STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE ALMA & HENRY LIND FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
THE ALMA & HENRY LIND FOUNDATION (EIN 39-6702283)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-13
IRS object ID
202001349349101510
Schema version
2019v5.0
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)
Return2020-05-13T17:00:23-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TRUST POINT INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1230 FRONT STREET NORTHAddressLine1Txt
CityLa CrosseCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN396702283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIND ALMA & HENRY FOUNDATION 1045001414BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLINDBusinessNameControlTxt
Phone6087821148PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1230 FRONT STREET NORTHAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE KLEVGARDPersonNm
Person TitleTrusteePersonTitleTxt
Phone6087821148PhoneNum
Signature2020-04-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRUST POINT INCPreparerPersonNm
Phone6087821148PhoneNum
Preparation2020-04-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address128.92.108.218IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id33B197E1F03C7B17A1A9FEEE689308756CAB6089AtSubmissionCreationDeviceId
At Submission Filing Device IdC3506D6ECE96397924ACDE23C4BC0FBEF9016594AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$472,639FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Interest On Sav Rev And Expnss$127InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$127InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$13,439DividendsRevAndExpnssAmt
Dividends Net Invst Incm$13,439DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$4,675NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$195,496GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$4,675CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$428OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$428OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$18,669TotalRevAndExpnssAmt
Total Net Invst Incm$18,669TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$5,188CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$5,188CompOfcrDirTrstNetInvstIncmAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,600AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,600AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$101TaxesRevAndExpnssAmt
Taxes Net Invst Incm$101TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$6,889TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,289TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,600TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$23,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$23,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$29,889TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,289TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$24,600TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$11,220ExcessRevenueOverExpensesAmt
Net Investment Income$13,380NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$4,560SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$6,925SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$6,925SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Other Assets BOY$430,671OtherAssetsBOYAmt
Other Assets EOY$417,154OtherAssetsEOYAmt
Other Assets EOYFMV$465,714OtherAssetsEOYFMVAmt
Total Assets BOY$435,231TotalAssetsBOYAmt
Total Assets EOY$424,079TotalAssetsEOYAmt
Total Assets EOYFMV$472,639TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$435,231CapitalStockBOYAmt
Capital Stock EOY$424,079CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$435,231TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$424,079TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$435,231TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$424,079TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$435,231TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$11,220ExcessRevenueOverExpensesAmt
Other Increases$68OtherIncreasesAmt
Subtotal$424,079SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$424,079TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (32 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
366.061 INVESCO CONVERTIBLE SECURITIES Y2016-03-282019-01-31$8,430$7,612$818$818
1029.505 PIMCO FOREIGN BOND INSTITUTIONAL2018-01-022019-04-22$11,201$10,691$510$510
439. SPDR EURO STOXX 50 ETF2017-05-112019-04-22$16,807$16,652$155$155
450.106 VANGUARD INTERMEDIATE-TERM TREASURY FUND ADMIRAL2018-01-042019-04-22$4,947$5,129-$182-$182
1062.099 VANGUARD SHORT TERM TREASURY ADM2018-08-012019-04-22$11,141$11,056$85$85
1582.441 OAKMARK GLOBAL ADVISOR2017-10-192019-04-24$44,926$47,311-$2,385-$2,385
230.894 AMERICAN FUNDS EUROPACIFIC FUND F32018-01-022019-08-05$11,589$11,055$534$534
473.705 OAKMARK INTERNATIONAL INST2019-04-302019-08-05$10,175$11,307-$1,132-$1,132
28.298 AMERICAN BEACON GLOBAL EV FRNT MRKT INC2019-04-222019-10-08$243$246-$3-$3
1065.519 AMERICAN BEACON GLOBAL EV FRNT MRKT INC2018-02-272019-10-08$9,142$10,154-$1,012-$1,012
78.012 EATON VANCE FLOATING RATE I2019-05-032019-10-08$685$700-$15-$15
982.264 EATON VANCE FLOATING RATE I2016-09-152019-10-08$8,624$8,624
377.98 FIDELITY ADVISOR NEW MARKETS INCOME Z2019-04-222019-10-08$5,590$5,670-$80-$80
306.075 FIDELITY ADVISOR NEW MARKETS INCOME Z2018-01-042019-10-08$4,527$4,890-$363-$363
1595.699 VANGUARD HIGH YIELD ADM2017-10-252019-10-08$9,351$9,331$20$20
229.669 GOLDMAN SACHS SMALL VALUE I2017-12-142019-10-10$11,973$12,182-$209-$209
6.607 INVESCO OPPENHEIMER DEVELOPING MRKTS R62013-03-272019-12-04$291$231$60$60
14.411 AMERICAN FUNDS EUROPACIFIC FUND F32011-06-222019-12-04$789$609$180$180
240.702 FIDELITY U.S. BOND INDEX FUND2017-06-152019-12-04$2,881$2,806$75$75
268.702 GLENMEDE SECURED OPTIONS I2018-07-312019-12-04$3,550$3,447$103$103
10.285 GOLDMAN SACHS SMALL VALUE I2011-04-132019-12-04$567$448$119$119
