BAYCARE CLINIC FOUNDATION LTD: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BAYCARE CLINIC FOUNDATION LTD (EIN 39-2000503)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-10-03
- IRS object ID
- 202412779349100606
- Schema version
- 2023v5.1
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Increases Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-10-03T09:06:22-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1175 LOMBARDI AVENUE SUITE 200 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54304 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 392000503 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY CARE CLINIC FOUNDATION LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYC | BusinessNameControlTxt |
| Phone | 9204909046 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 KEPLER DRIVE | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54311 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN SEIDL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9204909046 | PhoneNum |
| Signature | 2024-08-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHELLE MULLOY | PreparerPersonNm |
| PTIN | P01241748 | PTIN |
| Phone | 9204367800 | PhoneNum |
| Preparation | 2024-08-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $756,193 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $270,172 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $15,595 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $15,595 | DividendsNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $285,767 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $15,595 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $4,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,100 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $2,100 | AccountingFeesChrtblPrpsAmt |
| Other Expenses Rev And Expnss | $65,270 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $17,458 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $47,811 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $69,470 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $19,558 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $49,911 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $192,888 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $192,888 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $262,358 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $19,558 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $242,799 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $23,409 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $381,936 | CashBOYAmt |
| Cash EOY | $356,457 | CashEOYAmt |
| Cash EOYFMV | $356,457 | CashEOYFMVAmt |
| Acct Rcvbl | $4,000 | AcctRcvblAmt |
| Acct Rcvbl EOY | $4,000 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $4,000 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $311,351 | CorporateStockBOYAmt |
| Corporate Stock EOY | $395,736 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $395,736 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $693,287 | TotalAssetsBOYAmt |
| Total Assets EOY | $756,193 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $756,193 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $97 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $97 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $693,287 | RetainedEarningBOYAmt |
| Retained Earning EOY | $756,096 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $693,287 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $756,096 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $693,287 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $756,193 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $693,287 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $23,409 | ExcessRevenueOverExpensesAmt |
| Other Increases | $39,400 | OtherIncreasesAmt |
| Subtotal | $756,096 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $756,096 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.BAYCARE.NET/WEBSITE/ABOUT/500--FOUNDATION/IND | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MS JULIE DUCKETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9204909046 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 KEPLER DRIVE | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54311 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN AWOWALE MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| JOSEPH BERGMANN MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| JULIE DUCKETT | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | PRESIDENT | 0.50 | $0 | $0 | $0 |
| ALEXANDER FOSTER MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| MIKE MATZKE | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| MICHAEL MEDICH MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | VICE PRESIDENT | 0.50 | $0 | $0 | $0 |
| BRANDON NEWELL DDS | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| NICOLE NISHIDA | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| ANNA PIERCE MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| JOSHUA PIOTROWSKI MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| MIKE ROACH | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| ARMAAN SHAIKH DO | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| WILLIAM WAGNER MD | ||||||||
| 1035 KEPLER DRIVE | GREEN BAY | WI | 54311 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $338,217 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $364,859 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $703,076 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $703,076 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $10,546 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $692,530 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $34,627 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $34,627 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $34,627 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $34,627 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $34,627 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $242,799 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $242,799 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $34,627 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $191,220 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $199,259 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $130,125 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $115,773 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $144,287 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $780,664 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $242,799 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $34,627 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $208,172 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $988,836 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $191,220 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $797,616 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $199,259 | ExcessFromYear4Amt |
| Excess From Year3 | $130,125 | ExcessFromYear3Amt |
| Excess From Year2 | $115,773 | ExcessFromYear2Amt |
| Excess From Year1 | $144,287 | ExcessFromYear1Amt |
| Excess From Current Year | $208,172 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JOHN AWOWALE MD | ContributingManagerNm |
| Contributing Manager | JULIE DUCKETT | ContributingManagerNm |
| Contributing Manager | ALEXANDER FOSTER MD | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient PhoneRecipientPhoneNum | Form And Info And MaterialsFormAndInfoAndMaterialsTxt | Submission DeadlinesSubmissionDeadlinesTxt | Restrictions On AwardsRestrictionsOnAwardsTxt |
|---|---|---|---|---|---|---|---|
| ANN SEIDL | |||||||
| 164 N BROADWAY | GREEN BAY | WI | 54303 | 9204055382 | THE FORM FOR COMMUNITY-BASED PROGRAMS, PROJECTS AND SERVICES CAN BE DOWNLOADED AT HTTP://WWW.BAYCARE.NET/WEBSITE/ABOUT/500--FOUNDATION/INDEX.ASP | DEADLINES FOR GRANT REQUESTS ARE JANUARY 14, APRIL 14, JULY 14 AND OCTOBER 13. | GENERAL FINANCIAL SUPPORT GRANTS MUST RELATE TO THE OVERALL FOUNDATION MISSION OF PROMOTING THE HEALTH AND WELL-BEING OF NORTHEAST WISCONSIN RESIDENTS. |
