LUTSEY FAMILY FOUNDATION INC: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LUTSEY FAMILY FOUNDATION INC (EIN 39-1657029)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-14
IRS object ID
201502879349100800
Schema version
2014v5.0
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)
Return2015-10-14T14:33:24-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-10-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL J YOUNGPreparerPersonNm
PTINP00035095PTIN
Phone9204367800PhoneNum
Preparation2015-10-06PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,261,941FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$4,046ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$103,847DividendsRevAndExpnssAmt
Dividends Net Invst Incm$103,847DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$659,762NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,903,265GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$659,762CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$15,709OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$15,709OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$783,364TotalRevAndExpnssAmt
Total Net Invst Incm$779,318TotalNetInvstIncmAmt
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$5,985AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,992AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,992AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$25,508TaxesRevAndExpnssAmt
Taxes Net Invst Incm$25,508TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$57,496OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$46,171OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$11,325OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$88,989TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$74,671TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$14,317TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$235,780ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$235,780ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$324,769TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$74,671TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$250,097TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$458,595ExcessRevenueOverExpensesAmt
Net Investment Income$704,647NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$109,967SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$365,585SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$365,585SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$276,408USGovernmentObligationsBOYAmt
US Government Obligations EOY$73,455USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$74,391USGovtObligationsEOYFMVAmt
Corporate Stock BOY$3,278,808CorporateStockBOYAmt
Corporate Stock EOY$3,545,890CorporateStockEOYAmt
Corporate Stock EOYFMV$4,012,378CorporateStockEOYFMVAmt
Corporate Bonds BOY$0CorporateBondsBOYAmt
Corporate Bonds EOY$53,353CorporateBondsEOYAmt
Corporate Bonds EOYFMV$53,126CorporateBondsEOYFMVAmt
Other Investments BOY$455,824OtherInvestmentsBOYAmt
Other Investments EOY$541,319OtherInvestmentsEOYAmt
Other Investments EOYFMV$756,461OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,121,007TotalAssetsBOYAmt
Total Assets EOY$4,579,602TotalAssetsEOYAmt
Total Assets EOYFMV$5,261,941TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$4,121,007UnrestrictedBOYAmt
Unrestricted EOY$4,579,602UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$4,121,007TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,579,602TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,121,007TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,579,602TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,121,007TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$458,595ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,579,602SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,579,602TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyMERRILL LYNCHPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2013-01-01AcquiredDt
Sold2014-07-01SoldDt
Gross Sales Price$2,903,265GrossSalesPriceAmt
Cost Or Other Basis$2,243,503CostOrOtherBasisAmt
Gain Or Loss$659,762GainOrLossAmt
Gains Minus Excess Or Losses$659,762GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$659,762CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$223,271AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,998,219NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.044670DistributionYr1Rt
Adjusted Qlfy Distri Yr2$229,042AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,635,627NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049409DistributionYr2Rt
Adjusted Qlfy Distri Yr3$192,309AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,603,372NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.041776DistributionYr3Rt
Adjusted Qlfy Distri Yr4$204,980AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,326,685NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.047376DistributionYr4Rt
Adjusted Qlfy Distri Yr5$250,609AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,814,757NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.065695DistributionYr5Rt
Total Distribution0.248926TotalDistributionRt
Average Distribution0.049785AverageDistributionRt
Net Vl Noncharitable Assets$5,204,170NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$259,090AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$7,046NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$266,136AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$250,097QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$14,093InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$14,093SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$14,093TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$22,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$22,000TotalPaymentsAndCreditsAmt
Overpayment$7,907OverpaymentAmt
Applied To ES Tax$7,907AppliedToESTaxAmt
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$5,075,671AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$207,750AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,283,421TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,283,421AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$79,251CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,204,170NetVlNoncharitableAssetsAmt
Minimum Investment Return$260,209MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$260,209MinimumInvestmentReturnAmt
Tax Based On Investment Income$14,093TaxBasedOnInvestmentIncomeAmt
Total Tax$14,093TotalTaxAmt
Distributable Before Adj$246,116DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$246,116DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$246,116DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$250,097ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$250,097QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$250,097AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$246,116DistributableAsAdjustedAmt
Undistributed Income PY$234,377UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$250,097QualifyingDistributionsAmt
Applied To Year1$234,377AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$15,720AppliedToCurrentYearAmt
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$230,396UndistributedIncomeCYAmt
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 (31 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALS ASSOCIATION
1908 E ROXBORO RD NEATLANTAGA30324NONEPUBLIC CHARITYGENERAL CHARITABLE$100
BOYS AND GIRLS CLUB OF GREEN BAY
311 S ONEIDAGREEN BAYWI54301NONEPUBLIC CHARITYGENERAL CHARITY$4,080
BOYS AND GIRLS CLUB OF STURGEON BAY
60 185 E WALNUTSTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$132,500
CELEBRATION CHURCH
3475 HUMBOLDT ROADGREEN BAYWI54311NONEPUBLIC CHARITYGENERAL CHARITABLE$550
DOOR COUNTY COMMUNITY FOUNDATION
342 LOUISIANA STREETSTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$5,000
DOOR COUNTY ECONOMIC DEVELOPMENT
222 N 3RD AVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$200
FAMILY FARMED
7115 W NORTH AVE 504OAK PARKIL60302NONEPUBLIC CHARITYGENERAL CHARITABLE$2,800
FRIENDS OF ST MARY'S HOSPITAL
1726 SHAWANO AVEGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$500
GOLDEN HOUSE
PO BOX 727GREEN BAYWI54305NONEPUBLIC CHARITYFURNITURE FUND$1,000
GREEN BAY EAST INSTITUTE FOR THE FINE ARTS
1415 E WALNUT STGREEN BAYWI54301NONEPUBLIC CHARITYGENERAL OPERATIONS$1,000
JACKIE NITSCHKE CENTER INC
630 CHERRY STREETGREEN BAYWI54301NONEPUBLIC CHARITYGENERAL CHARITABLE$6,100
NEW COMMUNITY SHELTER
301 MATHER STGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL OPERATIONS$9,000
RIDGES SANCTUARY
8270 WISCONSIN 57BAILEYS HARBORWI54202NONEPUBLIC CHARITYGENERAL CHARITABLE$1,500
SERVICE LEAGUE OF GREEN BAY WISCONSIN
PO BOX 372GREEN BAYWI54305NONEPUBLIC CHARITYGENERAL CHARITABLE$1,105
STURGEON BAY SKATE PARK
PO BOX 802STURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$2,000
THE WOMEN'S FUND - DOOR COUNTY
PO BOX 802STURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL OPERATIONS$500
THOMAS LUTSEY SCHOLARSHIP FUND CO GREATER GREEN BAY COMMUNITY FOUNDATION
310 W WALNUT ST SUITE 350GREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$15,000
YMCA OF DOOR COUNTY
3866 GIBRALTAR RDFISH CREEKWI54212NONEPUBLIC CHARITYGENERAL CHARITABLE$5,000
ASPIRO
1673 DOUSMAN STGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$200
BIG BROTHERS BIG SISTERS GREEN BAY
1345 W MASON ST 210GREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$960
HOUSE OF HOPE GREEN BAY
1660 CHRISTIANA STGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$9,715
JACKSONPORT WOMEN'S CLUB
5296 WEST SHORE DRIVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$1,200
MILWAUKEE BALLET
504 W NATIONAL AVEMILWAUKEEWI53204NONEPUBLIC CHARITYGENERAL CHARITABLE$2,400
NOTRE DAME ACADEMY
610 MARYHILL DRIVEGREEN BAYWI54303NONEPUBLIC CHARITYGENERAL CHARITABLE$200
PROJECT RED BIRD DE PERE HIGH SCHOOL
1700 CHICAGO STREETDE PEREWI54115NONEPUBLIC CHARITYGENERAL CHARITABLE$4,000
REHABILITATION INSTITUTE OF CHICAGO
345 E SUPERIOR STREETCHICAGOIL60611NONEPUBLIC CHARITYGENERAL CHARITABLE$1,735
UNITED WAY OF DOOR COUNTY
57 N 3RD AVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$500
UNIVERSITY OF WISCONSIN FOUNDATION
1848 UNIVERSITY AVEMADISONWI53726NONEPUBLIC CHARITYGENERAL CHARITABLE$9,935
FRESH TASTE
5555 N SHERIDAN ROAD STE 18CHICAGOIL60640NONEPUBLIC CHARITYGENERAL CHARITABLE$12,000
PAUL'S PANTRY
1529 LEO FRIGO WAYGREEN BAYWI54302NONEPUBLIC CHARITYGENERAL CHARITABLE$2,500
FEED AND CLOTHE MY PEOPLE
204 N 14TH AVESTURGEON BAYWI54235NONEPUBLIC CHARITYGENERAL CHARITABLE$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$235,780TotalGrantOrContriPdDurYrAmt
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$103,847ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$15,709ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$659,762ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$779,318ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$779,318TotalIncomeProducingActyAmt

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$5,985Amt
Net Investment Income$2,992NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,992DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondML #6AF-02183 CORPORATE BONDSBondNm
EOY Book Value$53,353EOYBookValueAmt
EOYFMV$53,126EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (33 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ML #6AF-02178 EQUITIES$112,062$174,244
PHILIP MORRIS INTL$13,636$18,326
PFIZER$11,334$23,051
STARWOOD PPTY TR INC.$12,766$15,338
VENTAS INC.$8,784$16,132
ML #6AF-02180 EQUITIES$167,386$183,671
ML #6AF-02181 EQUITIES$132,613$190,073
ML #6AF-02179 EQUITIES$164,490$184,579
ML #6AF-02177 EQUITIES$151,656$165,941
ML #6AF-02175 EQUITIES$141,246$160,076
ML #6AF-02176 EQUITIES$196,731$205,167
ML #6AF-02183 MUTUAL FDS/CLOSED END FDS$127,886$125,815
ML #6AF-02017$1,105,370$1,147,918
ML #6AF-02174 EQUITIES$172,460$182,918
ML #6AF-02182 EQUITIES$149,425$196,826
ML #6AF-02219 EQUITIES$379,368$466,926
GOLAR LNG LIMITED$8,410$7,841
LOCKHEED MARTIN CORP$12,334$28,886
LORILLARD INC$12,475$20,770
BLACKSTONE ALTERNATIVES$18,220$15,000
BREP EUROPE IV REAL ESTATE FUND$118,750$108,715
CRESCENT VI MEZZANINE$192,000$190,249
APOLLO GLOBAL MGMT LLC$14,365$12,497
DUPONT FABROS TECHNOLOGY$7,224$9,972
LEXINGTON REALTY TRUST$7,745$7,137
OMEGA HEALTHCARE INVS REIT$11,445$13,870
WILLIAMS COMPANIES DEL$12,895$33,200
REYNOLDS AMERICAN INC$7,327$9,319
KINDER MORGAN INC. DEL$15,911$28,136
CME GROUP INC$17,860$22,606
ENSCO PLC SHS$18,527$10,782
EPR PPTYS COM$5,211$18,153
TESORO LOGISTICS$17,978$18,244

