2022-11-10T14:09:43-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 1175 LOMBARDI AVENUE SUITE 200 GREEN BAY WI 54304 990PF 2021-01-01 392000503 BAY CARE CLINIC FOUNDATION LTD BAYC 9204909046 1035 KEPLER DRIVE GREEN BAY WI 54311 ANN SEIDL PRESIDENT 9204909046 2022-11-09 1 ANN SEIDL 999009999 MICHELLE MULLOY P01241748 9204367800 2022-11-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X 702936 X 204816 4 4 11143 11143 0 215963 11147 0 0 0 3949 1975 1974 77 0 0 1779 523 1256 5805 2498 3230 143613 143613 149418 2498 146843 66545 8649 272387 307691 307691 15174 15177 15177 312629 380068 380068 600190 702936 702936 0 0 X 0 0 0 0 600190 702936 600190 702936 600190 702936 600190 66545 36201 702936 0 702936 120 0 120 0 120 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 0 1 1 WI 1 0 0 0 0 1 WWW.BAYCARE.NET/WEBSITE/ABOUT/500--FOUNDATION/IND MS JULIE DUCKETT 9204909046 1035 KEPLER DRIVE GREEN BAY WI 54311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOSEPH HODGSON MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 MICHAEL MEDICH MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 BRUCE NEAL MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR/VICE PRESIDENT 0.50 0 0 0 CHRISTOPHER SORRELLS MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR/TREASURER 0.50 0 0 0 ANN SEIDL 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR/PRESIDENT 0.50 0 0 0 PAUL LUIKART MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 LEANNE DENISSEN 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 NICOLE NISHIDA 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 ANNA PIERCE MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 PAM SEIDL 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 JOSEPH BERGMANN MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 BRANDON NEWELL DDS 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 WILLIAM WAGNER MD 164 NORTH BROADWAY GREEN BAY WI 54303 DIRECTOR 0.50 0 0 0 NONE 0 NONE 0 0 335237 298054 0 633291 0 0 633291 9499 623792 31190 31190 120 120 31070 0 31070 0 31070 146843 0 146843 31070 0 0 223569 165016 191220 199259 130125 909189 146843 0 0 0 31070 115773 0 0 1024962 0 0 0 0 0 0 223569 801393 165016 191220 199259 130125 115773 JOSEPH HODGSON MD BRUCE NEAL MD CHRISTOPHER SORRELLS MD 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. BOY SCOUTS OF AMERICA 2555 NORTHERN RD APPLETON WI 54912 NONE PC 2020 FRIENDS OF SCOUTING CAMPAIGN 1000 BOY SCOUTS OF AMERICA 2555 NORTHERN RD APPLETON WI 54912 NONE PC 2021 FRIENDS OF SCOUTING CAMPAIGN 1000 WISCONSIN UNITED FC PO BOX 1444 APPLETON WI 54912 NONE PC SELF-DIRECTED DONATION 2500 THE RIDGES SANCTUARY PO BOX 152 BAILEYS HARBOR WI 