LUTSEY FAMILY FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LUTSEY FAMILY FOUNDATION INC (EIN 39-1657029)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-14
- IRS object ID
- 201322879349100712
- Schema version
- 2012v2.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-14T16:46:35-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391173131 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHENCK SC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 23819 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543053819 | 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 | 391657029 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUTSEY FAMILY FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LUTS | NameControl |
| Phone | 9203399823 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22074 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 54305 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LUTSEY | Name |
| Title | PRESIDENT | Title |
| Phone | 9203399823 | Phone |
| Date Signed | 2013-10-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL J YOUNG | Name |
| PTIN | P00035095 | PTIN |
| Phone | 9204367800 | Phone |
| Date Prepared | 2013-10-09 | 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) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 4683563 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 7496 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Dividends Rev And Expnss | 114185 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 114185 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 198385 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 2191885 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 198385 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | -46831 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 1573 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 273235 | TotalRevenueAndExpenses |
| Total Net Investment Income | 314143 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 5572 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 2786 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 2786 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 13246 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 4028 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 17838 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 16292 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 1546 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 36656 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 23106 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 4332 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 224710 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 224710 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 261366 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 23106 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 229042 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 11869 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 291037 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 127808 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 66787 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 66787 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig BOY | 316592 | InvestmentsGovtObligBOY |
| Investments Govt Oblig EOY | 332117 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 335661 | InvestmentsGovtObligEOYFMV |
| Investments Corp Stock BOY | 2902585 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 3016521 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 3479374 | InvestmentsCorpStockEOYFMV |
| Investments Other BOY | 682448 | InvestmentsOtherBOY |
| Investments Other EOY | 625877 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 801741 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 4029433 | TotalAssetsBOY |
| Total Assets EOY | 4041302 | TotalAssetsEOY |
| Total Assets EOYFMV | 4683563 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 4029433 | UnrestrictedBOY |
| Unrestricted EOY | 4041302 | UnrestrictedEOY |
| Total Net Assets BOY | 4029433 | TotalNetAssetsBOY |
| Total Net Assets EOY | 4041302 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 4029433 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 4041302 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 4029433 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 11869 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 4041302 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 4041302 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (7 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|
