THEDA AND TAMBLIN CLARK SMITH FAMILY FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THEDA AND TAMBLIN CLARK SMITH FAMILY FOUNDATION INC (EIN 39-6125329)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-02
- IRS object ID
- 201302179349100165
- Schema version
- 2012v2.2
- 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
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-02T04:23:49-00:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Lane Suite 212 | AddressLine1 |
| City | Lake Success | City |
| State | NY | State |
| ZIP Code | 11042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 396125329 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Theda and Tamblin Clark Smith Family Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | THED | NameControl |
| Phone | 3034079501 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24918 Genesee Trail Road Room 203 | AddressLine1 |
| City | Golden | City |
| State | CO | State |
| ZIP Code | 80401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | C Carlton Smith | Name |
| Title | Vice President | Title |
| Date Signed | 2013-08-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2013-08-02 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 2458361 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 2500 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 2994 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 2994 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 94149 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 94149 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 416209 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 2909533 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 416209 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 515852 | TotalRevenueAndExpenses |
| Total Net Investment Income | 513352 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 20250 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 20250 | CompOfcrDirTrstDsbrsChrtblPrps |
| Oth Empl Slrs Wgs Rev And Expnss | 55708 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Dsbrs Chrtbl Prps | 55708 | OthEmplSlrsWgsDsbrsChrtblPrps |
| Pension Empl Bnft Rev And Expnss | 7988 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Dsbrs Chrtbl Prps | 7988 | PensionEmplBnftDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 8792 | LegalFeesRevAndExpnss |
| Legal Fees Dsbrs Chrtbl Prps | 8792 | LegalFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 147082 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 144168 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 2914 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 7471 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 307 | TaxesNetInvstIncm |
| Occupancy Rev And Expnss | 7000 | OccupancyRevAndExpnss |
| Occupancy Dsbrs Chrtbl Prps | 7000 | OccupancyDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 14649 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 14649 | TravConfMeetingDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 10546 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 520 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 10026 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 279486 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 144995 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 127327 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 167600 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 167600 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 447086 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 144995 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 294927 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 68766 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 368357 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst EOY | 117150 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 117150 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock EOY | 2101429 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 2103151 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds EOY | 201872 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 238060 | InvestmentsCorpBondsEOYFMV |