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$73,455USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$74,391USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (18 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
TARGA RESOURCES PARTNERSAT COST$489$21,067
BUCKEYE PARTNERS LPAT COST$5,682$9,836
ENTERPRISE PRODUCTS PARTNERSAT COST$0$18,782
PLAINS ALL AMERICAN PIPELINEAT COST$4,529$20,014
ALLIANCE RESOURCE PARTNERSAT COST$10,042$24,108
SUNOCO LOGISTICS PARTNERSAT COST$9,123$9,954
GREEN BAY PACKERS SUPER BOWL RINGAT COST$20,000$20,000
BCE INCAT COST$14,457$17,198
ACP POWER AND ENERGYAT COST$50,246$204,950
ML WINTON FUTURES ACCESSAT COST$314,878$305,431
ATLAS PIPELINE PARTNERS LPAT COST$10,003$11,449
MAGELLAN MIDSTREAM PARTNERS LPAT COST$4,892$7,026
NGL ENERGY PARTNERS LPAT COST$3,184$3,359
EMERGE ENERGY SERVICESAT COST$17,992$10,260
KKR & COAT COST$18,814$19,032
MACQUARIE INFRASTRUCTURE COAT COST$18,410$18,413
OCH-ZIFF CAPTL MANAGEMENT GROUPAT COST$19,341$16,469
BLACKSTONE GROUP LPAT COST$19,237$19,113

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGES$445$445$0
MERRILL LYNCH BROKERAGE FEES$34,401$34,401$0
OFFICE SUPPLIES$2,140$1,070$1,070
ADMINISTRATIVE - OTHER$510$255$255
LUTSEY ENTERPRISES MANAGEMENT FEE$20,000$10,000$10,000

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INVESTMENT INCOMEDesc
Revenue And Expenses Per Books$15,709RevenueAndExpensesPerBooksAmt
Net Investment Income$15,709NetInvestmentIncomeAmt
Adjusted Net Income$15,709AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MERRILL LYNCH FOREIGN TAXES$2,974$2,974$0
EXCISE TAX$22,534$22,534$0

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