| MERILL LYNCH | P | 2185072 | 1986846 | 198226 | 198226 |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS LLC | P | 6654 | -6654 | -6654 | |
| ML WINTON FUTURES ACCESS LLC | P | 3477 | 3477 | 3477 | |
| ACP POWER & ENERGY | P | 987 | 987 | 987 | |
| WILLIAMS PARTNERS | P | 2 | 2 | 2 | |
| ENTERPRISE PRODUCTS PARTNERS | P | 359 | 359 | 359 | |
| CAPITAL GAINS DIVIDENDS | P | 1988 | 1988 | 1988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 198385 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 192309 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 4603372 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.041776 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 204980 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 4326685 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.047376 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 250609 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 3814757 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.065695 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 294977 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 5191884 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.056815 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 266740 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 6147627 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.043389 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.255051 | TotalDistributionRatio |
| Average Distribution Ratio | 0.051010 | AverageDistributionRatio |
| Net Noncharitable Assets | 4635627 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 236463 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 2910 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 239373 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 229042 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 5821 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 5821 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 5821 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 9920 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 9920 | TotalCreditsAndPayments |
| Penalty For Underpayment | 2 | PenaltyForUnderpayment |
| Overpayment | 4097 | Overpayment |
| Amount Credited To Next Year | 4097 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | WI | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | THOMAS LUTSEY | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 9203399823 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22074 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543052074 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | 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 | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| THOMAS J LUTSEY | ||||||||
| 1675 REMINGTON RIDGE ROAD | DEPERE | WI | 54115 | PRESIDENT | 1.00 | 0 | 0 | 0 |
| SHARON L LUTSEY | ||||||||
| 1675 REMINGTON RIDGE ROAD | DEPERE | WI | 54115 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| MATTHEW T LUTSEY | ||||||||
| PO BOX 22074 | GREEN BAY | WI | 54305 | DIRECTOR | 0.00 | 0 | 0 | 0 |
| JEFFREY K LUTSEY | ||||||||
| PO BOX 22074 | GREEN BAY | WI | 54305 | DIRECTOR | 0.00 | 0 | 0 | 0 |
| NICHOLAS P LUTSEY | ||||||||
| PO BOX 22074 | GREEN BAY | WI | 54305 | DIRECTOR | 0.00 | 0 | 0 | 0 |
| ANDREW J LUTSEY | ||||||||
| PO BOX 22074 | GREEN BAY | WI | 54305 | DIRECTOR | 0.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 4518216 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 188004 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 4706220 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 4706220 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 70593 | CashDeemedCharitable |
| Net Noncharitable Assets | 4635627 | NetNoncharitableAssets |
| Minimum Investment Return | 231781 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 231781 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 5821 | TaxBasedOnInvestmentIncome |
| Total Tax | 5821 | TotalTax |
| Distributable Amount Before Adj | 225960 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 225960 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 225960 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 229042 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 229042 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 229042 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 225960 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 217191 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Total Excess Distri Carryover | 0 | TotalExcessDistriCarryover |
