FREE FACILITIESRelationshipDescriptionTxt

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1PJ SEIPPEL MANAGEMENT TRUSTBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 297AddressLine1Txt
CityBEAVER DAMCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53916ZIPCd
FieldValueIRS element (for citing)
Total Contributions$120,000TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyCOMMERICAL PROPERTY LOCATED AT 1605 NORTH SPRING STREET BEAVER DAM WISCONSIN 53916NoncashPropertyDesc
Fair Market Value$120,000FairMarketValueAmt
Received2015-10-13ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PREPARATION OF FORM 990-PF$3,890$0$3,890
OFFICE ADMINISTRATION SERVICES$6,569$0$6,569

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondJPMORGAN CHASE BANK ACCT A58190009BondNm
EOY Book Value$440,553EOYBookValueAmt
EOYFMV$426,598EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockJPMORGAN CHASE BANK ACCT A58190009StockNm
EOY Book Value$1,341,683EOYBookValueAmt
EOYFMV$1,417,513EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemJPMORGAN CHASE BANK ACCT A58190009CategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$496,941BookValueAmt
EOYFMV$456,800EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ROCKWELL PRINT$30,307$30,307$500,000
ACCRUED INCOME OF JPMORGAN CHASE BANK ACCT A58190009$913$1,547$1,547

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescDECREASE TO ACCRUED INTEREST INCOMEDesc
Amt$3Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$5,775$0$5,775
HOMESTEAD EXPENSE$5,434$0$5,434
WIRE TRANSFER FEES$210$210$0
TRUSTEE EXPENSE$625$0$625
MISCELLANEOUS$56$0$56

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescCLASS ACTION LITIGATION SETTLEMENTDesc
Revenue And Expenses Per Books$228RevenueAndExpensesPerBooksAmt
Adjusted Net Income$228AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescOTHER COST BASIS ADJUSTMENTSDesc
Amt$775Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
JPMORGAN CHASE INVESTMENT MANAGEMENT FEES$18,543$18,543$0
APPRAISAL OF ARTWORK$1,485$1,485$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$4,493$0$0
FOREIGN TAX WITHHELD ON DIVIDENDS$1,175$1,175$0
REAL ESTATE$1,390$0$1,390

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