54202 NONE PC SELF-DIRECTED DONATION 100 ROBERTO CLEMENTE HEALTH CLINIC 105 WEST MONUMENT STREET BALTIMORE MD 21201 NONE PC SELF-DIRECTED DONATION 2000 BARRON AREA EDUCATION FOUNDATION - SCHOLARSHIP PO BOX 271 BARRON WI 54812 NONE PC SELF-DIRECTED DONATION 1000 HARVARD COLLEGE FUND PO BOX 55997 BOSTON MA 022059727 NONE PC SELF-DIRECTED DONATION 100 OXBOW COMMUNITY SCHOLARSHIP FOUNDATION 36 OXBOW DR BRADFORD VT 05033 NONE PC SELF-DIRECTED DONATION 200 AKSHAYA PATRA USA 6800 OWENSMOUTH AVE SUITE 230 CANOGA PARK CA 91303 NONE PC SELF-DIRECTED DONATION 1001 AMERICAN CANCER SOCIETY PO BOX 630353 CINCINNATI OH 452630353 NONE PC SELF-DIRECTED DONATION 100 UNIVERSITY OF COLORADO AT COLORADO SPRINGS 1420 AUSTIN BLUFFS PKWAY COLORADO SPRINGS CO 80918 NONE PC SCHOLARSHIP - REBEKAH BUBOLITZ 1000 DE PERE TRACK AND CROSS COUNTY BOOSTER 1941 CHARLES ST DE PERE WI 54115 NONE PC SELF-DIRECTED DONATION 3000 FIRST UNITED PRESBYTERIAN CHURCH 605 N WEBSTER AVE DE PERE WI 54115 NONE PC SELF-DIRECTED DONATION 10000 RIBBON OF HOPE PO BOX 148 DE PERE WI 54115 NONE PC SELF-DIRECTED DONATION 500 ST NORBERT COLLEGE 100 GRANT ST DE PERE WI 54115 NONE PC SCHOLARSHIP - MADISON HERDINA 2000 WEST DE PERE SCHOOL DISTRICT 400 REID ST STE W DE PERE WI 54115 NONE PC SELF-DIRECTED DONATION 2000 PENISULA MUSIC FESTIVAL PO BOX 340 EPHRAIM WI 54211 NONE PC SELF-DIRECTED DONATION 100 NORTHERN SKY THEATER PO BOX 273 FISH CREEK WI 54212 NONE PC SELF-DIRECTED DONATION 100 PENINSULA PLAYERS THEATRE FOUNDATION INC W4351 PENINSULA PLAYERS RD FISH CREEK WI 542129725 NONE PC SELF-DIRECTED DONATION 100 GIBRALTAR FIRE DEPARTMENT PO BOX 850 FISH CREEK WI 54212 NONE PC MATZKE MEMORIAL (UTV PURCHASE) 12650 MARIAN UNIVERSITY 45 S NATIONAL AVE FOND DU LAC WI 549354699 NONE PC SCHOLARSHIP - LEAH WYPISZENSKI 2000 FRIENDS OF THE BAY BEACH WILDLIFE SANCTUARY INC 1660 EAST SHORE DR GREEN BAY WI 54302 NONE PC SELF-DIRECTED DONATION 500 NWTC EDUCATIONAL FOUNDATION PO BOX 19042 GREEN BAY WI 543079042 NONE PC BOARD 10000 BOOKS FOR A BETTER TOMORROW 525 S MADISON ST GREEN BAY WI 54301 NONE PC BOARD AND DONOR ADVISED DONATION 2000 GREEN BAY AREA CATHOLIC EDUCATION 1822 RIVERSIDE DR GREEN BAY WI 54301 NONE PC SELF-DIRECTED DONATION 100 ST FRANCIS CATHEDRAL 139 S MADISON GREEN BAY WI 54301 NONE PC SELF-DIRECTED DONATION 1000 YMCA 235 N JEFFERSON ST GREEN BAY WI 54301 NONE PC SELF-DIRECTED DONATION 1000 CENTER FOR CHILDHOOD SAFETY 1870 COFRIN DRIVE GREEN BAY WI 54302 NONE PC SELF-DIRECTED DONATION 100 GOLDEN HOUSE 1120 UNIVERSITY AVE GREEN BAY WI 54302 NONE PC SELF-DIRECTED DONATION 1000 PAUL'S PANTRY INC 1529 LEO FRIGO WAY GREEN BAY WI 54302 NONE PC SELF-DIRECTED DONATION 4100 ST BERNARD CONGREGATION 2040 HILLSIDE LN GREEN BAY WI 543024098 NONE PC SELF-DIRECTED DONATION 5000 NEW COMMUNITY SHELTER INC 301 MATHER STREET GREEN BAY WI 54303 NONE PC SELF-DIRECTED DONATION 600 NOTRE DAME ACADEMY 610 MARYHILL DR GREEN BAY WI 54303 NONE PC SELF-DIRECTED DONATION 1000 HAND-N-HAND OF NORTHEASTERN WISCONSIN INC 1707 S ONEIDA ST GREEN BAY WI 54304 NONE PC BOARD AND DONOR ADVISED DONATION 5000 HAPPILY EVER AFTER ANIMAL SANCTUARY 2255 FOX LANE GREEN BAY WI 54304 NONE PC SELF-DIRECTED DONATION 2500 ST JOHN THE EVANGELIST HOMELESS SHELTER PO BOX 1743 GREEN BAY WI 54305 NONE PC BOARD 1661 ST JOHN THE EVANGELIST HOMELESS SHELTER PO BOX 1743 GREEN BAY WI 54305 NONE PC SELF-DIRECTED DONATION 1000 BROWN COUNTY UNITED WAY PO BOX 1593 GREEN BAY WI 543051593 NONE PC SELF-DIRECTED DONATION 1000 FAMILY SERVICES PO BOX 22308 GREEN BAY WI 543052308 NONE PC SELF-DIRECTED DONATION 600 BISHIP'S APPEAL CATHOLIC DIOCESE PO BOX 23001 GREEN BAY WI 543053001 NONE PC SELF-DIRECTED DONATION 1000 THE SALVATION ARMY PO BOX 11243 GREEN BAY WI 543071243 NONE PC SELF-DIRECTED DONATION 100 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - CHRISTOPHER CHENEY 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - SUSAN CHRISTIANSEN 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - MARLEE CURRY 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - COURTNAY HILLS 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - MICHAEL NICKELL 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - REBEKAH BUBOLITZ 1000 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - TRACY GRETZON 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - ANDREW HYNNEK 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - CORLEEN KROLL 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - AIMEE VORPAHL 500 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - ELLIOTT CHIER 1000 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - VICTORIA GOODNOE 1000 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - MELISSA KINCANNON 1000 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - BENNETT KRINGS 1000 NWTC PO BOX 19042 GREEN BAY WI 543079042 NONE PC SCHOLARSHIP - HAYDEN WEININGER 1000 NWTC EDUCATIONAL FOUNDATION PO BOX 19042 GREEN BAY WI 543079042 NONE PC SELF-DIRECTED DONATION 1000 BELLIN COLLEGE OF NURING 3201 EATON RD GREEN BAY WI 54311 NONE PC SELF-DIRECTED DONATION 500 CELEBRATION CHURCH 3475 HUMBOLDT RD GREEN BAY WI 54311 NONE PC SELF-DIRECTED DONATION 4800 FREEDOM HOUE 2997 ST ANTHONY DR GREEN BAY WI 54311 NONE PC SELF-DIRECTED DONATION 500 GREATER GREEN BAY HABITAT FOR HUMANITY 1967 ALLOUEZ AVE GREEN BAY WI 54311 NONE PC SELF-DIRECTED DONATION 100 NOTRE DAME ACADEMY 3496 