| ANN SEIDL | |||||||
| 164 N BROADWAY | GREEN BAY | WI | 54303 | 9204055382 | THE FORM FOR SCHOLARSHIPS CAN BE DOWNLOADED AT HTTP://WWW.BAYCARE.NET/WEBSITE/ABOUT/500--FOUNDATION/INDEX.ASP | THE DEADLINE FOR SCHOLARSHIP APPLICATIONS IS APRIL OF EVERY YEAR. | SCHOLARSHIPS ARE AWARDED TO PRE-SELECTED REGIONAL HIGH SCHOOLS AND COLLEGES AND TO SCHOLARS PURSUING ADVANCED EDUCATION IN THE HEALTHCARE FIELD. |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (72 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | ||||||||
| PO BOX 902 | PEWAUKEE | WI | 53072 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| AMERICAN RED CROSS | ||||||||
| 515 WASHBURN STREET | OSHKOSH | WI | 54904 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| BARRON AREA EDUCATION FOUNDATION - SCHOLARSHIP | ||||||||
| PO BOX 271 | BARRON | WI | 54812 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| BELLIN COLLEGE OF NURING | ||||||||
| 3201 EATON RD | GREEN BAY | WI | 54311 | N/A | PC | SELF-DIRECTED DONATION | $2,500 | |
| BISHIP'S APPEAL CATHOLIC DIOCESE | ||||||||
| PO BOX 23001 | GREEN BAY | WI | 543053001 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| BROWN COUNTY UNITED WAY | ||||||||
| PO BOX 1593 | GREEN BAY | WI | 543051593 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| CELEBRATION CHURCH | ||||||||
| 3475 HUMBOLDT RD | GREEN BAY | WI | 54311 | N/A | PC | SELF-DIRECTED DONATION | $6,000 | |
| CENTER FOR CHILDHOOD SAFETY | ||||||||
| 2827 RAMADA WAY | GREEN BAY | WI | 54304 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| CHRISTAR | ||||||||
| 1500 INTERNATIONAL PARKWAY STE 300 | RICHARDSON | TX | 75081 | N/A | PC | SELF-DIRECTED DONATION | $3,600 | |
| CHRISTINE ANN DOMESTIC ABUSE SERVICE | ||||||||
| 206 ALGOMA BLVD | OSHKOSH | WI | 54901 | N/A | PC | SELF-DIRECTED DONATION | $350 | |
| COMBAT BLINDNESS FOUNDATION | ||||||||
| PO BOX 5322 | MADISON | WI | 537050332 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| COMPASSIONATE CARE ALS | ||||||||
| PO BOX 1052 | WEST FALMOUTH | MA | 02574 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| DE PERE TRACK AND CROSS COUNTY BOOSTER | ||||||||
| 4111 GEMSTONE TRAIL | GREEN BAY | WI | 54311 | N/A | PC | SELF-DIRECTED DONATION | $9,000 | |
| DOOR COUNTY LAND TRUST | ||||||||
| PO BOX 65 | STURGEON BAY | WI | 54235 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| FALL PREVENTION ALLIANCE | ||||||||
| 300 S ADAM ST | GREEN BAY | WI | 54301 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| FAMILY SERVICES | ||||||||
| PO BOX 22308 | GREEN BAY | WI | 543052308 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| FOUNDATION OF AMERICAN ACADEMY OF OPTHALMOLOGY | ||||||||
| 655 BEACH STREET | SAN FRANCISCO | CA | 941091336 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| FOX VALLEY TECHNICAL COLLEGE | ||||||||
| 1825 N BLUEMOUND DR | APPLETON | WI | 549122277 | N/A | PC | SCHOLARSHIP- BOARD | $2,000 | |
| GREATER GREEN BAY HABITAT FOR HUMANITY | ||||||||
| PO BOX 10263 | GREEN BAY | WI | 54307 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| GREEN BAY AREA CATHOLIC EDUCATION | ||||||||
| 1087 KELLOGG STREET | GREEN BAY | WI | 54303 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| GREEN BAY YMCA | ||||||||
| 235 N JEFFERSON ST | GREEN BAY | WI | 54301 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| HAND-N-HAND OF NORTHEASTERN WISCONSIN INC | ||||||||
| 1707 S ONEIDA ST | GREEN BAY | WI | 54304 | N/A | PC | BOARD AND DONOR ADVISED DONATION | $5,000 | |
| HARVARD COLLEGE FUND | ||||||||
| PO BOX 55997 | BOSTON | MA | 022059727 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| HELP HOPE LIVE | ||||||||
| 2 RADNOR CORPORATE CENTER STE 100 | RADNOR | PA | 19087 | N/A | PC | SELF-DIRECTED DONATION | $1,500 | 100 MATSONFORD RD |
| HEMLOCK CREEK ELEMENTARY SCHOOL | ||||||||
| 1900 WILLIAM GRANT DR | DE PERE | WI | 54115 | N/A | PC | SELF-DIRECTED DONATION | $1,400 | |
| IGNITE ADAPTIVE SPORTS | ||||||||
| PO BOX 19016 | BOULDER | CO | 803082016 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| INDIANA UNIVERSITY FOUNDATION | ||||||||
| PO BOX 6460 | INDIANAPOLIS | WI | 462066460 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| IOWA-GRANT EDUCATIONAL FOUNDATION | ||||||||
| PO BOX 124 | LIVINGSTON | WI | 53554 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| LAKESHORE TECHNICAL COLLEGE | ||||||||
| 1290 NORTH AVENUE | CLEVELAND | WI | 53015 | N/A | PC | SCHOLARSHIP- BOARD | $2,000 | |
| NEW COMMUNITY SHELTER INC | ||||||||
| 301 MATHER STREET | GREEN BAY | WI | 54303 | N/A | PC | SELF-DIRECTED DONATION | $16,042 | |
| NORTHERN SKY THEATER | ||||||||
| PO BOX 273 | FISH CREEK | WI | 54212 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| NWTC EDUCATIONAL FOUNDATION | ||||||||
| PO BOX 19042 | GREEN BAY | WI | 543079042 | N/A | PC | BOARD | $18,700 | |
| OSHKOSH AREA COMMUNITY FOUNDATION | ||||||||
| 230 OHIO ST STE 100 | OSHKOSH | WI | 54902 | N/A | PC | SELF-DIRECTED DONATION | $250 | |
| OXBOW COMMUNITY SCHOLARSHIP FOUNDATION | ||||||||
| 36 OXBOW DR | BRADFORD | VT | 05033 | N/A | PC | SELF-DIRECTED DONATION | $250 | |
| PAUL'S PANTRY INC | ||||||||
| 1529 LEO FRIGO WAY | GREEN BAY | WI | 54302 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| PENINSULA PLAYERS THEATRE FOUNDATION INC | ||||||||
| W4351 PENINSULA PLAYERS RD | FISH CREEK | WI | 542129725 | N/A | PC | SELF-DIRECTED DONATION | $1,100 | |
| PENISULA MUSIC FESTIVAL | ||||||||
| PO BOX 340 | EPHRAIM | WI | 54211 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| PINE LAKE SAILING SCHOOL | ||||||||
| PO BOX 436 | HARTLAND | WI | 53029 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| PREBLE HIGH SCHOOL BASEBALL BOOSTER | ||||||||
| PO BOX 8971 | GREEN BAY | WI | 54308 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| PREVENT BLINDNESS- WISCONSIN | ||||||||
| 759 NORTH MILWAUKEE ST STE 305 | MILWAUKEE | WI | 532023745 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| RESEARCH TO PREVENT BLINDNESS | ||||||||
| 360 LEXINGTON AVE FL 22 | NEW YORK | NY | 100176528 | N/A | PC | SELF-DIRECTED DONATION | $150 | |
| RIBBON OF HOPE | ||||||||
| PO BOX 5456 | DE PERE | WI | 54115 | N/A | PC | SELF-DIRECTED DONATION | $34,748 | |
| ST BERNARD CONGREGATION | ||||||||
| 1040 HILLSIDE LN | GREEN BAY | WI | 543024098 | N/A | PC | SELF-DIRECTED DONATION | $5,000 | |
| ST FRANCIS CATHEDRAL | ||||||||
| 139 S MADISON | GREEN BAY | WI | 54301 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| ST ISABEL CATHOLIC CHURCH | ||||||||
| 3559 SANIBEL CAPTIVA RD | SANIBEL | FL | 33957 | N/A | PC | SELF-DIRECTED DONATION | $5,000 | |
| THE PAINE ART CENTER | ||||||||
| 1410 ALGOMA BLVD | OSHKOSH | WI | 54901 | N/A | PC | SELF-DIRECTED DONATION | $350 | |
| THE PLASTIC SURGERY FOUNDATION | ||||||||
| 444 EAST ALGONQUIN RD | ARLINGTON HEIGHTS | IL | 60005 | N/A | PC | BRA'S OF THE BAY | $2,348 | |
| THE RIDGES SANCTUARY | ||||||||
| PO BOX 152 | BAILEYS HARBOR | WI | 54202 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| THE SALVATION ARMY | ||||||||
| PO BOX 11243 | GREEN BAY | WI | 543071243 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| UNIVERSITY OF WISCONSIN- GREEN BAY | ||||||||
| US BANK LOCKBOX BOX 78236 | MILWAUKEE | WI | 532780236 | N/A | PC | SCHOLARSHIPS | $6,000 | |
| UNIVERSITY OF WISCONSIN MADISON | ||||||||
| 333 E CAMPUS MALL 10501 | MADISON | WI | 537151383 | N/A | PC | SCHOLARSHIPS | $2,500 | |
| UNIVERSITY OF WISCONSIN- OSHKOSH | ||||||||
| 800 ALGOMA BLVD | OSHKOSH | WI | 54901 | N/A | PC | SCHOLARSHIPS | $500 | |
| UNIVERSITY OF WISCONSIN-PLATTEVILLE FOUNDATION | ||||||||
| 1 UNIVERSITY PLAZA | PLATTEVILLE | WI | 538183099 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| WEST DE PERE SCHOOL DISTRICT | ||||||||
| 400 REID ST STE W | DE PERE | WI | 54115 | N/A | PC | SELF-DIRECTED DONATION | $800 | |
| WISCONSIN MEDICAL ALUMNI ASSOCIATION FUND | ||||||||
