LUTSEY FAMILY FOUNDATION INC: Form 990PF, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LUTSEY FAMILY FOUNDATION INC (EIN 39-1657029)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-06-14
- IRS object ID
- 201221669349100107
- Schema version
- 2011v1.2
- 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
- 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 | 2012-06-14T13:03:39-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | 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 | 2012-06-08 | 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 | 2012-06-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 4434299 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 8450 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Dividends Rev And Expnss | 111128 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 111128 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 421515 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 2379497 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 421515 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | -23734 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 1773 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 517359 | TotalRevenueAndExpenses |
| Total Net Investment Income | 534416 | 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 | 4763 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 2382 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 2381 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 21419 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 4385 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 33953 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 32760 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 498 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 60135 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 39527 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 2879 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 189430 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 189430 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 249565 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 39527 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 192309 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 267794 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 494889 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 78439 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 127808 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 127808 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig BOY | 375468 | InvestmentsGovtObligBOY |
| Investments Govt Oblig EOY | 316592 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 329909 | InvestmentsGovtObligEOYFMV |
| Investments Corp Stock BOY | 2616222 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 2902585 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 3130865 | InvestmentsCorpStockEOYFMV |
| Investments Other BOY | 691510 | InvestmentsOtherBOY |
| Investments Other EOY | 682448 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 845717 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 3761639 | TotalAssetsBOY |
| Total Assets EOY | 4029433 | TotalAssetsEOY |
| Total Assets EOYFMV | 4434299 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 3761639 | UnrestrictedBOY |
| Unrestricted EOY | 4029433 | UnrestrictedEOY |
| Total Net Assets BOY | 3761639 | TotalNetAssetsBOY |
| Total Net Assets EOY | 4029433 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 3761639 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 4029433 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 3761639 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 267794 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 4029433 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 4029433 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (6 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|
| MERILL LYNCH | P | 2378806 | 1932015 | 446791 | 446791 |
| WILLIAMS PARTNERS | P | 3 | 3 | 3 | |
| ENERGY TRANSFER EQUITY | P | 8 | 8 | 8 | |
| ENTERPRISE PRODUCT PARTNERS | P | 160 | 160 | 160 | |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS LLC | P | 25967 | -25967 | -25967 | |
| CAPITAL GAINS DIVIDENDS | P | 520 | 520 | 520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 421515 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 204980 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 4326685 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.047376 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 250609 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 3814757 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.065695 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 294977 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 5191884 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.056815 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 266740 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 6147627 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.043389 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 244388 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 5478009 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.044613 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.257888 | TotalDistributionRatio |
