STRATEGY STUDIO / PUBLIC DATA EXPLORER

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

View the entire original 990 at ProPublica ↗

Organization
HENDRICKS FAMILY FOUNDATION INC (EIN 20-0874851)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202203119349100520
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T09:11:50-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN392016366PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HENDRICKS HOLDING COMPANY INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE ABC PARKWAYAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53511ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200874851EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENDRICKS FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHENDBusinessNameControlTxt
Phone6083682309PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ABC PARKWAYAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53511ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE M HENDRICKSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6083682309PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDIANEPersonFirstNm
Person LastHENDRICKSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVE HEILIGERPreparerPersonNm
PTINP01495906PTIN
Phone6083682309PhoneNum
Preparation2022-11-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$50,075,636FMVAssetsEOYAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$4,500,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$35,406InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$35,406InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,234,148DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,234,148DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,195,188NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$4,567,830GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,195,188CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$41,238OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$41,238OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$7,005,980TotalRevAndExpnssAmt
Total Net Invst Incm$2,505,980TotalNetInvstIncmAmt
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$5,400AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,380AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$556,275OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$251,205OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$300,072OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$57,589TaxesRevAndExpnssAmt
Taxes Net Invst Incm$27,535TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$674TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$85TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$539TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$37PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$37PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$18,577OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$750OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$10,015OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$638,552TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$279,575TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$312,043TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,101,475ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,722,988ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,740,027TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$279,575TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,035,031TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$3,265,953ExcessRevenueOverExpensesAmt
Net Investment Income$2,226,405NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$374,052CashBOYAmt
Cash EOY$267,895CashEOYAmt
Cash EOYFMV$267,895CashEOYFMVAmt
Sav And Temp Cash Invst BOY$395,146SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$70,072SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$70,072SavAndTempCashInvstEOYFMVAmt
Rcvbl From Officers EOY$400,000RcvblFromOfficersEOYAmt
Rcvbl From Officers EOYFMV$400,000RcvblFromOfficersEOYFMVAmt
Prepaid Expenses BOY$13,488PrepaidExpensesBOYAmt
Prepaid Expenses EOY$14,042PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$14,042PrepaidExpensesEOYFMVAmt
Corporate Bonds BOY$1,825,592CorporateBondsBOYAmt
Corporate Bonds EOY$2,195,230CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,195,230CorporateBondsEOYFMVAmt
Other Investments BOY$37,134,394OtherInvestmentsBOYAmt
Other Investments EOY$47,128,397OtherInvestmentsEOYAmt
Other Investments EOYFMV$47,128,397OtherInvestmentsEOYFMVAmt
Total Assets BOY$39,742,672TotalAssetsBOYAmt
Total Assets EOY$50,075,636TotalAssetsEOYAmt
Total Assets EOYFMV$50,075,636TotalAssetsEOYFMVAmt
Accounts Payable BOY$99,022AccountsPayableBOYAmt
Accounts Payable EOY$135,741AccountsPayableEOYAmt
Grants Payable BOY$2,245,776GrantsPayableBOYAmt
Grants Payable EOY$3,624,173GrantsPayableEOYAmt
Total Liabilities BOY$2,344,798TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,759,914TotalLiabilitiesEOYAmt
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$37,397,874RetainedEarningBOYAmt
Retained Earning EOY$46,315,722RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$37,397,874TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$46,315,722TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$39,742,672TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$50,075,636TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$37,397,874TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$3,265,953ExcessRevenueOverExpensesAmt
Other Increases$5,651,895OtherIncreasesAmt
Subtotal$46,315,722SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$46,315,722TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES2017-08-212021-09-30$4,248,859$3,372,642$876,217$876,217
PRIVATE EQUITY2021-01-012021-12-31$318,971$318,971$318,971P
FieldValueIRS element (for citing)
Capital Gain Net Income$1,195,188CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$30,947InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$30,947SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$30,947TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$17,257EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$42,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$59,257TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$28,310OverpaymentAmt
Applied To ES Tax$28,310AppliedToESTaxAmt
Refund$0RefundAmt