110.484 GOLDMAN SACHS INT'L SMALL CAP INSIGHTS I2017-12-112019-12-04$1,331$1,392-$61-$61
36.899 HARBOR CAPITAL APPRECIATION RETIREMENT2018-01-022019-12-04$2,928$2,448$480$480
44.018 OAKMARK INTERNATIONAL INST2019-04-302019-12-04$1,074$1,051$23$23
15.634 LORD ABBETT INFLATION FOCUSED I2017-02-092019-12-04$177$191-$14-$14
50.299 PIMCO INCOME FUND I2018-01-092019-12-04$603$624-$21-$21
67.646 PIMCO SHORT ASSET INVESTMENT INSTL2019-04-222019-12-04$677$678-$1-$1
33.869 TIAA-CREF INTERNATIONAL EQ INDEX I2019-04-242019-12-04$677$644$33$33
38.173 VANGUARD MORTGAGE-BACKED SECURITIES INDE2018-11-012019-12-04$812$770$42$42
36.344 VANGUARD LARGE CAP INDEX ADM2015-04-272019-12-04$2,627$1,781$846$846
7.831 VANGUARD MID CAP INDEX ADMIRAL2016-02-292019-12-04$1,681$1,091$590$590
CAPITAL GAIN DIVIDENDS$5,480P
FieldValueIRS element (for citing)
Capital Gain Net Income$4,675CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$23,691AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$479,793NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049378DistributionYr1Rt
Adjusted Qlfy Distri Yr2$22,533AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$480,684NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.046877DistributionYr2Rt
Adjusted Qlfy Distri Yr3$24,080AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$451,734NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.053306DistributionYr3Rt
Adjusted Qlfy Distri Yr4$24,816AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$486,377NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.051022DistributionYr4Rt
Adjusted Qlfy Distri Yr5$23,533AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$506,783NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046436DistributionYr5Rt
Total Distribution0.247019TotalDistributionRt
Average Distribution0.049404AverageDistributionRt
Net Vl Noncharitable Assets$465,104NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$22,978AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$134NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$23,112AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$24,600QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$134InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$134SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$134TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$164EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$164TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$30OverpaymentAmt
Applied To ES Tax$30AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Trust Point IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6087821148PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1230 FRONT STREET NAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Trust Point Inc
230 Front Street NorthLa CrosseWI54601Investment Advisor1$5,188
Dale Klevgard
N8280 Sand Prairie RoadHixtonWI54635Trustee1$0
Todd Stittleburg
N6243 Noble CtBlack River FallsWI54615Trustee1$0
Jolene Teeples
405 Van Buren StreetBlack River FallsWI54615Trustee1$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$472,187AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$472,187TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$472,187AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,083CashDeemedCharitableAmt
Net Vl Noncharitable Assets$465,104NetVlNoncharitableAssetsAmt
Minimum Investment Return$23,255MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$23,255MinimumInvestmentReturnAmt
Tax Based On Investment Income$134TaxBasedOnInvestmentIncomeAmt
Total Tax$134TotalTaxAmt
Distributable Before Adj$23,121DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$23,121DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$23,121DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$24,600ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$24,600QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$134PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$24,466AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$23,121DistributableAsAdjustedAmt
Undistributed Income PY$22,676UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$24,600QualifyingDistributionsAmt
Applied To Year1$22,676AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,924AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$21,197UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonDale KlevgardRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1N8280 Sand Prairie RdAddressLine1Txt
CityHixtonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54635ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7159632224RecipientPhoneNum
Form And Info And MaterialsNo prescribed formFormAndInfoAndMaterialsTxt
Submission DeadlinesNoneSubmissionDeadlinesTxt
Restrictions On AwardsGenerally limited to Black River Falls, WI areaRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
St Johns Lutheran Church
351 WEST JEFFERSON STREETBlack River FallsWI546151063NONEPUBLICRELIGIOUS$21,500
ZION LUTHERAN CHURCH
925 5TH AVENUEROCKFORDIL61104NONEPUBLICRELIGIOUS$500
JACKSON COUNTY INTERFAITH VOLUNTEER
PO BOX 354BLACK RIVER FALLSWI54615NONEPUBLICHUMANITARIAN$500CAREGIVERS
JACKSON COUNTY RIGHT TO LIFE
5317 N 118TH CTMILWAUKEEWI53225NONEPUBLICHUMANITARIAN$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$23,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$127ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$13,439ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$4,675ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$18,669ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$18,669TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$1,600Amt
Disbursements Charitable Prps$1,600DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Revenue And Expenses Per Books$428RevenueAndExpensesPerBooksAmt
Net Investment Income$428NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescACCRUED INCOME/LOSS ADJUSTMENTDesc
Amt$68Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON QUALIFIED FOR$101$101$0
FOREIGN TAXES ON NONQUALIFIED$0$0