AMBER LANE GREEN BAY WI 54311 NONE PC SELF-DIRECTED DONATION 150 UNIVERSITY OF GREEN BAY 2420 NICOLET DR GREEN BAY WI 54311 NONE PC GRIFFIN SCHOLARSHIP - ALEXIS PAYE 500 PINE LAKE SAILING SCHOOL PO BOX 436 HARTLAND WI 53029 NONE PC SELF-DIRECTED DONATION 300 COMPRESS AND SHOCK 3929 WHITETAIL CT HOBART WI 54155 NONE PC BOARD AND DONOR ADVISED DONATION 1000 COMPRESS AND SHOCK 3929 WHITETAIL CT HOBART WI 54155 NONE PC DONOR ADVISED DONATION 3000 INDIANA UNIVERSITY FOUNDATION PO BOX 6460 INDIANAPOLIS WI 462066460 NONE PC SELF-DIRECTED DONATION 100 HINDU TEMPLE OF NORTH EAST WISCONSIN 911 DELANGLADE ST KAUKAUNA WI 54130 NONE PC SELF-DIRECTED DONATION 1001 UNIVERSITY OF WISCONSIN-LA CROSSE 1725 STATE ST LA CROSSE WI 54601 NONE PC SCHOLARSHIP- LAUREN BROMAN 2000 IOWA-GRANT EDUCATIONAL FOUNDATION PO BOX 124 LIVINGSTON WI 53554 NONE PC SELF-DIRECTED DONATION 100 BIG DOG RESCUE RANCH 14444 OKEECHOBEE BLVD LOXAHATCHEE GROVES FL 33470 NONE PC SELF-DIRECTED DONATION 10000 COMBAT BLINDNESS FOUNDATION PO BOX 5322 MADISON WI 537050332 NONE PC SELF-DIRECTED DONATION 100 FRIENDS OF PBS WISCONSIN 821 UNIVERSITY AVENUE MADISON WI 53706 NONE PC SELF-DIRECTED DONATION 2500 WISCONSIN PUBLIC RADIO 821 UNIVERSITY AVE MADISON WI 53706 NONE PC SELF-DIRECTED DONATION 100 UNIVERSITY OF MADISON 333 E CAMPUS MALL 10501 MADISON WI 537151383 NONE PC GRIFFIN SCHOLARSHIP - KEVIN KONOP 500 UNIVERSITY OF MADISON 333 E CAMPUS MALL 10501 MADISON WI 537151383 NONE PC GRIFFIN SCHOLARSHIP - LAUREN SHEFCHIK 500 UNIVERSITY OF MADISON 333 E CAMPUS MALL 10501 MADISON WI 537151383 NONE PC GRIFFIN SCHOLARSHIP - SKYLAR ROTTER 500 UNIVERSITY OF WISCONSIN MADISON 333 E CAMPUS MALL 10501 MADISON WI 537151383 NONE PC SCHOLARSHIP - LYDIA MCMORROW 2000 UNIVERSITY OF WISCONSIN MADISON 333 E CAMPUS MALL 10501 MADISON WI 537151383 NONE PC SCHOLARSHIP - LEAH HEIM 2000 PETER'S PANTRY 843 S 21ST STREET MANITOWOC WI 54220 NONE PC BOARD 1500 NORTHERN MICHIGAN UNIVERSITY 1401 PRESQUE ISLE AVE MARQUETTE MI 498555301 NONE PC SCHOLARSHIP - MIA STRAZNY 2000 PREVENT BLINDNESS- WISCONSIN 759 NORTH MILWAUKEE ST STE 305 MILWAUKEE WI 532023745 NONE PC SELF-DIRECTED DONATION 100 UNIVERSITY OF MILWAUKEE 2100 E KENWOOD BLVD MILWAUKEE WI 53211 NONE PC GRIFFIN SCHOLARSHIP - ADDISON GRANT 500 WISCONSIN MEDICAL ALUMNI ASSOCIATION FUND BOX 78236 MILWAUKEE WI 532780236 NONE PC SELF-DIRECTED DONATION 1000 UNIVERSITY OF WISCONSIN FOUNDATION US BANK LOCKBOX 78807 MILWAUKEE WI 532780807 NONE PC SELF-DIRECTED DONATION 3400 UNIVERSITY OF WISCONSIN FOUNDATION - MED 1981 US BANK LOCKBOX 78807 MILWAUKEE WI 532780807 NONE PC SELF-DIRECTED DONATION 1000 UWF-MEDICAL ALUMNI ASSOCIATION PO BOX 78807 MILWAUKEE WI 532780807 