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 AddressNONEWebsiteAddressTxt
Individual With BooksDAVE HEILIGERIndividualWithBooksNm
Phone6083682309PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1ONE ABC SUPPLY PARKWAYAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53511ZIPCd
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 PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DIANE HENDRICKS
C/O 690 THIRD ST SUITE 300BELOITWI53511PRESIDENT3.00$0$0$0
KARA STECKER
C/O 690 THIRD ST SUITE 300BELOITWI53511DIRECTOR0.25$0$0$0
BRENT FOX
C/O 690 THIRD ST SUITE 300BELOITWI53511DIRECTOR0.25$0$0$0
KEVIN HENDRICKS
C/O 690 THIRD ST SUITE 300BELOITWI53511DIRECTOR0.25$0$0$0
KONYA SCHUH
C/O 690 THIRD ST SUITE 300BELOITWI53511SECRETARY/TREASURER0.25$0$0$0
KENDRA STORY
C/O 690 THIRD ST SUITE 300BELOITWI53511VICE PRESIDENT1.00$0$0$0
KATHY HENDRICKS
C/O 690 THIRD ST SUITE 300BELOITWI53511DIRECTOR0.25$0$0$0
KIMBERLEE HENDRICKS
C/O 690 THIRD ST SUITE 300BELOITWI53511DIRECTOR0.25$0$0$0
LISA FURSETH
C/O 690 THIRD ST SUITE 300BELOITWI53511EXECUTIVE DIRECTOR39.00$182,812$20,731$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
HENDRICKS HOLDING COMPANY
690 THIRD STREET STE 300BELOITWI53511MANAGEMENT$368,943
GOLDMAN SACHS & CO LLC
71 S WACKER DRCHICAGOIL60606INVESTMENT$141,084
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$44,460,418AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$369,179AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$44,829,597TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$44,829,597AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$672,444CashDeemedCharitableAmt
Net Vl Noncharitable Assets$44,157,153NetVlNoncharitableAssetsAmt
Minimum Investment Return$2,207,858MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$2,207,858MinimumInvestmentReturnAmt
Tax Based On Investment Income$30,947TaxBasedOnInvestmentIncomeAmt
Total Tax$30,947TotalTaxAmt
Distributable Before Adj$2,176,911DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$2,176,911DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$2,176,911DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,035,031ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,035,031QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$2,176,911DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$301,284ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$301,284TotalExcessDistributionCyovAmt
Qualifying Distributions$2,035,031QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,035,031AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$141,880ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$141,880ExcessDistributionCyovAppCYAmt
Total Corpus$159,404TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$159,404ExcessDistriCyovToNextYrAmt
Excess From Year2$159,404ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDIANE HENDRICKSContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLISA FURSETHRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1690 THIRD STREET SUITE 300AddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53511ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6083628000RecipientPhoneNum
Recipient Email AddressHENDRICKSFAMILYFOUNDATION.ORGRecipientEmailAddressTxt
Form And Info And MaterialsAPPLICATIONS SHOULD BE SUBMITTED THROUGH THE FOUNDATIONS WEBSITE, HENDRICKSFAMILYFOUNDATION.ORG. SUBMISSION REQUIREMENTS ARE DETAILED ON THE WEBSITE.FormAndInfoAndMaterialsTxt
Submission DeadlinesDEADLINES CHANGE ANNUALLY AND ARE PUBLICIZED ON THE WEBSITE.SubmissionDeadlinesTxt
Restrictions On AwardsRESTRICTIONS AND LIMITATIONS ON AWARDS ARE DETAILED ON THE WEBSITE.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACTS COMMUNITY DEVELOPMENT CORPORATION
2414 W VLIET STREETMILWAUKEEWI53205PCHOUSING BELOIT INTIATIVE$193,000
ST JOHN'S NORTHWESTERN MILITARY ACADEMY INC
1101 GENESEE STDELAFIELDWI53018PCOPERATING SUPPORT$100,000
ROCK RIVER REPERTORY THEATRE
PO BOX 1121JANESVILLEWI53547PCPRODUCTION SUPPORT$1,000
ROCK COUNTY CHRISTIAN SCHOOL
916 BUSHNELL STBELOITWI53511PCEDUCATIONAL PROGRAMMING SUPPORT$5,000
PROJECT 1649 INC
2911 CAROUSEL LANEJANESVILLEWI53545PCASSISTANCE FOR HOMELESS YOUTH$1,000
HUMANE SOCIETY OF SOUTHERN WI
222 S ARCH STJANESVILLEWI53548PCCAPITAL CAMPAIGN, NEW BUILDING$200,000
GIFT OF ADOPTION FUND
1200 SHERMER RD STE 111NORTHBROOKIL60062PCSUPPORT LOCAL ADOPTION$4,000
FAMILY SERVICES OF SOUTHERN WISCONSIN AND NORTHERN ILLINOIS INC
416 COLLEGE STBELOITWI53511PCDIRECT SUPPORT FOR SURVIVORS$1,000
BELOIT CITY WIDE SOFTBALL LEAGUE
1806 ARROWHEAD DRBELOITWI53511PCYOUTH SOFTBALL PROGRAMMING$2,500
BADGER BOYS STATE INC
PO BOX 388PORTAGEWI53901PCYOUTH LEADERSHIP PROGRAM$4,000
SCHOOL DISTRICT OF JANESVILLE
527 S FRANKLIN STJANESVILLEWI53548GOVPARKER ARTS ACADEMY$54,827
SAFE FAMILIES FOR CHILDREN
104 S BROAD STELKHORNWI53121PCPILOT PROJECT$80,776
STATELINE BOYS & GIRLS CLUBS INC
202 MAPLE STREETBELOITWI53511PCCAREERTEK PROGRAM AND CAPITAL CAMPAIGN$813,885
ROCK COUNTY HISTORICAL SOCIETY
426 N JACKSON STJANESVILLEWI53548PCGENERAL OPERATING SUPPORT$10,000
KFAD INC
PO BOX 261BELOITWI53511PCOPERATING SUPPORT$5,000
BLACKHAWK TECHNICAL COLLEGE FOUNDATION
PO BOX 5009JANESVILLEWI53547PCSCHOLARSHIP SUPPORT FOR NURSING STUDENTS$20,000
ASSET BUILDERS OF AMERICA INC
1213 N SHERMAN AVE 195MILWAUKEEWI53704PCYOUTH FINANCIAL LITERACY TOURNAMENT$2,000
BELOIT INTERNATIONAL FILM FESTIVAL
635 THIRD STBELOITWI53511PCOPERATING SUPPORT$25,000
BELOIT HEALTH SYSTEM FOUNDATION INC
1969 WEST HART ROADBELOITWI53511PCFAMILY CARE CENTER RENOVATION$200,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,722,988TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ST JOHN'S NORTHWESTERN MILITARY ACADEMY INC
1101 GENESEE STDELAFIELDWI53018PCOPERATING SUPPORT$400,000
HUMANE SOCIETY OF SOUTHERN WI
222 S ARCH STJANESVILLEWI53548PCCAPITAL CAMPAIGN, NEW BUILDING$800,000
STATELINE BOYS & GIRLS CLUBS INC
202 MAPLE STREETBELOITWI53511PCCAREERTEK PROGRAM AND CAPITAL CAMPAIGN$1,202,173
RETIRED SENIOR VOLUNTEER PROGRAM OF ROCK COUNTY
2433 S RIVERSIDE DRBELOITWI53511PCVETS HELPING VETS TRANSPORTATION PROGRAM$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$2,427,173TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$35,406ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,234,148ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,195,188ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
CLASS ACTION SETTLEMENT14$869
HAMILTON LANE FUNDS INCOME14$40,369

