MEMMEN FAMILY FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MEMMEN FAMILY FOUNDATION INC (EIN 39-1995802)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-05-12
IRS object ID: 202241329349103599
Schema version: 2021v4.2
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
Schedule B
Accounting Fees Schedule
Investments Corp Stock Schedule
Other Expenses Schedule
Other Liabilities Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-12T15:41:34-05:00	ReturnTs
Tax Period End	2021-12-31	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	2200 RIVERSIDE DRIVE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391995802	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMMEN FAMILY FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMM	BusinessNameControlTxt
Phone	9204988831	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4492 CHOCTAW TRAIL	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	543136781	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES E MEMMEN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	9204988831	PhoneNum
Signature	2022-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	MEMMEN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES A OLSON	PreparerPersonNm
PTIN	P00035071	PTIN
Phone	9204367800	PhoneNum
Preparation	2022-05-09	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$830,604	FMVAssetsEOYAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Rcvd Rev And Expnss	$150,000	ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss	$10	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$10	InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss	$8,364	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$8,364	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	$43,229	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$263,180	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$43,229	CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss	$201,603	TotalRevAndExpnssAmt
Total Net Invst Incm	$51,603	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	$2,153	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$1,077	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$1,076	AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss	$7,000	OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm	$3,500	OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl	$3,500	OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss	$63	TaxesRevAndExpnssAmt
Taxes Net Invst Incm	$63	TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl	$0	TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss	$40	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$0	OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl	$0	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$9,256	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$4,640	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$4,576	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$34,120	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$34,120	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$43,376	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$4,640	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$38,696	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$158,227	ExcessRevenueOverExpensesAmt
Net Investment Income	$46,963	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$144,983	CashBOYAmt
Cash EOY	$155,503	CashEOYAmt
Cash EOYFMV	$155,503	CashEOYFMVAmt
Corporate Stock BOY	$231,008	CorporateStockBOYAmt
Corporate Stock EOY	$372,306	CorporateStockEOYAmt
Corporate Stock EOYFMV	$675,101	CorporateStockEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$2,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,000	LandBldgEquipAccumDeprecAmt
Total Assets BOY	$375,991	TotalAssetsBOYAmt
Total Assets EOY	$527,809	TotalAssetsEOYAmt
Total Assets EOYFMV	$830,604	TotalAssetsEOYFMVAmt
Other Liabilities BOY	$6,409	OtherLiabilitiesBOYAmt
Other Liabilities EOY	$0	OtherLiabilitiesEOYAmt
Total Liabilities BOY	$6,409	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	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	$369,582	RetainedEarningBOYAmt
Retained Earning EOY	$527,809	RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY	$369,582	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$527,809	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$375,991	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$527,809	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$369,582	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$158,227	ExcessRevenueOverExpensesAmt
Other Increases	$0	OtherIncreasesAmt
Subtotal	$527,809	SubtotalAmt
Other Decreases	$0	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$527,809	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

Field	Value	IRS element (for citing)
Property	AMERITRADE 8820	PropertyDesc
Gross Sales Price	$263,180	GrossSalesPriceAmt
Cost Or Other Basis	$219,951	CostOrOtherBasisAmt
Gain Or Loss	$43,229	GainOrLossAmt
Gains Minus Excess Or Losses	$43,229	GainsMinusExcessOrLossesAmt

Field	Value	IRS element (for citing)
Capital Gain Net Income	$43,229	CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$653	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$653	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$653	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$421	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	$421	TotalPaymentsAndCreditsAmt
Es Penalty	$0	EsPenaltyAmt
Tax Due	$232	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	N/A	WebsiteAddressTxt
Individual With Books	JAMES MEMMEN	IndividualWithBooksNm
Phone	9204988831	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	4492 CHOCTAW TRAIL	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	543136781	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
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 (4 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
JAMES MEMMEN
4492 CHOCTAW TRAIL	GREEN BAY	WI	54313	PRESIDENT	2.00	$0	$0	$0
MARY MEMMEN
4492 CHOCTAW TRAIL	GREEN BAY	WI	54313	VP/SECRETARY	2.00	$0	$0	$0
ALEXANDER MEMMEN
1355 N SANDBURG 2709	CHICAGO	IL	60610	DIRECTOR	1.00	$0	$0	$0
GENEVIEVE PELL
413 GANNON AVENUE	MADISON	WI	53714	DIRECTOR	1.00	$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

Field	Value	IRS element (for citing)
Description1	NONE	Description1Txt
Expenses1	$0	Expenses1Amt