NONE PC SELF-DIRECTED DONATION 1000 BRETHREN CHARITY FUND INC 12386 WEST NATIONAL ROAD NEW CARLISLE OH 45344 NONE PC SELF-DIRECTED DONATION 1500 RESEARCH TO PREVENT BLINDNESS 360 LEXINGTON AVE FL 22 NEW YORK NY 100176528 NONE PC SELF-DIRECTED DONATION 150 CHRISTINE ANN DOMESTIC ABUSE SERVICE 206 ALGOMA BLVD OSHKOSH WI 54901 NONE PC SELF-DIRECTED DONATION 200 OSHKOSH YACHT CLUB 1939 WASHINGTON AVE OSHKOSH WI 54901 NONE PC SELF-DIRECTED DONATION 250 THE PAINE ART CENTER 1410 ALGOMA BLVD OSHKOSH WI 54901 NONE PC SELF-DIRECTED DONATION 250 ALL SAINTS LUTHERAN 1072 HONEY CREEK RD OSHKOSH WI 54904 NONE PC SELF-DIRECTED DONATION 600 AMERICAN RED CROSS 515 WASHBURN STREET OSHKOSH WI 54904 NONE PC SELF-DIRECTED DONATION 100 UNIVERSITY OF WISCONSIN-PLATTEVILLE FOUNDATION 1 UNIVERSITY PLAZA PLATTEVILLE WI 538183099 NONE PC SELF-DIRECTED DONATION 500 CHRISTAR 1500 INTERNATIONAL PARKWAY STE 300 RICHARDSON TX 75081 NONE PC SELF-DIRECTED DONATION 2400 FOUNDATION OF AMERICAN ACADEMY OF OPTHALMOLOGY 655 BEACH STREET SAN FRANCISCO CA 941091336 NONE PC SELF-DIRECTED DONATION 1000 UNIVERSITY OF STEVENS POINT 1108 FREMONT ST RM 102 STEVENS POINT WI 54481 NONE PC GRIFFIN SCHOLARSHIP - ALEX SCHMITZ 500 DOOR COUNTY LAND TRUST PO BOX 65 STURGEON BAY WI 54235 NONE PC SELF-DIRECTED DONATION 100 COMPASSIONATE CARE ALS PO BOX 1052 WEST FALMOUTH MA 02574 NONE PC SELF-DIRECTED DONATION 100 143613 0 14 4 14 11143 0 11147 0 11147 0 0 0 0 0 0 0 0 0 0 X X 1 DR AND MRS KEVIN WIENKERS 2863 CIRCLE SHORE DR GREEN BAY WI 54302 21555 X X 2 DR STEPHEN BRADA 700 TERRAVIEW DRIVE GREEN BAY WI 54301 7193 X 3 DR BRUCE NEAL 1515 BRADBURY COURT GREEN BAY WI 54313 7500 X 4 DR ALEXANDER ROITSTEIN 2411 WANDERING SPRINGS CIRCLE GREEN BAY WI 54311 25000 X 5 DR JOSEPH HODGSON 3510 BOWER CREEK ROAD DE PERE WI 54115 12000 X 6 BAY CARE HEALTH SYSTEMS 164 N BROADWAY GREEN BAY WI 54303 16000 X 7 ASSOCIATED BANK 433 MAIN ST GREEN BAY WI 54301 5000 X 8 DR JOSEPH VALLEY 164 N BROADWAY GREEN BAY WI 54303 11161 X 9 AURORA HEALTH CARE 750 W VIRGINIA ST PO BOX 341880 MILWAUKEE WI 53204 6000 X 10 BELLIN HEALTH 744 SOUTH WEBSTER AVENUE PO BOX 234 GREEN BAY WI 543053400 6508 X 11 DR JARED BOYD 4673 ROYAL VISTA DE PERE WI 54115 12000 X 12 DR CHRIS HOWSON 1128 CROWN POINTE CIRCLE SUAMICO WI 54173 9424 X 13 DR PAUL LUIKART 684 MARBLE ROCK CIRCLE GREEN BAY WI 54311 5000 X 1 MASTERCARD STOCK 20097 2021-12-01 CLIFTONLARSONALLEN LLP 3949 1975 1974 VANGUARD BALANCED INDEX FD 315591 315591 VANGUARD BALANCED INDEX ADMIRAL 41481 41481 MASTERCARD INCORPORATED 22996 22996 ADMINISTRATIVE EXPENSES 1467 367 1100 BANK SERVICE CHARGES 312 156 156 UNREALIZED GAIN/LOSS ON INVESTMENTS 36201 FEDERAL EXCISE TAX 77 0 0