STRATEGY STUDIO / PUBLIC DATA EXPLORER

ALBERT H STAHMER FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ALBERT H STAHMER FOUNDATION INC (EIN 39-6100882)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-04-14
IRS object ID
202341049349100124
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-04-14T16:04:11-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN396100882EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALBERT H STAHMER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALBEBusinessNameControlTxt
Phone3035261218PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11660 TAMARAC DRIVEAddressLine1Txt
CityGOLDENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALBERT STAHMER JRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3035261218PhoneNum
Signature2023-04-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALBERTPersonFirstNm
Person LastSTAHMER JRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2023-04-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$568,902FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$16,557DividendsRevAndExpnssAmt
Dividends Net Invst Incm$16,557DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$835NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$16,376GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$676OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$676OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$16,398TotalRevAndExpnssAmt
Total Net Invst Incm$17,233TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,350AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,350AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$2,381OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$2,381OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,183TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,052TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$10OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$10OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$6,924TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,443TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,350TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$29,280ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$29,280ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$36,204TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,443TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$32,630TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$19,806ExcessRevenueOverExpensesAmt
Net Investment Income$13,790NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$6,070SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$3,513SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$3,513SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$71,435CorporateStockBOYAmt
Corporate Stock EOY$71,397CorporateStockEOYAmt
Corporate Stock EOYFMV$382,659CorporateStockEOYFMVAmt
Corporate Bonds BOY$137,802CorporateBondsBOYAmt
Corporate Bonds EOY$120,591CorporateBondsEOYAmt
Corporate Bonds EOYFMV$106,760CorporateBondsEOYFMVAmt
Other Investments BOY$62,286OtherInvestmentsBOYAmt
Other Investments EOY$62,286OtherInvestmentsEOYAmt
Other Investments EOYFMV$75,970OtherInvestmentsEOYFMVAmt
Total Assets BOY$277,593TotalAssetsBOYAmt
Total Assets EOY$257,787TotalAssetsEOYAmt
Total Assets EOYFMV$568,902TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$277,593RetainedEarningBOYAmt
Retained Earning EOY$257,787RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$277,593TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$257,787TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$277,593TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$257,787TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$277,593TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$19,806ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$257,787SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$257,787TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$16,376GrossSalesPriceAmt
Cost Or Other Basis$17,211CostOrOtherBasisAmt
Gain Or Loss-$835GainOrLossAmt