| Average Distribution Ratio | 0.051578 | AverageDistributionRatio |
| Net Noncharitable Assets | 4603372 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 237433 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 4949 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 242382 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 192309 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 9898 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 9898 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 9898 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 10600 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 10600 | TotalCreditsAndPayments |
| Overpayment | 702 | Overpayment |
| Amount Credited To Next Year | 702 | 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 | 4493414 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 180060 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 4673474 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 4673474 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 70102 | CashDeemedCharitable |
| Net Noncharitable Assets | 4603372 | NetNoncharitableAssets |
| Minimum Investment Return | 230169 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 230169 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 9898 | TaxBasedOnInvestmentIncome |
| Total Tax | 9898 | TotalTax |
| Distributable Amount Before Adj | 220271 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 220271 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 220271 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 192309 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 192309 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 192309 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 220271 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 189229 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Total Excess Distri Carryover | 0 | TotalExcessDistriCarryover |
| Qualifying Distributions | 192309 | QualifyingDistributions |
| Applied To Year1 | 189229 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 3080 | 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 | 217191 | 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 (26 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| BELLIN COLLEGE OF NURSING | |||||||
| 3201 EATON ROAD PO BOX 23400 | GREEN BAY | WI | 54305 | NONE | PUBLIC CHARITY | CAPITAL CAMPAIGN | $50,000 |
| BELLIN HEALTH FOUNDATION | |||||||
| PO BOX 23400 | GREEN BAY | WI | 54305 | NONE | PUBLIC CHARITY | EMERGENCY SERVICES CAMPAIGN | $40,000 |
| CORNERSTONE COMMUNITY CENTER CO GREAT GREEN BAY COMMUNITY FOUNDATION | |||||||
| 310 W WALNUT ST SUITE 350 | GREEN BAY | WI | 54303 | NONE | PUBLIC CHARITY | CAPITAL CAMPAIGN | $25,000 |
| DANIEL MURPHY SCHOLARSHIP FOUNDATION | |||||||
| 228 S WABASH SUITE 600 | CHICAGO | IL | 60604 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $3,800 |
| EVANS SCHOLARS FOUNDATION | |||||||
| 1 BRIAR RD | GOLF | IL | 60029 | NONE | PUBLIC CHARITY | COLLEGE SCHOLARSHIPS | $8,500 |
| FRATERNITY OF THE DESERT BIGHORN | |||||||
| BOX 27494 | LAS VEGAS | NE | 89126 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $500 |
| ROCALLI HIGH SCHOOL | |||||||
| 2000 MIRRO DRIVE | MANITOWOC | WI | 54220 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $250 |
| THE ANGEL FUND CO GREATER GREEN BAY COMMUNITY FOUNDATION | |||||||
| 310 W WALNUT ST SUITE 350 | GREEN BAY | WI | 54303 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $20,000 |
| THE FARM MARKET KITCHEN CO THE LIVING LAKES HERITAGE INC | |||||||
| 520 PARKWAY ST PO BOX 35 | ALGOMA | WI | 542010035 | NONE | PUBLIC CHARITY | CAPITAL CAMPAIGN | $8,180 |
| THE WOMEN'S FUND - DOOR COUNTY | |||||||
| PO BOX 802 | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $3,000 |
| THE WOMEN'S FUND - GREATER GREEN BAY COMMUNITY FOUNDATION | |||||||
| 310 W WALNUT ST SUITE 350 | GREEN BAY | WI | 54303 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $8,000 |
| UNIVERSITY OF DENVER KAPPA SIGMA CAPITAL CAMPAIGN | |||||||
| DEPT 585 | DENVER | CO | 80202 | NONE | PUBLIC SCHOOL | CAPITAL CAMPAIGN | $3,000 |
| WEIDNER CENTER FOR PERFORMING ARTS | |||||||
| 2420 NICOLET DRIVE | GREEN BAY | WI | 54311 | NONE | PUBLIC CHARITY | GENERAL PROGRAMS | $500 |
| ACTS 18 MINISTRY | |||||||
| 2121 S ONEIDA ST | GREEN BAY | WI | 54304 | NONE | PUBLIC CHARITY | GENERAL OPERATIONS | $1,000 |
| ADOPT A SOLDIER | |||||||
| 5676 TRAILS END CT | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $500 |
| ALS ASSOCIATION | |||||||
| 1908 E ROXBORO RD NE | ATLANTA | GA | 30324 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $500 |
| BOYS AND GIRLS CLUB OF STURGEON BAY | |||||||
| PO BOX 579 | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $2,500 |
| CEREBRAL PALSY | |||||||
| PO BOX 1326 | GREEN BAY | WI | 543051326 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $1,000 |
| DOOR COUNTY 4-H ADULT LEADERS | |||||||
| 421 NEBRASKA ST | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $500 |
| GREEN BAY SYMPHONY | |||||||
| 1240 MAIN ST 2 | GREEN BAY | WI | 54302 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $500 |
| JACKIE NITSCHKE CENTER INC | |||||||
| 630 CHERRY STREET | GREEN BAY | WI | 54301 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $6,100 |