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	$532,764	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$97,663	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$630,427	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$630,427	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$9,456	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$620,971	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$31,049	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$31,049	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$653	TaxBasedOnInvestmentIncomeAmt
Total Tax	$653	TotalTaxAmt
Distributable Before Adj	$30,396	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$30,396	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$30,396	DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$38,696	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$38,696	QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$30,396	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr4	$7,020	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr2	$11,321	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$12,846	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$31,187	TotalExcessDistributionCyovAmt
Qualifying Distributions	$38,696	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$30,396	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$8,300	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$39,487	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	$0	ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr	$39,487	ExcessDistriCyovToNextYrAmt
Excess From Year4	$7,020	ExcessFromYear4Amt
Excess From Year2	$11,321	ExcessFromYear2Amt
Excess From Year1	$12,846	ExcessFromYear1Amt
Excess From Current Year	$8,300	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
DOOR COUNTY LAND TRUST
PO BOX 65	STURGEON BAY	WI	54235	N/A	PC	PRESERVE PUBLIC LANDS	$500
ECUMENICAL PARTNERSHIP FOR HOUSING
PO BOX 524	GREEN BAY	WI	543050524	N/A	PC	POVERTY ASSISTANCE	$1,000
GREEN BAY BOTANICAL GARDEN
2600 LARSEN RD	GREEN BAY	WI	54303	N/A	PC	PROGRAM SUPPORT	$25,000
NATIONAL RAILROAD MUSEUM
2285 S BROADWAY	GREEN BAY	WI	54304	N/A	PC	RAILROAD HISTORY EDUCATION	$1,500
PAWWS TO HEAL
3605 N SHERMAN AVENUE	MADISON	WI	53704	N/A	PC	ANIMAL ASSISTED THERAPY	$200
ST THOMAS EPISCOPAL CHURCH
226 WASHINGTON ST	MENASHA	WI	54952	NONE	PC	PARISH SUPPORT	$700
ST ANNE'S EPISCOPAL
347 S LIBAL STREET	DE PERE	WI	54115	N/A	PC	PARISH SUPPORT	$3,400
THE CHURCH OF THE ATONEMENT
MAIN STREET - COTTAGE ROW	FISH CREEK	WI	54212	N/A	PC	PARISH SUPPORT	$600
HOWE COMMUNITY RESOURCE CENTER
526 S MONROE AVE	GREEN BAY	WI	54301	N/A	PC	SUPPORT AT-RISK FAMILIES	$100
CROHN'S AND COLITIS FOUNDATION
733 THIRD AVENUE STE 510	NEW YORK	NY	10017	N/A	PC	RESEARCH AND PATIENT SUPPORT	$1,120

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$34,120	TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut	$0	TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$10	ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$8,364	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	18	ExclusionCd
Exclusion	$43,229	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$0	UnrelatedBusinessTaxblIncmAmt
Exclusion	$51,603	ExclusionAmt
Related Or Exempt Function Incm	$0	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$51,603	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

Field	Value	IRS element (for citing)
Contributor	1	ContributorNum
Contributor Person	JAMES MEMMEN	ContributorPersonNm

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	4492 CHOCTAW TRAIL	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Field	Value	IRS element (for citing)
Total Contributions	$150,000	TotalContributionsAmt
Person Contribution	Yes (X)	PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	CLA	CategoryTxt
Amt	$2,153	Amt
Net Investment Income	$1,077	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$1,076	DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)

StockStockNm	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
600 SH MICROSOFT CORP	$17,566	$201,792
100 SH ADP	$11,606	$24,658
300 SH AGNICO EAGLE MINES LTD	$16,027	$15,942
500 SH BRISTOL-MYERS SQUIBB CO	$24,971	$31,175
100 SH UNITEDHEALTH GROUP INC	$23,102	$50,214
300 SH AMD	$23,644	$43,170
500 AFC GAMMA	$10,406	$11,380
300 ELI LILLY	$57,013	$82,866
300 JOHNSON & JOHNSON	$49,788	$51,321
100 LOCKHEED MARTIN	$39,111	$35,541
300 PERKINELMER INC	$52,591	$60,318
100 THERMO FISHER SCIENTIFIC	$46,481	$66,724

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	OFFICE EXPENSES	Desc
Revenue And Expenses Per Books	$40	RevenueAndExpensesPerBooksAmt
Net Investment Income	$0	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

Field	Value	IRS element (for citing)
Desc	TOTAL SHORT OPTIONS - CASH	Desc
BOY Book Value	$6,409	BOYBookValueAmt
EOY Book Value	$0	EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

Field	Value	IRS element (for citing)
Category	MANAGEMENT FEES	CategoryTxt
Amt	$7,000	Amt
Net Investment Income	$3,500	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$3,500	DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	FOREIGN TAX	CategoryTxt
Amt	$63	Amt
Net Investment Income	$63	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt