2015-11-10T09:31:30-06:00 2015-06-30 391173131 SCHENCK SC 200 E WASHINGTON ST PO BOX 1739 APPLETON WI 549121739 990 2014-07-01 396074258 MIELKE FAMILY FOUNDATION INC MIEL 9208301290 4455 W LAWRENCE ST APPLETON WI 54914 ED GRYS PRESIDENT 9208301290 2015-11-05 1 MIKE VANDEN HOGEN P00499282 9207318111 2014 2016-02-25 16:41:14Z ED GRYS 4455 W LAWRENCE ST APPLETON WI 54914 10138152 0 X N/A X 1963 WI PROVIDE GRANTS TO QUALIFIED CHARITABLE ORGANIZATIONS AS DETERMINED BY THE BOARD OF DIRECTORS. 13 13 0 13 0 0 6012 18150 0 0 1053389 824374 0 0 1059401 842524 1766010 298190 0 0 0 0 0 0 0 145721 152069 1911731 450259 -852330 392265 11003462 9976824 1632941 943420 9370521 9033404 MAKING A DIFFERENCE BY GIVING TO OUR COMMUNITIES. 0 0 323196 298190 PROVIDED GRANTS TO 29 CHARITABLE ORGANIZATIONS. THE LARGEST GRANT RECIPIENT WAS LAWRENCE UNIVERSITY. 323196 1 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TERRI TOWLE 9208301290 4455 W LAWRENCE ST APPLETON WI 54914 X RICHARD CALDER DIRECTOR 0.30 X 0 0 0 DOUG WILSON DIRECTOR 0.30 X 0 0 0 JOHN MIELKE DIRECTOR 1.00 X 0 0 0 ED GRYS PRESIDENT AND DIRECTOR 1.50 X X 0 0 0 ANNE WEST DIRECTOR 0.30 X 0 0 0 KEVIN LOOMANS VP/TREASURER & DIRECTOR 0.50 X X 0 0 0 DOUG MIELKE DIRECTOR 0.30 X 0 0 0 JANE GARTON DIRECTOR 0.30 X 0 0 0 GREG CURRY VP/SECRETARY & DIRECTOR 0.50 X X 0 0 0 RENEE ULMAN DIRECTOR 0.30 X 0 0 0 DAVID PLEKENPOL DIRECTOR 0.30 X 0 0 0 PAM GRUNER DIRECTOR 0.30 X 0 0 0 LARRY SOBAL DIRECTOR 0.30 X 0 0 0 0 0 0 0 0 0 0 0 18150 17874 18150 181416 181416 9938586 9295628 642958 642958 642958 842524 0 0 824374 298190 298190 46579 23290 23289 3600 3600 96864 96864 2037 2037 1029 658 371 1460 788 672 500 270 230 450259 323196 127063 0 172 57 779820 492314 10223470 9484453 11003462 9976824 1632941 943420 1632941 943420 X 9370521 9033404 9370521 9033404 11003462 9976824 392265 -729382 0 X 0 1 X 1 0 X X 1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 391548450 8 1 48179 0 1 48179 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20 1 18150 0 166772 131418 1531252 7502152 1 1 0 EQUITIES 5417863 F FIXED INCOME 1618186 F HEDGE FUNDS 1737723 F REAL ASSETS 357075 F PRIVATE EQUITY 62064 F REAL ESTATE 291542 F 9484453 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 1771612 0 0 0 0 0 0 1771612 0 1771612 0 0 1 1 1 0 PART I, LINE 3: COLUMN F INCLUDES $1,750,548 OF BOOK VALUE OF INVESTMENTS AND $21,064 OF INVESTMENT MANAGER FEES, WHICH ARE INCLUDED AS PART OF THE CURRENT YEAR INVESTMENT RETURNS ON THE CENTRAL AMERICA AND THE CARIBBEAN REGION INVESTMENTS. THE ORGANIZATION FOLLOWS THE ACCRUAL METHOD OF ACCOUNTING AND ITS INVESTMENTS ARE RECORDED AT FAIR MARKET VALUE. MIELKE FAMILY FOUNDATION IS A SUPPORTING ORGANIZATION OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. THE REPORTED AMOUNT OF INVESTMENTS AND FEES REPRESENTS MIELKE FAMILY FOUNDATION'S ALLOCATED PERCENTAGE OF THE INVESTMENTS THAT ARE LEGALLY OWNED BY THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. 1 LAWRENCE UNIVERSITY 711 EAST BOLDT WAY SPC 1847 APPLETON WI 549115595 390806297 501(C)3 150500 EDUCATION FOX CITIES BUILDING FOR THE ARTS 111 WEST COLLEGE AVENUE APPLETON WI 54911 396056442 501(C)3 7500 ARTS & CULTURE CHILD CARE RESOURCE & REFERRAL INC 1001 WEST KENNEDY AVENUE SUITE A KIMBERLY WI 54136 391606155 501(C)3 12000 EDUCATION APPLETON EDUCATION FOUNDATION 122 E COLLEGE AVE STE 1B APPLETON WI 54911 391866090 501(C)3 15000 EDUCATION GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN 1800 APPLETON RD MENASHA WI 549521195 391144913 501(C)3 14000 HUMAN SERVICES SHAWANO PATHWAYS ORGANIZATION FOR KIDS ENVIRONMENT AND SAFETY PO BOX 95 SHAWANO WI 54166 383836019 501(C)3 12940 HEALTH CARE BOYS & GIRLS CLUB OF THE FOX VALLEY 160 S BADGER AVE APPLETON WI 54914 391225709 501(C)3 8500 EDUCATION COTS PO BOX 1645 APPLETON WI 549121645 391913179 501(C)3 7500 PHILANTHROPY 8 PART I, LINE 2: GRANT RECIPIENTS ARE EXPECTED TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH IN THE GRANT APPLICATION AND GRANT AGREEMENT, INCLUDING SUBMISSION OF PROGRESS OR FINAL REPORTS AS DEEMED APPROPRIATE BY INDIVIDUAL GRANTMAKING COMMITTEES. ELIGIBILITY FOR FUTURE FUNDING IS CONTINGENT UPON CHARITABLE ORGANIZATIONS' MEETING THESE TERMS AND CONDITIONS. FORM 990, PART VI, SECTION A, LINE 2 JOHN MIELKE AND DOUG MIELKE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF TWO CLASSES: APPOINTED DIRECTORS AND ELECTED DIRECTORS. THE NUMBER OF APPOINTED DIRECTORS SHALL AT ALL TIMES BE AT LEAST ONE MORE THAN THE NUMBER OF ELECTED DIRECTORS. THE APPOINTED DIRECTORS ARE APPOINTED BY THE BOARD OF DIRECTORS OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. OR DULY-AUTHORIZED COMMITTEE OF THE COMMUNITY FOUNDATION. THE COMMUNITY FOUNDATION IS THE SUPPORTED ORGANIZATION OF THE MIELKE FAMILY FOUNDATION, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FOUNDATION'S FORM 990 IS PREPARED BY THE CPA FIRM COMPLETING THE ANNUAL AUDIT OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. THE VICE PRESIDENT OF FINANCE AND ADMINISTRATION FOR THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. REVIEWS IT FOR REASONABLENESS. THE BOARD OF DIRECTORS WILL APPROVE THE FORM 990 FOR FILING AT A MEETING OR VIA EMAIL POLL BETWEEN NOVEMBER AND FEBRUARY OF EACH FISCAL YEAR. THE BOARD PRESIDENT OR ANOTHER OFFICER SIGNS THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, DIRECTORS OF THE FOUNDATION ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT DESCRIBING THEIR RELATIONSHIPS AND THEIR FAMILY RELATIONSHIPS WITH OTHER ENTITIES DOING BUSINESS WITH THE FOUNDATION AND ALL RELATED ORGANIZATIONS. WHEN THE BOARD CONSIDERS A GRANT FOR APPROVAL, A DIRECTOR SHALL BE DEEMED TO HAVE ABSTAINED AS TO THAT PORTION OF THE GRANT REQUEST WHICH AFFECTS ANY ENTITY NOTED ON THAT DIRECTOR'S CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THERE IS NO COMPENSATION FOR ANY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR THE FOLLOWING DOCUMENTS CAN BE SENT TO: EXECUTIVE ASSISTANT COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. 4455 W. LAWRENCE ST. APPLETON, WI 54914 -APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION 501(C)(3)(FORM 1023) -IRS DETERMINATION LETTER -ARTICLES AND BY-LAWS -CONFLICT OF INTEREST POLICY THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC. (SUPPORTED ORGANIZATION) PUBLISHES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, ANNUAL REPORT AND COMPETITIVE GRANT GUIDELINES, WHICH INCLUDES THE MIELKE FAMILY FOUNDATION INC., ON ITS WEBSITE AT WWW.CFFOXVALLEY.ORG. COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 4455 W LAWRENCE ST APPLETON WI 54914 391548450 SERVE A RANGE OF PHILANTHROPICAL INTEREST BENEFITING THE FV AREA WI 501(C)(3) 8 N/A 0 DOUG & CARLA SALMON FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 820566250 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 APPLETON EDUCATION FOUNDATION INC 122 E COLLEGE AVE SUITE 1-B APPLETON WI 54911 391866090 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 THE WILLIAM J AND BARBARA A SCHMIDT FAMILY FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 391869271 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 COMMUNITY REAL ESTATE AND PERSONAL PROPERTY FOUNDATION INC 4455 W LAWRENCE ST APPLETON WI 54914 200875816 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 MYRA M AND ROBERT L VANDEHEY FOUNDATION LTD 4455 W LAWRENCE ST APPLETON WI 54914 391649245 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 WOMEN'S FUND FOR THE FOX VALLEY REGION INC 4455 W LAWRENCE ST APPLETON WI 54914 203096562 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 ROBERT AND PATRICIA ENDRIES FAMILY FOUNDATION LTD 4455 W LAWRENCE ST APPLETON WI 54914 203896774 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 CFFVR INC 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0