2016-08-09T14:32:39-05:00 2015-12-31 391139422 PARENT DOTT AND COMPANY LTD P O BOX 516 BEAVER DAM WI 539160516 990PF 2015-01-01 391833671 THE PETER J SEIPPEL FOUNDATION INC PETE 9208877454 PO BOX 297 BEAVER DAM WI 53916 JOHN C RALSTON TREASURER 9208877454 2016-08-03 1 STACY M BRAAKSMA CPA P00448228 9208853388 2016-08-03 2015 2016-12-15 16:53:06Z X 3237386 X 120000 46 46 55464 55464 21688 258290 21688 228 0 197426 77198 0 0 0 10459 0 10459 20028 20028 0 7058 1175 1390 12100 210 11890 49645 21413 23739 76320 76320 125965 21413 100059 71461 55785 1770 1751 1751 241429 45357 45357 1262335 1341683 1417513 347800 440553 426598 387820 267820 387820 387820 521352 496941 456800 31220 31854 501547 2673726 2745959 3237386 0 0 X 1381622 1381622 0 0 1292104 1364337 2673726 2745959 2673726 2745959 2673726 71461 775 2745962 3 2745959 PUBLICLY TRADED SECURITIES P 216879 236602 -19723 -19723 CAPITAL GAINS DIVIDENDS P 41411 41411 41411 21688 0 109689 2569983 0.042681 116772 2464935 0.047373 94046 1834112 0.051276 87895 1471221 0.059743 66468 1419010 0.046841 0.247914 0.049583 2489280 123426 558 123984 100059 1116 0 1116 0 1116 2800 2800 1684 1120 564 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 ASHLEY N SEIPPEL 1224 LAKESHORE DRIVE BEAVER DAM WI 53916 PRESIDENT 1.00 0 0 0 CHELSEY A SEIPPEL 1224 LAKESHORE DRIVE BEAVER DAM WI 53916 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 53039 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. 11209 0 2341308 158032 27848 2527188 0 0 2527188 37908 2489280 124464 124464 1116 1116 123348 0 123348 0 123348 100059 0 100059 0 100059 123348 54127 0 0 100059 54127 0 0 45932 0 0 0 0 0 0 0 0 77416 0 0 0 X BEAVER DAM COMMUNITY HOSPITALS INC 707 SOUTH UNIVERSITY AVE BEAVER DAM WI 53916 NONE PC TO 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 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 FOR ASSISTANCE WITH SPECIAL OLYMPICS PARTICIPATION 250 ARTHITIS FOUNDATION INC 1330 W PEACHTREE ST SUITE 100 ATLANTA GA 30309 NONE PC SUPPORT TO PROGRAMS RELATED TO THE PREVENTION, CONTROL, AND CURE OF ARTHRITIS 7500 ARTHRITIS FOUNDATION GREAT WEST REGION SAN FRANCISCO OFFICE 657 MISSION STREET SUITE 603 SAN FRANCISCO CA 94105 NONE PC TO PROVIDE FINANCIAL SUPPORT TO PROGRAMMING DESIGNED TO ADDRESS THE PREVENTION, CONTROL, AND CURE OF ARTHRITIS 7500 BEAVER DAM AREA ARTS ASSOCIATION 1605 NORTH SPRING ST BEAVER DAM WI 53916 NONE PC ASSISTANCE WITH SALARY COST OF THE ORGANIZATIONS EXECUTIVE DIRECTOR 22000 BEAVER DAM COMMUNITY HOSPITALS INC 707 SOUTH UNIVERSITY AVE BEAVER DAM WI 53916 NONE PC TO SUPPORT LOCAL HEALTH CARE AND COMMUNITY PROGRAMS 1500 BEAVER DAM HOCKEY ASSOCIATION 609 GOULD STREET BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL ASSISTANCE TO THE SWAN CITY ICE SKATERS SKATING CLUB WHICH PROMOTES POSITIVE YOUTH DEVELOPMENT THROUGH VARIOUS SKATING PROGRAMMING 3750 BEAVER DAM SCHOLARSHIP FOUNDATION PO BOX 98 BEAVER DAM WI 53916 NONE PC TO PROVIDE HIGHER EDUCATION COST ASSISTANCE TO YOUTH FROM THE BEAVER DAM WISCONSIN COMMUNITY 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 BEAVER DAM YOUTH WRESTLING 500 GOULD ST PO BOX 692 BEAVER DAM WI 53916 NONE PC SUPPORT TO YOUTH WRESTLING CLUB WHOSE MISSION IS TO USE WRESTLING TO POSITIVELY AFFECT AREA YOUTH. 