| JUVENILLE DIABETES RESEARCH FUND | |||||||
| 1800 APPLETON ROAD STE 2 | MENASHA | WI | 54952 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $1,000 |
| THE GWENDOLYN STRONG FOUNDATION | |||||||
| 27 W ANAPAMU ST STE 177 | SANTA BARBARA | CA | 93101 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $2,500 |
| UNITED METHODIST CHURCH OF STURGEON BAY | |||||||
| 836 MICHIGAN ST | STURGEON BAY | WI | 54235 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $1,000 |
| WISCONSIN ACADEMIC DECATHLON | |||||||
| 595 BAETEN RD | GREEN BAY | WI | 54304 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $1,000 |
| YMCA OF DOOR COUNTY | |||||||
| 3866 GIBRALTAR RD | FISH CREEK | WI | 54212 | NONE | PUBLIC CHARITY | GENERAL CHARITABLE | $600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 189430 | 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 | $111,128 | ExclusionAmount |
Other Investment Income Part VII OtherInvestmentIncomePartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $1,773 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $421,515 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Unrelated Business IncomeUnrelatedBusinessIncomeAmount |
|---|---|---|
| PUBLICY TRADED PARTNERSHIPS | 480000 | -$8,166 |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS | 523000 | -$17,341 |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | -$25,507 | UnrelatedBusinessIncomeAmount |
| Exclusion | $534,416 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 508909 | 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 | $4,763 | Amount |
| Net Investment Income | 2382 | NetInvestmentIncome |
| Disbursements Charitable Prps | 2381 | DisbursementsCharitablePrps |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (27 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| ML #6AF-02178 EQUITIES | 151311 | 217281 |
| ANNALY CAP MGMT | 13563 | 13566 |
| AT&T | 14669 | 17993 |
| BAYTEX ENERGY TR | 5335 | 26827 |
| CHIMERA INVESTMENT CORP | 14636 | 9413 |
| ENTERTAINMENT PPTYS TR | 8780 | 19232 |
| GENUINE PARTS CO | 12879 | 21726 |
| PHILIP MORRIS INTL | 19090 | 24721 |
| PFIZER | 15853 | 22397 |
| SOUTHERN COPPER CORP | 15581 | 16599 |
| STARWOOD PPTY TR INC. | 18006 | 17214 |
| SEADRILL LTD | 18948 | 19079 |
| VORNADO REALTY TRUST COM | 9420 | 15373 |
| VENTAS INC. | 11325 | 17366 |
| VODAFONE GROP PLC | 14962 | 21583 |
| WESTPAC BANKING ADR | 12396 | 23552 |
| ML #6AF-02180 EQUITIES | 104960 | 122332 |
| ML #6AF-02181 EQUITIES | 97500 | 134789 |
| ML #6AF-02179 EQUITIES | 110643 | 113236 |
| ML #6AF-02177 EQUITIES | 171973 | 181149 |
| ML #6AF-02175 EQUITIES | 182017 | 194862 |
| ML #6AF-02176 EQUITIES | 386324 | 383421 |
| ML #6AF-02183 MUTUAL FDS/CLOSED END FDS | 253294 | 292130 |
| ML #6AF-02017 | 673940 | 645407 |
| ML #6AF-02174 EQUITIES | 185430 | 173544 |
| ML #6AF-02182 EQUITIES | 97938 | 121208 |
| ML #6AF-02219 EQUITIES | 281812 | 264865 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 316592 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 329909 | USGovtSecuritiesEOYFMV |
| State Local Securities EOY Book Val | 0 | StateLocalSecuritiesEOYBookVal |
| State Local Securities EOYFMV | 0 | StateLocalSecuritiesEOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (23 entries)
| Category Or ItemCategoryOrItem | Listed At Cost Or FMVListedAtCostOrFMV | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|---|
| ML SYSTEMATIC MOMENTUM FUTURES ACCESS LLC | AT COST | 453872 | 450088 |
| TARGA RESOURCES PARTNERS | AT COST | 8737 | 19199 |
| BUCKEYE PARTNERS LP | AT COST | 9213 | 16635 |
| KINDER MORGAN ENERGY PARTNERS LP | AT COST | 3146 | 19963 |
| TERRA NITROGEN LP | AT COST | 9390 | 14273 |
| ENBRIDGE ENERGY PARTNERS | AT COST | 4666 | 20246 |
| NATURAL RESOURCE PARTNERS | AT COST | 13339 | 17079 |
| ENTERPRISE PRODUCTS PARTNERS | AT COST | 3842 | 19480 |
| PLAINS ALL AMERICAN PIPELINE | AT COST | 8301 | 19464 |
| ALLIANCE RESOURCE PARTNERS | AT COST | 10779 | 24941 |
| INERGY LP | AT COST | 0 | 0 |
| PENN VIRGINIA RESOURCE PARTNERS | AT COST | 7690 | 18765 |
| SUNOCO LOGISTICS PARTNERS | AT COST | 8859 | 21867 |
| MAGELLAN MIDSTREAM PARTNERS | AT COST | 10117 | 19493 |
| ENERGY TRANSFER PARTNERS | AT COST | 6616 | 15130 |
| WILLIAMS PARTNERS LP | AT COST | 1864 | 20997 |
| ENERGY TRANSFER EQUITY | AT COST | 3333 | 20290 |
| GREEN BAY PACKERS SUPER BOWL RING | AT COST | 20000 | 20000 |
| EL PASO PIPELINE PARTNER LP | AT COST | 8298 | 8309 |
| BCE INC | AT COST | 20239 | 21877 |
| SSE PLC SPONSORED ADR | AT COST | 9575 | 9041 |
| TELEFONICA SA SPAIN ADR | AT COST | 20322 | 13580 |
| ACP POWER AND ENERGY | AT COST | 40250 | 35000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | 10 | 5 | 5 |
| BANK SERVICE CHARGES | 160 | 160 | 0 |
| MERRILL LYNCH BROKERAGE FEES | 32388 | 32388 | 0 |
| ADMINISTRATIVE - OTHER | 700 | 207 | 493 |
| ASSOCIATION FEES | 695 | 0 | 0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (4 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|
| PUBLICLY TRADED PARTNERSHIPS | 920 | 920 | 920 |
| OTHER INVESTMENT INCOME | 853 | 853 | 853 |
| PUBLICY TRADED PARTNERSHIPS | -8166 | -8166 | |
| ML SYSTEMATIC MOMENTUM FUTURESACCESS | -17341 | -17341 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| MERRILL LYNCH FOREIGN TAXES | $4,385 | 4385 | 0 |
| EXCISE TAX | $17,034 | 0 | 0 |
Comments