| BOX 78236 | MILWAUKEE | WI | 532780236 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| WISCONSIN PUBLIC RADIO | ||||||||
| 821 UNIVERSITY AVE | MADISON | WI | 53706 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| ANGELS AT BAT | ||||||||
| 2362 N 102ND ST | MILWAUKEE | WI | 53226 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| MISSION OF MERCY | ||||||||
| 6737 W WASHINGTON ST STE 2360 | WEST ALLIS | WI | 53214 | N/A | PC | BOARD | $5,000 | |
| DE PERE MIDDLE SCHOOL | ||||||||
| 700 SWAN RD | DE PERE | WI | 54115 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| SOUTHERN DOOR EMS | ||||||||
| 1805 BRUSSELS ROAD | BRUSSELS | WI | 54204 | N/A | PC | BOARD | $1,500 | |
| ENCOMPASS EARLY EDUCATION | ||||||||
| 1823 S WEBSTER AVE | GREEN BAY | WI | 54305 | N/A | PC | BOARD | $1,000 | |
| EQUUS FOUNDATION | ||||||||
| 168 LONG LOTS ROAD | WESTPORT | CT | 06880 | N/A | PC | SELF-DIRECTED DONATION | $250 | |
| FAITH HOPE & LOVE | ||||||||
| 1718 LAYARD AVE | RACINE | WI | 53404 | N/A | PC | BOARD | $1,000 | |
| PURDUE UNIVERSITY | ||||||||
| 2200 169 TH STREET | HAMMOND | IN | 46323 | N/A | PC | SELF-DIRECTED DONATION | $500 | |
| TENNEY MEMORIAL LIBRARY | ||||||||
| PO BOX 850 | NEWBURY | VT | 05051 | N/A | PC | SELF-DIRECTED DONATION | $100 | |
| THOROUGHBRED AFTERCARE ALLIANCE | ||||||||
| 821 CORPORATE DR | LEXINGTON | KY | 40503 | N/A | PC | SELF-DIRECTED DONATION | $250 | |
| UNITED WAY OF JEFFERSON AND NORTH WALWORTH COUNTIES | ||||||||
| 734 MADISON AVE | FORT ATKINSON | WI | 53538 | N/A | PC | SELF-DIRECTED DONATION | $300 | |
| UNIVERSITY OF WISCONSIN - EAU CLAIRE | ||||||||
| 800 ALGOMA BLVD | OSHKOSH | WI | 54901 | N/A | PC | SCHOLARSHIP - KAILEY TULACHKA | $1,000 | |
| WILD BEAR NATURE CENTER | ||||||||
| PO BOX 3017 | NEDERLAND | CO | 80466 | N/A | PC | SELF-DIRECTED DONATION | $2,000 | |
| JEWISH NATIONAL FUND | ||||||||
| 78 RANDALL AVENUE | ROCKVILLE CENTRE | NY | 11570 | N/A | PC | SELF-DIRECTED DONATION | $36,000 | |
| MONTFORT IMPROVEMENT COMMITTEE | ||||||||
| PO BOX 126 | MONTFORT | WI | 53569 | N/A | PC | SELF-DIRECTED DONATION | $1,000 | |
| GREEN BAY BOTANICAL GARDEN BELL CHILDREN'S GARDEN AUDIO ACCESSIBILITY PROJE | ||||||||
| 2600 LARSEN ROAD | GREEN BAY | WI | 54303 | N/A | PC | SELF-DIRECTED DONATION | $3,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $192,888 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $15,595 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $15,595 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $15,595 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (7 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| DR AND MRS KEVIN WIENKERS | ||||||
| 1 | 2863 CIRCLE SHORE DR | GREEN BAY | WI | 54302 | $26,200 | Yes (X) |
| DR ALEXANDER ROITSTEIN | ||||||
| 2 | 2411 WANDERING SPRINGS CIRCLE | GREEN BAY | WI | 54311 | $28,333 | Yes (X) |
| DR JOSEPH HODGSON | ||||||
| 3 | 3510 BOWER CREEK ROAD | DE PERE | WI | 54115 | $12,000 | Yes (X) |
| BAY CARE HEALTH SYSTEMS | ||||||
| 4 | 164 N BROADWAY | GREEN BAY | WI | 54303 | $16,000 | Yes (X) |
| DR JARED BOYD | ||||||
| 5 | 4673 ROYAL VISTA | DE PERE | WI | 54115 | $12,000 | Yes (X) |
| DR CHRIS HOWSON | ||||||
| 6 | 1128 CROWN POINTE CIRCLE | SUAMICO | WI | 54173 | $7,981 | Yes (X) |
| DR ARMAAN SHAIKH | ||||||
| 7 | 2581 HUNTINGTON WAY | SUAMICO | WI | 54173 | $6,000 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | CLIFTONLARSONALLEN LLP | CategoryTxt |
| Amt | $4,200 | Amt |
| Net Investment Income | $2,100 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,100 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| VANGUARD BALANCED INDEX FD | $331,933 | $331,933 |
| VANGUARD BALANCED INDEX ADMIRAL | $38,774 | $38,774 |
| APPLE INC | $25,029 | $25,029 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| ADMINISTRATIVE EXPENSES | $60,705 | $15,176 | $45,529 |
| BANK SERVICE CHARGES | $4,565 | $2,282 | $2,282 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| UNRECOGNIZED GAIN OR LOSS | $39,246 |
| PRIOR PERIOD ADJUSTMENT | $154 |