| Qualifying Distributions | 229042 | QualifyingDistributions |
| Applied To Year1 | 217191 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 11851 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 0 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 0 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 214109 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 0 | ExcessDistriCyovToNextYear |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | TOM AND SHARON LUTSEY | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1675 REMINGTON RIDGE ROAD | AddressLine1 |
| City | DEPERE | City |
| State | WI | State |
| ZIP Code | 54115 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 9203399823 | RecipientPhoneNumber |
| Form And Info And Materials | NO STANDARD FORM OR APPLICATION PROCESS IS REQUIRED BY THE FOUNDATION. | FormAndInfoAndMaterials |
| Submission Deadlines | NONE | SubmissionDeadlines |
| Restrictions On Awards | NONE | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS | |||||||
| PO BOX 8295 | GREEN BAY | WI | 54308 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $2,700 |
| BELLIN COLLEGE OF NURSING | |||||||
| 3201 EATON ROAD PO BOX 23400 | GREEN BAY | WI | 54305 | NONE | PUBLIC CHARITY | CAPITAL CAMPAIGN | $60,000 |
| BELLIN HEALTH FOUNDATION | |||||||
| PO BOX 23400 | GREEN BAY | WI | 54305 | NONE | PUBLIC CHARITY | EMERGENCY SERVICES CAMPAIGN | $40,000 |
| BOYS AND GIRLS CLUB OF STURGEON BAY | |||||||
| 60 WILLOW DRIVE | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $29,000 |
| EVANS SCHOLARS FOUNDATION | |||||||
| 1 BRIAR RD | GOLF | IL | 60029 | NONE | PUBLIC CHARITY | COLLEGE SCHOLARSHIPS | $500 |
| JACKIE NITSCHKE CENTER INC | |||||||
| 630 CHERRY STREET | GREEN BAY | WI | 54301 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $6,100 |
| STELLA MARIS CHURCH - ST JOHN THE BAPTIST CHURCH | |||||||
| PO BOX 49 | EGG HARBOR | WI | 54209 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $300 |
| THE WOMEN'S FUND - DOOR COUNTY | |||||||
| PO BOX 802 | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $30,300 |
| THE WOMEN'S FUND - GREATER GREEN BAY COMMUNITY FOUNDATION | |||||||
| 310 W WALNUT ST SUITE 350 | GREEN BAY | WI | 54303 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $25,000 |
| UNIVERSITY OF DENVER KAPPA SIGMA CAPITAL CAMPAIGN | |||||||
| DEPT 585 | DENVER | CO | 80202 | NONE | PUBLIC SCHOOL | CAPITAL CAMPAIGN | $6,000 |
| YMCA OF DOOR COUNTY | |||||||
| 3866 GIBRALTAR RD | FISH CREEK | WI | 54212 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $5,000 |
| BEVERLY CADDY SCHOLARSHIP | |||||||
| 830 MOUNT PLEASANT ST | WINNETKA | IL | 60093 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $200 |
| DOOR COUNTY HABITAT FOR HUMANITY | |||||||
| 410 N 14TH AVE | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $5,000 |
| FREEDOM HOUSE | |||||||
| 2997 SAINT ANTHONY DR | GREEN BAY | WI | 54311 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $50 |
| GREEN BAY BOTANICAL GARDENS | |||||||
| 2600 LARSEN ROAD | GREEN BAY | WI | 54303 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $500 |
| GREEN BAY EAST INSTITUTE FOR THE FINE ARTS | |||||||
| 1415 E WALNUT ST | GREEN BAY | WI | 54301 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $10,000 |
| RIVERGLEN CHRISTIAN CHURCH | |||||||
| S31 W30601 SUNSET DRIVE | WAUKESHA | WI | 53189 | NONE | PUBLIC CHARITY | MEMORIAL | $100 |
| ROTARY CLUB OF NORTHERN DOOR COUNTY | |||||||
| 7973 WISCONSIN 57 | BAILEYS HARBOR | WI | 54202 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $110 |
| ST JUDE CHILDREN'S HOSPITAL | |||||||
| 501 ST JUDE PL | MEMPHIS | TN | 38105 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $100 |
| SOPHIA'S CURE | |||||||
| PO BOX 601 | NORTH BELLMORE | NY | 11793 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $2,500 |
| SPECTRUM DESIGNS FOUNDATION | |||||||
| 416 MAIN STREET | PORT WASHINGTON | NY | 11050 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $600 |
| WELLNESS CENTER OF DOOR COUNTY | |||||||
| 312 N 5TH AVE | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $250 |
| PRIESTS OF THE SACRED HEART | |||||||
| 6889 S LOVERS LANE RD | FRANKLIN | WI | 53132 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 224710 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $114,185 | ExclusionAmount |
Other Investment Income Part VII OtherInvestmentIncomePartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $1,573 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $198,385 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Unrelated Business IncomeUnrelatedBusinessIncomeAmount |