Gains Minus Excess Or Losses-$835GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$835CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$192InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$192SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$192TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$192TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksALBERT STAHMER JRIndividualWithBooksNm
Phone3035261218PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11660 TAMARAC DRIVEAddressLine1Txt
CityGOLDENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80401ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ALBERT H STAHMER JR
1660 TAMARAC DRIVEGOLDENCO80401PRESIDENT1.00$0$0$0
MARILYN STAHMER PIEHL
SEWALL RD BOX 851WOLFEBORONH03894VP/DIR1.00$0$0$0
H CHARLES STAHMER
1700 WEST KOCK SUITE ELEVENBOZEMANMT59715SEC/DIR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$620,076AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$15,240AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$635,316TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$635,316AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$9,530CashDeemedCharitableAmt
Net Vl Noncharitable Assets$625,786NetVlNoncharitableAssetsAmt
Minimum Investment Return$31,289MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$31,289MinimumInvestmentReturnAmt
Tax Based On Investment Income$192TaxBasedOnInvestmentIncomeAmt
Total Tax$192TotalTaxAmt
Distributable Before Adj$31,097DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$31,097DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$31,097DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$32,630ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$32,630QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$31,097DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$24,274ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$3,242ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$22,188ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$976ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$50,680TotalExcessDistributionCyovAmt
Qualifying Distributions$32,630QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$31,097AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,533RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$52,213TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$24,274ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$27,939ExcessDistriCyovToNextYrAmt
Excess From Year3$3,242ExcessFromYear3Amt
Excess From Year2$22,188ExcessFromYear2Amt
Excess From Year1$976ExcessFromYear1Amt
Excess From Current Year$1,533ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerALBERT H STAHMER JRContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonALBERT STAHMER JRRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11660 TAMARAC DRIVEAddressLine1Txt
CityGOLDENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80401ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3035261218RecipientPhoneNum
Form And Info And MaterialsA SHORT LETTER DESCRIBING PURPOSE OF ORGANIZATION AND PURPOSE OF GRANT IF RELATIVELY NEW ORGANIZATION NOT APPEARING IN IRS PUB 78, INCLUDE COPY OF TAX EXEMPT STATUS.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (46 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
AGNESIAN HEALTHCARE FOUNDATION
430 E DIVISION STFOND DU LACWI54935N/APCGENERAL FUND$450
AMERICAN CANCER SOCIETY
903 S 17TH AVE BWAUSAUWI54401N/APCGENERAL FUND$100
AMERICAN RED CROSS
444 SHERMAN STDENVERCO80203N/APCGENERAL FUND$100
APPLEWOOD BAPTIST CHURCH
11200 W 32ND AVEWHEAT RIDGECO80033N/APCGENERAL FUND$1,000
BALDWIN WALLACE COLLEGE
275 EASTLAND RDBEREAOH44017N/APCGENERAL FUND$2,000
BETHEL LUTHERAN CHURCH
312 WISCONSIN AVEMADISONWI53703N/APCGENERAL FUND$500
BOBCAT QUARTERBACK CLUB - MSU
211 MONTANA HALLBOZEMANMT59717N/APCGENERAL FUND$1,000
BOZEMAN CANCER SUPPORT COMMUNITY
102 S 11TH AVEBOZEMANMT59715N/APCGENERAL FUND$200
BOZEMAN HOSPITAL GROUP OF AA
502 S 19TH AVEBOZEMANMT59718N/APCGENERAL FUND$100
BOZEMAN UNITED METHODIST
121 S WILSON AVEBOZEMANMT59715N/APCGENERAL FUND$1,000
BROWN UNIVERSITY
PROVIDENCEPROVIDENCERI02912N/APCGENERAL FUND$100
DARTMOUTH-HITCHCOCK HEALTH
1 MEDICAL CENTER DRLEBANONNH03756N/APCGENERAL FUND$500
DOCTORS WITHOUT BORDERS
40 RECTOR ST 16TH FLOORNEW YORKNY10006N/APCGENERAL FUND$1,000
END 68 HOURS OF HUNGER
PO BOX 676SOMERSWORTHNH03878N/APCGENERAL FUND$100
FORT MEMORIAL HOSPITAL FOUNDATION
611 SHERMAN AVE EASTFORT ATKINSONWI53538N/APCGENERAL FUND$1,000
FRIENDS OF ABENAKI
PO BOX 506WOLFEBORONH03894N/APCGENERAL FUND$1,000
FRIENDS OF CLEAR LAKE
320 W GRAND AVETOMAHAWKWI54495N/APCGENERAL FUND$2,500
GALLATIN VALLEY FOODBANK
602 BOND STBOZEMANMT59715N/APCGENERAL FUND$1,000
HOLY ROSARY SCHOOL
215 S WASHINGTON AVEMEDFORDWI54451N/APCGENERAL FUND$1,000
JAMESTOWN REDISCOVERY SOCIETY
204 WEST FRANKLIN STRICHMONDVA23220N/APCGENERAL FUND$250
KAPPA ALPHA THETA FOUNDATION
8740 FOUNDERS ROADINDIANAPOLISIN46268N/APCGENERAL FUND$1,000
KGLT FUND DRIVE
MSU BOX 174240 MONTANA STATEBOZEMANMT59717N/APCGENERAL FUND$1,700UNIVERSITY - BOZEMAN
LAKES REGION CONSERVATION TRUST
156 DANE ROADCENTER HARBORNH03226N/APCGENERAL FUND$100
LAS VEGAS BUSINESS ACADEMY
8930 W TROPICANA AVE STE 10LAS VEGASNV89147N/APCGENERAL FUND$500
LIBRARY FOUNDATION OF SAN DIEGO
330 PARK BLVDSAN DIEGOCA92101N/APCGENERAL FUND$100
LIFE MINISTRIES
250 MEADOW LANECONESTOGAPA17516N/APCGENERAL FUND$500
MAINE PUBLIC RADIO
1450 LIBSON STREETLEWISTONME04240N/APCGENERAL FUND$150
NH LAKES
17 CHENELL DRIVE SUITE 1CONCORDNH03301N/APCGENERAL FUND$100
PAN-MASSACHUSETTS CHALLENGE INC
77 FOURTH AVENUENEEDHAMMA02494N/APCGENERAL FUND$500
PRAIRIE RIDGE HEALTH
1515 PARK AVECOLUMBUSWI53925N/APCGENERAL FUND$200
PROJECT FLERI
3412 HIDDEN RIVER VIEW RDANNAPOLISMD21403N/APCGENERAL FUND$1,000
REEDSBURG AREA AMBULANCE SERVICE
230 RAILROAD STREEDSBURGWI53959N/APCGENERAL FUND$1,000
REEDSBURG AREA MEDICAL CENTER FOUNDATION
2090 RIDGEVIEW DRREEDSBURGWI53959N/APCGENERAL FUND$500
ROCKLAND COMMUNITY CHURCH
17 S MT VERNON COUNTRY CLUB RDGOLDENCO80401N/APCGENERAL FUND$130
ROUNDUP RIVER RANCH
8333 COLORADO RIVER RDGYPSUMCO81637N/APCGENERAL FUND$500
SPIRIT METHODIST CHURCH
1104 SCHOOL RDTOMAHAWKWI54487N/APCGENERAL FUND$500
SSM HEALTH ST CLARE HOSPITAL
707 14TH STBARABOOWI53913N/APCGENERAL FUND$200
SSM HEALTH ST MARY'S HOSPITAL
3400 E RACINE STJANESVILLEWI53546N/APCGENERAL FUND$900
THE SALVATION ARMY
36 ROWE CTLACONIANH03246N/APCGENERAL FUND$700
UNICEF USA
125 MAIDEN LANENEW YORKNY10038N/APCGENERAL FUND$100
UNIVERSITY OF OKLAHOMA FOUNDATION
660 PARRINGTON OVALNORMANOK73019N/APCGENERAL FUND$1,000
UNIVERSITY OF WISCONSIN FOUNDATION
1848 UNIVERSITY AVEMADISONWI53726N/APCGENERAL FUND$100
UPLAND HILLS HEALTH FOUNDATION
800 COMPASSION WAYDODGEVILLEWI53533N/APCGENERAL FUND$200
USA FOR UNHCR
1775 K STREET NW SUITE 580WASHINGTONDC20006N/APCGENERAL FUND$100
VEGAS STRONGER
737 N MAIN ST 110LAS VEGASNV89101N/APCGENERAL FUND$2,500
WGBH EDUCATIONAL FOUNDATION
1 GUEST STBOSTONMA02115N/APCGENERAL FUND$100
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$29,280TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$16,557ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$676ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$835ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$16,398ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$16,398TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,350Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,350DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
FIDELITY TOTAL BOND$88,140$76,214
FPA NEW INCOME$32,451$30,546

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BANK OF MONTREAL COM NPV ISIN$3,888$91,053
HUGOTON ROYALTY TRUST$49,878$3,130
PSB HLDGS INC WIS COM$4,584$280,239
XENIA HOTELS & RESORTS INC$13,047$8,237

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ISHARES SELECT DIV ETFAT COST$34,769$61,506
JPMORGAN CHASE & CO MLP INDEXAT COST$27,517$14,464

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescBANK FEEDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$10NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescROYALTIESDesc
Revenue And Expenses Per Books$676RevenueAndExpensesPerBooksAmt
Net Investment Income$676NetInvestmentIncomeAmt
Adjusted Net Income$676AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCOMMONWEALTH FEECategoryTxt
Amt$2,381Amt
Net Investment Income$2,381NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES PAID$1,052$1,052$0
FEDERAL EXCISE TAX PAID$131$0$0