| Investments Other BOY | 2351685 | InvestmentsOtherBOY |
| Total Assets BOY | 2351685 | TotalAssetsBOY |
| Total Assets EOY | 2420451 | TotalAssetsEOY |
| Total Assets EOYFMV | 2458361 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 2351685 | RetainedEarningsBOY |
| Retained Earnings EOY | 2420451 | RetainedEarningsEOY |
| Total Net Assets BOY | 2351685 | TotalNetAssetsBOY |
| Total Net Assets EOY | 2420451 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 2351685 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 2420451 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 2351685 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 68766 | ExcessOfRevenueOverExpenses |
| Subtotal | 2420451 | Subtotal |
| Total Net Assets Fund Balances EOY | 2420451 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | Publicly-traded Securities | DescriptionOfAsset |
| Gross Sales Price | 2909533 | GrossSalesPrice |
| Cost Or Other Basis | 2493324 | CostOrOtherBasis |
| Gain Or Loss | 416209 | GainOrLoss |
| Gains Minus Excess Or Losses | 416209 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 416209 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 139011 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 2768877 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.050205 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 115268 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 2616647 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.044052 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 146214 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 2346927 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.062300 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 152354 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 2744025 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.055522 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 150595 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 3146131 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.047867 | DistributionRatioYear5 |
| Total Distribution Ratio | 000.259946 | TotalDistributionRatio |
| Average Distribution Ratio | 000.051989 | AverageDistributionRatio |
| Net Noncharitable Assets | 2623662 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 136402 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 3684 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 140086 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 294927 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 3684 | InvestmentIncomeExciseTax |
| Subtotal | 3684 | Subtotal |
| Tax Based On Investment Income | 3684 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 6356 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 6356 | TotalCreditsAndPayments |
| Tax Paid Original Return | 6356 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Penalty For Underpayment | 2 | PenaltyForUnderpayment |
| Overpayment | 2670 | Overpayment |
| Amount Credited To Next Year | 2670 | AmountCreditedToNextYear |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Theda and Tamblin Clark Smith Family Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 3034079501 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24918 Genesee Trail Rd Ste 203 | AddressLine1 |
| City | Golden | City |
| State | CO | State |
| ZIP Code | 80401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | true | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | false | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Business Holdings | false | BusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| David W Radford | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | Dir / Sec | 001.00 | 2500 |
| Peter Radford | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | Pres | 001.00 | 3000 |
| Carlton Smith | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | VP / Treas | 001.00 | 5000 |
| Marc Vaccaro | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | Pres / Chairman / CEO | 001.00 | 5500 |
| Sylvia Vaccaro | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | Dir | 001.00 | 3500 |
| Astrid Vaccaro | ||||||
