2011-11-21T13:48:51-06:00 2011-06-30 SCHENCK SC 200 E WASHINGTON ST PO BOX 1739 APPLETON WI 549121739 990 2010-07-01 396074258 MIELKE FAMILY FOUNDATION INC MIEL 9208301290 PO BOX 563 APPLETON WI 549120563 RICHARD CALDER 9208301290 2011-11-14 1 MIKE VANDEN HOGEN 9207318111 2010 2016-02-24 21:20:13Z RICHARD CALDER PO BOX 563 APPLETON WI 549120563 7682048 0 X N/A X 1963 WI PROVIDE GRANTS TO QUALIFIED CHARITABLE ORGANIZATIONS AS DETERMINED BY THE BOARD OF DIRECTORS. 11 11 0 19 0 0 4383 1257 0 0 487604 604428 0 0 491987 605685 412736 458057 0 0 0 0 0 0 0 76525 163765 489261 621822 2726 -16137 8201538 9345152 65454 14406 8136084 9330746 MAKING A DIFFERENCE BY GIVING TO OUR COMMUNITIES. 0 0 479838 458057 PROVIDED GRANTS TO 37 CHARITABLE ORGANIZATIONS. THE LARGEST GRANT RECIPIENT WAS THE APPLETON AREA SCHOOL DISTRICT PRIMARILY FOR SUPPORT OF EARLY CHILDHOOD EDUCATION AND THE APPLETON WEST HIGH SCHOOL ATHLETIC FIELDS. 479838 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TERRI TOWLE 9208301290 4455 W LAWRENCE ST APPLETON WI 549120563 X RICHARD CALDER 1.50 X X 0 0 0 DOUG WILSON 0.30 X 0 0 0 JOHN MIELKE 1.00 X 0 0 0 ED GRYS 0.30 X 0 0 0 ANNE WEST 0.30 X 0 0 0 GARY WOLFMAN 0.30 X 0 0 0 KENNETH STOLZMAN 0.80 X X 0 0 0 JEFF RIESTER 0.30 X 0 0 0 KEVIN LOOMANS 0.50 X X 0 0 0 DOUG MIELKE 0.30 X 0 0 0 JANE GARTON 0.30 X 0 0 0 GREG CURRY 0.50 X X 0 0 0 0 0 0 0 0 0 0 0 1257 1257 169171 169171 7511620 7076363 435257 435257 435257 605685 0 0 604428 458057 458057 39074 19537 19537 121636 121636 533 533 1055 244 811 1467 1467 621822 479838 141984 0 X 200 602 4943513 194654 3257825 9149896 8201538 9345152 65454 14406 65454 14406 X 8136084 9330746 8136084 9330746 8201538 9345152 X -16137 1210799 X 0 1 1 X 0 X X X 0 0 0 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 391548450 8 1 1 1 87580 1 87580 19 1 1207 50 66146 391911 1152146 8178600 1 1 0 EQUITIES 4915271 F FIXED INCOME 2143271 F HEDGE FUNDS 1531095 F REAL ASSETS 465950 F PRIVATE EQUITY 94309 F 9149896 1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION 4455 WEST LAWRENCE STREET APPLETON WI 54914 391548450 501(C)3 48506 PHILANTHROPY, VOLUNTARISM SHAWANO COUNTY HISTORICAL SOCIETY W5873 CEDAR AVENUE SHAWANO WI 54166 237222161 501(C)3 10000 ARTS, CULTURE & HUMANITIES FOX VALLEY SYMPHONY ORCHESTRA ASSOCIATION 111 WEST COLLEGE AVENUE 550 APPLETON WI 549115706 391089489 501(C)3 30000 ARTS, CULTURE & HUMANITIES SHAWANO COUNTY ARTS COUNCIL PO BOX 213 SHAWANO WI 541660213 391099326 501(C)3 30000 ARTS, CULTURE & HUMANITIES SHAWANO AREA FOOD CENTER 117 EAST 5TH STREET SHAWANO WI 54166 391099657 501(C)3 8180 FOOD, AGRICULTURE & NUTRITION BOYS AND GIRLS CLUBS OF THE FOX VALLEY 117 SOUTH LOCUST APPLETON WI 549145263 391225709 501(C)3 10000 YOUTH DEVELOPMENT CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION 5583 WATERFORD LANE SUITE A APPLETON WI 54913 391500075 501(C)3 50000 HEALTH CARE HOUSING PARTNERSHIP OF THE FOX CITIES 605 EAST HANCOCK STREET APPLETON WI 54911 391582471 501(C)3 15000 HOUSING & SHELTER FOX VALLEY LITERACY COALITION INC 103 EAST WASHINGTON STREET APPLETON WI 54911 391682277 501(C)3 6000 HUMAN SERVICES COTS PO BOX 1645 APPLETON WI 549121645 391913179 501(C)3 25000 HOUSING & SHELTER REBUILDING TOGETHER - FOX VALLEY 605 EAST HANCOCK STREET APPLETON WI 54911 392013200 501(C)3 11000 HOUSING & SHELTER APPLETON AREA SCHOOL DISTRICT PO BOX 2019 APPLETON WI 549122019 396000710 GOVERNMENT 99940 EDUCATION SHAWANO COMMUNITY HIGH SCHOOL 220 COUNTY ROAD B SHAWANO WI 54166 396007955 GOVERNMENT 28405 EDUCATION APPLETON EDUCATION FOUNDATION 122 E COLLEGE AVESUITE 1-B APPLETON WI 54911 391866090 501(C)3 35000 CRIME & LEGAL-RELATED 14 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANT RECIPIENTS ARE EXPECTED TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH IN THE GRANT APPLICATION