250 CHURCH HEALTH SERVICES INC 115 N CENTER ST BEAVER DAM WI 53916 NONE PC TO PROVIDE HEALTH CARE SERVICES FOR THE POOR, UNINSURED, AND UNDERINSURED IN DODGE COUNTY WISCONSIN 2750 CITY OF BEAVER DAM FIRE-RESCUE DEPARTMENT 205 S LINCOLN AVE BEAVER DAM WI 53916 NONE GOV TO SUPPORT FIRE PREVENTION PROGRAMS 120 CLOTHES FOR KIDS INC 103 E MAPLE AVE BEAVER DAM WI 53916 NONE PC TO PROVIDE LOW COST CLOTHING ACQUISITON OPTIONS TO UNDERPRIVILAGED CHILDREN 500 DAV AUXILIARY STATE OF WISCONSIN UNIT #50 708 E MILL ST BEAVER DAM WI 53916 NONE PC TO UPPORT PROGRAMMING THAT PROVIDES ASSISTANCE FOR LIFE CHALLENGES OF DISABLED AMERICAN VETERANS 500 DEMENTIA CONCERNS COALITION OF DODGE COUNTY 229 MARY ST MAYVILLE WI 53050 NONE PC TO PROVIDE ASSISTANCE FOR PROGRAMS THAT ENHANCE THE QUALITY OF LIFE OF PERSONS WITH DEMENTIA 250 DODGE COUNTY HUMANE SOCIETY N6839 STATE ROAD 26 JUNEAU WI 53039 NONE PC TO PROVIDE ASSISTANCE FOR MAINTAINING THE ANIMALS BEING CARED FOR AT THE ORGANIZATIONS FACILITY 250 DODGE COUNTY TOY BANK INC PO BOX 438 BEAVER DAM WI 53916 NONE PC TO PROVIDE CHRISTMAS PRESENTS TO UNDERPRIVILAGED CHILDREN OF DODGE COUNTY WISCONSIN 200 GREEN VALLEY ENTERPRISES INC OF BEAVER DAM 1223 MADISON ST BEAVER DAM WI 53916 NONE PC TO PROVIDE FINANCIAL SUPPORT TO PROGRAMMING DESIGNED TO HELP INDIVIDUALS WITH SPECIAL NEEDS 500 MAKE-A-WISH FOUNDATION OF WISCONSIN INC 13195 W HAMPTON AVE BUTLER WI 53007 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 845 MADISON STREET BEAVER DAM WI 53916 NONE PC TO PROVIDE TEMPORARY EMERGENCY SHELTER FOR PEOPLE EXPERIENCING HOMELESSNESS IN DODGE COUNTY WISCONSIN 250 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 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 TO DISADVANTAGED FAMILIES TO OFFSET COST TO ATTEND PARISH SCHOOL 250 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 YMCA OF DODGE COUNTY 220 CORPORATE DR BEAVER DAM WI 53916 NONE PC FINANCIAL ASSISTANCE TO SUPPORT YOUTH PROGRAMMING AND MEMBERSHIP COSTS OF UNDERPRIVALEGED INDIVIDUALS AND FAMILIES AND HONOR PLEDGE OF DEBT REDUCTION CAMPAIGN 10250 FRIENDSHIP INTERNATIONAL MINISTRIES INC 3365 RED ONION CIRCLE COLORADO SPRINGS CO 80918 NONE PC FINANCIAL 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 STREET REESEVILLE WI 53579 NONE PC FINANCIAL 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 AVE WHITE PLAINS NY 10605 NONE PC TO 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 25 WAUPACA WI 54981 NONE PC TO 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 STREET BEAVER DAM WI 53916 NONE PC TO 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 76320 0 14 46 14 55464 18 21688 CLASS ACTION LITIGATION SETTLEMENT 01 228 0 77426 0 77426 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 X X 1 PJ SEIPPEL MANAGEMENT TRUST PO BOX 297 BEAVER DAM WI 53916 120000 X 1 COMMERICAL PROPERTY LOCATED AT 1605 NORTH SPRING STREET BEAVER DAM WISCONSIN 53916 120000 2015-10-13 PREPARATION OF FORM 990-PF 3890 0 3890 OFFICE ADMINISTRATION SERVICES 6569 0 6569 JPMORGAN CHASE BANK ACCT A58190009 440553 426598 JPMORGAN CHASE BANK ACCT A58190009 1341683 1417513 JPMORGAN CHASE BANK ACCT A58190009 AT COST 496941 456800 ROCKWELL PRINT 30307 30307 500000 ACCRUED INCOME OF JPMORGAN CHASE BANK ACCT A58190009 913 1547 1547 DECREASE TO ACCRUED INTEREST INCOME 3 INSURANCE 5775 0 5775 HOMESTEAD EXPENSE 5434 0 5434 WIRE TRANSFER FEES 210 210 0 TRUSTEE EXPENSE 625 0 625 MISCELLANEOUS 56 0 56 CLASS ACTION LITIGATION SETTLEMENT 228 228 OTHER COST BASIS ADJUSTMENTS 775 JPMORGAN CHASE INVESTMENT MANAGEMENT FEES 18543 18543 0 APPRAISAL OF ARTWORK 1485 1485 0 EXCISE TAX 4493 0 0 FOREIGN TAX WITHHELD ON DIVIDENDS 1175 1175 0 REAL ESTATE 1390 0 1390