|---|---|---|
| PUBLICY TRADED PARTNERSHIPS | 480000 | -$26,892 |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS | 523000 | -$11,587 |
| ML WINTON FUTURES ACCESS LLC | 523000 | -$9,925 |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | -$48,404 | UnrelatedBusinessIncomeAmount |
| Exclusion | $314,143 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 265739 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE | Category |
| Amount | $5,572 | Amount |
| Net Investment Income | 2786 | NetInvestmentIncome |
| Disbursements Charitable Prps | 2786 | DisbursementsCharitablePrps |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (31 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| ML #6AF-02178 EQUITIES | 156392 | 242365 |
| ANNALY CAP MGMT | 11442 | 9969 |
| AT&T | 12306 | 16855 |
| BAYTEX ENERGY TR | 4446 | 17296 |
| CHIMERA INVESTMENT CORP | 0 | 0 |
| ENTERTAINMENT PPTYS TR | 7163 | 17061 |
| GENUINE PARTS CO | 10924 | 18756 |
| PHILIP MORRIS INTL | 16060 | 22165 |
| PFIZER | 13249 | 21694 |
| SOUTHERN COPPER CORP | 13005 | 17567 |
| STARWOOD PPTY TR INC. | 15102 | 17909 |
| SEADRILL LTD | 15823 | 17664 |
| VORNADO REALTY TRUST COM | 0 | 0 |
| VENTAS INC. | 9913 | 17151 |
| VODAFONE GROP PLC | 12527 | 16248 |
| WESTPAC BANKING ADR | 10240 | 26203 |
| ML #6AF-02180 EQUITIES | 112234 | 134153 |
| ML #6AF-02181 EQUITIES | 104162 | 143930 |
| ML #6AF-02179 EQUITIES | 121316 | 131183 |
| ML #6AF-02177 EQUITIES | 191333 | 207716 |
| ML #6AF-02175 EQUITIES | 148032 | 180603 |
| ML #6AF-02176 EQUITIES | 330377 | 381924 |
| ML #6AF-02183 MUTUAL FDS/CLOSED END FDS | 260904 | 323441 |
| ML #6AF-02017 | 754160 | 770359 |
| ML #6AF-02174 EQUITIES | 167290 | 169316 |
| ML #6AF-02182 EQUITIES | 107970 | 130659 |
| ML #6AF-02219 EQUITIES | 355957 | 370469 |
| BRITISH AMN TOBACO SPADR | 13443 | 14175 |
| GOLAR LNG LIMITED | 9974 | 9379 |
| LOCKHEED MARTIN CORP | 16034 | 17997 |
| LORILLARD INC | 14743 | 15167 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 332117 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 335661 | USGovtSecuritiesEOYFMV |
| State Local Securities EOY Book Val | 0 | StateLocalSecuritiesEOYBookVal |
| State Local Securities EOYFMV | 0 | StateLocalSecuritiesEOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (22 entries)
| Category Or ItemCategoryOrItem | Listed At Cost Or FMVListedAtCostOrFMV | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|---|
| ML SYSTEMATIC MOMENTUM FUTURES ACCESS LLC | AT COST | 0 | 0 |
| TARGA RESOURCES PARTNERS | AT COST | 5117 | 19251 |
| BUCKEYE PARTNERS LP | AT COST | 8576 | 7039 |
| KINDER MORGAN ENERGY PARTNERS LP | AT COST | 989 | 18751 |
| TERRA NITROGEN LP | AT COST | 8753 | 18198 |
| ENBRIDGE ENERGY PARTNERS | AT COST | 2638 | 17019 |
| NATURAL RESOURCE PARTNERS | AT COST | 0 | 0 |
| ENTERPRISE PRODUCTS PARTNERS | AT COST | 2622 | 21034 |
| PLAINS ALL AMERICAN PIPELINE | AT COST | 7459 | 23977 |
| ALLIANCE RESOURCE PARTNERS | AT COST | 10733 | 19159 |
| PVR PARTNERS LP | AT COST | 6766 | 19095 |
| SUNOCO LOGISTICS PARTNERS | AT COST | 9098 | 27600 |
| MAGELLAN MIDSTREAM PARTNERS | AT COST | 0 | 0 |
| ENERGY TRANSFER PARTNERS | AT COST | 0 | 0 |
| WILLIAMS PARTNERS LP | AT COST | 433 | 17031 |
| ENERGY TRANSFER EQUITY | AT COST | 1536 | 22740 |
| GREEN BAY PACKERS SUPER BOWL RING | AT COST | 20000 | 20000 |
| EL PASO PIPELINE PARTNER LP | AT COST | 7586 | 8873 |
| BCE INC | AT COST | 16963 | 18894 |
| SSE PLC SPONSORED ADR | AT COST | 7979 | 8723 |
| ACP POWER AND ENERGY | AT COST | 79445 | 85750 |
| ML WINTON FUTURES ACCESS | AT COST | 429184 | 428607 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (7 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | 695 | 348 | 347 |
| BANK SERVICE CHARGES | 301 | 301 | 0 |
| MERRILL LYNCH BROKERAGE FEES | 14444 | 14444 | 0 |
| OFFICE SUPPLIES | 1310 | 655 | 655 |
| ADMINISTRATIVE - OTHER | 10 | 5 | 5 |
| PRINTING | 484 | 242 | 242 |
| MISCELLANEOUS | 594 | 297 | 297 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (5 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|
| PUBLICLY TRADED PARTNERSHIPS | 749 | 749 | 749 |
| OTHER INVESTMENT INCOME | 824 | 824 | 824 |
| PUBLICY TRADED PARTNERSHIPS | -26892 | 0 | -26892 |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS | -11587 | 0 | -11587 |
| ML WINTON FUTURES ACCESS LLC | -9925 | 0 | -9925 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| MERRILL LYNCH FOREIGN TAXES | $4,028 | 4028 | 0 |
| EXCISE TAX | $9,218 | 0 | 0 |
Comments