AND GRANT AGREEMENT, INCLUDING SUBMISSION OF PROGRESS OR FINAL REPORTS AS DEEMED APPROPRIATE BY INDIVIDUAL GRANTMAKING COMMITTEES. ELIGIBILITY FOR FUTURE FUNDING IS CONTINGENT UPON CHARITABLE ORGANIZATIONS' MEETING THESE TERMS AND CONDITIONS. FORM 990, PART VI, SECTION A, LINE 2 JOHN MIELKE AND DOUG MIELKE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF TWO CLASSES: APPOINTED DIRECTORS AND ELECTED DIRECTORS. THE NUMBER OF APPOINTED DIRECTORS SHALL AT ALL TIMES BE AT LEAST ONE MORE THAN THE NUMBER OF ELECTED DIRECTORS. THE APPOINTED DIRECTORS ARE APPOINTED BY THE BOARD OF DIRECTORS OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. OR DULY-AUTHORIZED COMMITTEE OF THE COMMUNITY FOUNDATION. THE COMMUNITY FOUNDATION IS THE SUPPORTED ORGANIZATION OF THE MIELKE FAMILY FOUNDATION, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FOUNDATION'S FORM 990 IS PREPARED BY THE CPA FIRM COMPLETING THE ANNUAL AUDIT OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. THE VICE PRESIDENT OF FINANCE AND ADMINISTRATION FOR THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. REVIEWS IT FOR REASONABLENESS. THE BOARD OF DIRECTORS WILL APPROVE THE FORM 990 FOR FILING AT A MEETING OR VIA EMAIL POLL BETWEEN NOVEMBER AND FEBRUARY OF EACH FISCAL YEAR. THE BOARD PRESIDENT OR ANOTHER OFFICER SIGNS THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, DIRECTORS OF THE FOUNDATION ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT DESCRIBING THEIR RELATIONSHIPS AND THEIR FAMILY RELATIONSHIPS WITH OTHER ENTITIES DOING BUSINESS WITH THE FOUNDATION AND ALL RELATED ORGANIZATIONS. WHEN THE BOARD CONSIDERS A GRANT FOR APPROVAL, A DIRECTOR SHALL BE DEEMED TO HAVE ABSTAINED AS TO THAT PORTION OF THE GRANT REQUEST WHICH AFFECTS ANY ENTITY NOTED ON THAT DIRECTOR'S CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR THE FOLLOWING DOCUMENTS CAN BE SENT TO: EXECUTIVE ASSISTANT COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION, INC. 4455 W. LAWRENCE ST. APPLETON, WI 54912-0563 -APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION 501(C)(3)(FORM 1023) -IRS DETERMINATION LETTER -ARTICLES AND BY-LAWS -CONFLICT OF INTEREST POLICY THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC. (SUPPORTED ORGANIZATION) PUBLISHES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, ANNUAL REPORT AND COMPETITIVE GRANT GUIDELINES, WHICH INCLUDES THE MIELKE FAMILY FOUNDATION INC., ON ITS WEBSITE AT WWW.CFFOXVALLEY.ORG. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,210,799. COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC PO BOX 563 APPLETON WI 549120563 391548450 SERVE A RANGE OF PHILANTROPICAL INTEREST BENEFITING THE FOX VALLEY AREA WI 501(C)(3) 8 N/A 0 DOUG & CARLA SALMON FOUNDATION INC PO BOX 563 APPLETON WI 549120563 820566250 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 APPLETON EDUCATION FOUNDATION INC PO BOX 563 APPLETON WI 549120563 391866090 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 THE WILLIAM J AND BARBARA A SCHMIDT FAMILY FOUNDATION INC PO BOX 563 APPLETON WI 549120563 391869271 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 COMMUNITY REAL ESTATE AND PERSONAL PROPERTY FOUNDATION INC PO BOX 563 APPLETON WI 549120563 200875816 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 MYRA M AND ROBERT L VANDEHEY FOUNDATION LTD PO BOX 563 APPLETON WI 549120563 391649245 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 WOMEN'S FUND FOR THE FOX VALLEY REGION INC PO BOX 563 APPLETON WI 549120563 203096562 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 ROBERT AND PATRICIA ENDRIES FAMILY FOUNDATION LTD PO BOX 563 APPLETON WI 549120563 203896774 SUPPORT THE ACTIVITES OF THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION WI 501(C)(3) 11-1 COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0