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$2,505,980ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,505,980TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
AMERICAN BUILDERS AND CONTRACTORS SUPPLY CO INC
1ONE ABC PARKWAYBELOITWI53511$4,000,000Yes (X)
DIANE M HEDRICKS
2ONE ABC PARKWAYBELOITWI53511$500,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$5,400Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,380DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondBONDSBondNm
EOY Book Value$2,195,230EOYBookValueAmt
EOYFMV$2,195,230EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
HAMILTON LANE PRIVATE EQ IXFMV$1,568,531$1,568,531
HAMILTON LANE PRIVATE EQ VIFMV$50,405$50,405
GOLDMAN SACHS MAINFMV$45,509,461$45,509,461

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DUES AND SUBSCRIPTIONS$1,773$355$1,418
ADMINISTRATIVE FEES$164$164$0
BANK CHARGES$195$0$0
D&O INSURANCE$1,625$0$0
SUPPLIES$1,940$0$1,552
COMPUTER$814$163$652
GRANT MANAGMENT SYSTEM$6,458$0$458
MISC. EXPENSE$50$0$0
POSTAGE AND DELIVERY$338$68$270
PROGRAM RELATED EXPENSES$1,038$0$2,002
TELEPHONE EXPENSE$1,038$0$519
WEBSITE FEES$3,144$0$3,144

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
CLASS ACTION SETTLEMENT$869$869$869
HAMILTON LANE FUNDS INCOME$40,369$40,369$40,369

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescCHANGE IN UNREALIZED APPRECIATIONDesc
Amt$5,651,895Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL FEES$388,775$83,705$300,072
INVESTMENT ADVISORY FEES$167,500$167,500$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAXES$30,054$0$0
FOREIGN TAXES$27,535$27,535$0