| 24918 Genesee Trail Road Suite 203 | Golden | CO | 80401 | Sec | 001.00 | 750 |
Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bear Capital Partners LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20101 SW Birch Street Suite 150 K | AddressLine1 |
| City | Newport Beach | City |
| State | CA | State |
| ZIP Code | 92660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Service | Investment | TypeOfService |
| Compensation | 113852 | Compensation |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 2498152 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 165464 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 2663616 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 2663616 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 39954 | CashDeemedCharitable |
| Net Noncharitable Assets | 2623662 | NetNoncharitableAssets |
| Minimum Investment Return | 131183 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 131183 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 3684 | TaxBasedOnInvestmentIncome |
| Total Tax | 3684 | TotalTax |
| Distributable Amount Before Adj | 127499 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 127499 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 127499 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 294927 | ExpensesAndContributions |
| Qualifying Distributions | 294927 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 3684 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 291243 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 127499 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year4 | 17083 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 30734 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year1 | 1591 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 49408 | TotalExcessDistriCarryover |
| Qualifying Distributions | 294927 | QualifyingDistributions |
| Applied To Current Year | 127499 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 167428 | RemainingDistriFromCorpus |
| Total Corpus | 216836 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov To Next Year | 216836 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 17083 | ExcessFromYear4 |
| Excess From Year3 | 30734 | ExcessFromYear3 |
| Excess From Year1 | 1591 | ExcessFromYear1 |
| Excess From Current Year | 167428 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (32 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| ALANO SOCIETY INC | |||||||
| 511 N CARROLL ST | MADISON | WI | 53703 | N/A | 509a2 | General Unrestricted | $13,500 |
| ASSOCIATION OF SMALL FOUNDATIONS | |||||||
| 1720 N ST NW | WASHINGTON | DC | 20036 | N/A | 509a2 | General Unrestricted | $100 |
| BERKSHIRE SCHOOL INC | |||||||
| 245 N UNDERMOUNTAIN RD | SHEFFIELD | MA | 01257 | N/A | 509a1 | General Unrestricted | $1,500 |
| BEST FRIENDS OF NEENAH MENASHA INC | |||||||
| 181 E N WATER ST STE 225 | NEENAH | WI | 54956 | N/A | 509a1 | General Unrestricted | $1,000 |
| BOYS & GIRLS CLUB OF OSHKOSH INC | |||||||
| PO BOX 411 | OSHKOSH | WI | 54903 | N/A | 509a1 | General Unrestricted | $4,500 |
| BOYS AND GIRLS CLUB OF DANE COUNTY | |||||||
| 2001 TAFT ST | MADISON | WI | 53713 | N/A | 509a1 | General Unrestricted | $20,000 |
| BOYS AND GIRLS CLUB OF GREATER GOSHEN | |||||||
| 102 W LINCOLN AVE STE 240 | GOSHEN | IN | 46526 | N/A | 509a1 | General Unrestricted | $15,000 |
| CAMPUS CRUSADE FOR CHRIST INT'L | |||||||
| 100 LAKE HART DR | ORLANDO | FL | 32832 | N/A | 509a1 | General Unrestricted | $1,500 |
| CAP SERVICES INC | |||||||
| 5499 HWY 10 E STE A | STEVENS POINT | WI | 54482 | N/A | 509a1 | General Unrestricted | $30,000 |
| CHAPS ACADEMY INC | |||||||
| N5367 MAYFLOWER RD | SHIOCTON | WI | 54170 | N/A | 509a2 | General Unrestricted | $1,000 |
| CHILDREN AND FAMILY SVS OF S CENTRAL WI | |||||||
| 124 2ND ST STE 32 | BARABOO | WI | 53913 | N/A | 509a1 | General Unrestricted | $1,000 |
| CHRISTINE ANN DOMESTIC ABUSE SERVICES | |||||||
| PO BOX 99 | NEENAH | WI | 54957 | N/A | 509a1 | General Unrestricted | $2,000 |
| COMMUNITY CLOTHES CLOSET INC | |||||||
| 1465-B OPPORTUNITY WAY | MENASHA | WI | 54952 | N/A | 509a1 | General Unrestricted | $2,500 |
| FUTURE EDUCATIONAL FILMS INC | |||||||
| 20 SOUTHRIDGE RD W | BEL TIBURON | CA | 94920 | N/A | 509a1 | Documentary - Camino Project | $1,500 |
| GIRLS INCORPORATED OF LYNN | |||||||
| 20 HIGH ST | LYNN | MA | 01902 | N/A | 509a1 | Eureka Program | $1,500 |
| GROTON SCHOOL | |||||||
| 282 FARMERS ROW | GROTON | MA | 01450 | N/A | 509a1 | General Unrestricted | $3,000 |
| HARBOR HOUSE DOMESTIC ABUSE PROGRAM | |||||||
| 720 W 5TH ST | APPLETON | WI | 54914 | N/A | 509a1 | General Unrestricted | $1,000 |
| HIMALAYAN INT'L INSTITUTE OF YOGA SCI & PHIL | |||||||
| 952 BETHANY TPKE | HONESDALE | PA | 18431 | N/A | 509a1 | General Unrestricted | $3,000 |
| LEAVEN INC | |||||||
| 1475 OPPORTUNITY WAY | MENASHA | WI | 54952 | N/A | 509a1 | General Unrestricted | $7,000 |
| MARS HILL CHURCH | |||||||
| 1401 NW LEARY WAY | SEATTLE | WA | 98107 | N/A | 509a1 | Student Youth Program | $1,500 |
| MUSCULAR DYSTROPHY ASSOCIATION | |||||||
| 2670 S ASHLAND STE 101 | GREEN BAY | WI | 54304 | N/A | 509a1 | MDA Camp Program | $2,500 |
| RAWHIDE RANCH FOUNDATION | |||||||
| PO BOX 216 | BONSALL | CA | 92003 | N/A | 509a1 | General Unrestricted | $2,000 |
| REGIS UNIVERSITY | |||||||
| 3333 REGIS BLVD C-24 | DENVER | CO | 80221 | N/A | 509a1 | General Unrestricted | $3,000 |
| ROOM TO GROW NATIONAL INC | |||||||
| 54 W 21ST ST RM 401 | NEW YORK | NY | 10010 | N/A | 509a1 | General Unrestricted | $15,000 |
| ST NORBERT COLLEGE INC | |||||||
| 100 GRANT ST | DE PERE | WI | 54115 | N/A | 509a1 | Summer Camp Program | $3,000 |
| ST MARY CENTRAL HIGH SCHOOL | |||||||
| 1050 ZEPHYR DR | NEENAH | WI | 54956 | N/A | 509a1 | St Marys High School Project | $3,000 |
| UNIV OF DENVER - GIFT PROCESSING | |||||||
| GIFT PROCESSING 2190 E ASBURY AVE | DENVER | CO | 80208 | N/A | 509a1 | General Unrestricted | $4,500 |
| WAYLAND ACADEMY | |||||||
| 101 N UNIVERSITY AVE | BEAVER DAM | WI | 53916 | N/A | 509a1 | General Unrestricted | $4,500 |
| WI INDEPENDENT CHRISTIAN SCHOOLS | |||||||
| 3450 VINLAND ST | OSHKOSH | WI | 54901 | N/A | 509a1 | Oshkosh Christian School | $7,500 |
| WORLDWIDE FISTULA FUND INC | |||||||
| PO BOX 27879 | SAINT LOUIS | MO | 63146 | N/A | 509a1 | General Unrestricted | $3,000 |
| YOUNG WOMENS CHRISTIAN ASSN OF MADISON | |||||||
| 101 E MIFFLIN ST | MADISON | WI | 53703 | N/A | 509a1 | General Unrestricted | $2,500 |
| YOUTH GO CORP AKA YOUTH GO INC | |||||||
| 213 NICOLET BLVD | NEENAH | WI | 54956 | N/A | 509a1 | General Unrestricted | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 167600 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $2,994 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $94,149 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $416,209 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $513,352 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 513352 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Publicly-traded Securities | Name |
| Gross Sales Price | 2909533 | GrossSalesPrice |
| Basis | 2493324 | Basis |
| Total Net | 416209 | TotalNet |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds (7 entries)
| Name Of BondNameOfBond | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| AMERICAN EXPRESS CO - 7.000 - 03/19/2018 | 51471 | 63172 |
| APACHE CORP CONV PFD | 17585 | 16909 |
| CISCO SYSTEMS INC - 5.000 - 02/22/2016 | 22875 | 28576 |
| HOME DEPOT INC - 5.400 - 03/01/2016 | 46705 | 57121 |
| IBM CORP NOTES - 5.700 - 09/14/2017 | 28200 | 36187 |
| PPL CORPORATION 8.75 | 18102 | 18268 |
| UNITED TECHNOLOGIES 7.5 | 16934 | 17827 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (62 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 160 shares of AIR PRODS CHEM INC. | 12808 | 13443 |
| 440 shares of AMERICAN CAPITAL AGENCY CORP. | 14259 | 12716 |
| 385 shares of ANALOG DEVICES INC. | 14396 | 16193 |
| 430 shares of ATT CORP COM NEW | 15083 | 14495 |
| 14265 shares of BNY MELLON INCOME STOCK FUND CLASS M SHARES | 100000 | 103280 |
| 3714 shares of BNY MELLON INTERNATIONAL EQ INC FD | 51000 | 51956 |
| 5364 shares of BNY MELLON SM/MID CAP-M | 75000 | 69201 |
| 340 shares of CARNIVAL CORP | 10967 | 12502 |
| 170 shares of CATERPILLAR INC. | 15319 | 15234 |
| 910 shares of CENTERPOINT ENERGY | 18425 | 17518 |
| 160 shares of CHEVRON CORP | 15707 | 17302 |
| 240 shares of CLIFFS NATURAL RESOURCES INC. | 12197 | 9257 |
| 310 shares of DARDEN RESTAURANTS INC. | 15996 | 13972 |
| 210 shares of DIGITAL RLTY TR INC | 15060 | 14257 |
| 3707 shares of DREYFUS PREM, INTERNATIONAL STOCK FUND CL I SHS, A | 51000 | 53745 |
| 12480 shares of DREYFUS PREMIER LTD TERM HIGH YIELD FD CL I | 80000 | 83245 |
| 1637 shares of DREYFUS SELECT MANAGERS SMALL CAP GR FD | 31000 | 30988 |
| 1588 shares of DREYFUS SELECT MANAGERS SMALL CAP VAL FD | 31000 | 30862 |
| 1165 shares of DREYFUS SMALL CO VALUE | 31000 | 31949 |
| 270 shares of DU PONT DE NEMOURS | 13104 | 12144 |
| 273 shares of DUKE ENERGY CO | 18066 | 17417 |
| 350 shares of EATON CORP PLC | 15066 | 18963 |
| 380 shares of ELI LILLY CO | 17152 | 18742 |
| 420 shares of EXELON CORPORATION | 15506 | 12491 |
| 350 shares of GALLAGHER ARTHUR J CO. | 13042 | 12128 |
| 320 shares of GARMIN LTD | 13766 | 13040 |
| 930 shares of GENERAL ELECTRIC CO | 17805 | 19521 |
| 2804 shares of HIGHBRIDGE DYNAMIC COMMOD STRATEGY FUND - SEL | 50000 | 39176 |
| 570 shares of INVESCO MORTGAGE INC | 10446 | 11235 |
| 190 shares of KIMBERLY CLARK CORP | 10333 | 16042 |
| 550 shares of KIMCO RLTY CORP | 10005 | 10626 |
| 450 shares of KINDER MORGAN INC | 14910 | 15899 |
| 263 shares of KRAFT FOODS GROUP, INC. | 11218 | 11959 |
| 310 shares of LAS VEGAS SANDS CORP | 14177 | 14310 |
| 337 shares of LINEAR TECHNOLOGY CORP | 10440 | 11559 |
| 180 shares of LOCKHEED MARTIN CORP | 14876 | 16612 |
| 152 shares of LORILLARD INC COMMON STOCK | 18637 | 17734 |
| 410 shares of LOWES COMPANIES INC. | 12281 | 14563 |
| 400 shares of MATTELL INC. | 12450 | 14648 |
| 15565 shares of MELLON BOND FD CL M | 210598 | 211374 |
| 18859 shares of MELLON EMERGING MKTS FD CL M | 192001 | 193299 |
| 16738 shares of MELLON INTERMEDIATE BOND FUND CLASS M SHARES | 220272 | 220940 |
| 5204 shares of MELLON INTERNATIONAL FD CL M | 51000 | 52299 |
| 6146 shares of MELLON MID CAP STK FD CL M | 75000 | 68836 |
| 290 shares of MERCK CO INC. | 10902 | 11873 |
| 335 shares of MICROCHIP TECHNOLOGY INC. | 10384 | 10918 |
| 520 shares of MONDELEZ INTERNATIONAL INC | 12999 | 13236 |
| 260 shares of NATIONAL GRID TRANSCO PLC | 13294 | 14934 |
| 280 shares of PEPSICO INC | 18913 | 19160 |
| 680 shares of PFIZER INC. | 22153 | 17054 |
| 190 shares of PHILIP MORRIS INTL | 16223 | 15892 |
| 290 shares of PNC FINANCIAL GROUP INC. | 18022 | 16910 |
| 270 shares of PROCTER GAMBLE CO | 16924 | 18330 |
| 180 shares of ROYAL DUTCH SHELL PLC | 11412 | 12411 |
| 4384 shares of RYDEX SGI MANAGED FUTURES STRATEGY Y | 100000 | 93818 |
| 330 shares of SOUTHERN CO | 15206 | 14127 |
| 670 shares of STARWOOD PROPERTY TRUST INC | 14152 | 15383 |
| 9879 shares of TCW EMERGING MARKETS INCOME FUND I CL | 90000 | 92075 |
| 420 shares of TEVA PHARMECEUTICAL SP ADR | 17118 | 15683 |
| 290 shares of TOTAL FINA ELF S.A. | 12624 | 15083 |
| 200 shares of UNITED PARCEL SERVICE | 15036 | 14746 |
| 320 shares of VERIZON COMMUNICATIONS | 13699 | 13846 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | General Governance Matters and Counseling | Category |
| Amount | $8,792 | Amount |
| Disbursements Charitable Prps | 8792 | DisbursementsCharitablePrps |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (6 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 4004 | 4004 | |
| Administrative Set-Up Fee | 4750 | 4750 | |
| Bank Charges | 520 | 520 | |
| Equipment Purchase and Maintenance | 869 | 869 | |
| Payroll Processing Fees Via Payroll | 289 | 289 | |
| Postage | 114 | 114 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (3 entries)
| CategoryCategory | AmountAmount | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Independent Contractor Conservator Fee | $2,914 | 2914 | |
| Investment Management Services | $30,316 | 30316 | |
| Investment Consulting Fees | $113,852 | 113852 |
Taxes Schedule TaxesSchedule
Taxes Taxes (3 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome |
|---|---|---|
| Estimated Tax for 2012 | $6,356 | |
| Excise Tax for 2011 | $808 | |
| Foreign Tax Paid | $307 | 307 |
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