DAVID & MARY ANDERSON FAMILY: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DAVID & MARY ANDERSON FAMILY (EIN 45-1844915)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-20
- IRS object ID
- 201941409349100414
- Schema version
- 2018v3.1
- 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
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Reasonable Cause Explanation
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-20T12:06:36-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5946 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537050946 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 451844915 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID & MARY ANDERSON FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 6086982244 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 MIDDLETON BEACH ROAD | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID ANDERSON | PersonNm |
| Person Title | BOARD MEMBER | PersonTitleTxt |
| Phone | 6086982244 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ASH | PreparerPersonNm |
| PTIN | P00024020 | PTIN |
| Phone | 6088332612 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.9 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-14 | IPDt |
| IP Tm | 10:41:09 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A484AEC4C5497D9198E88648858B3B91BEA7E944 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $249,281 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $10,044 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $10,044 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $27,248 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $269,603 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $27,248 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $37,292 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $37,292 | 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 | $2,609 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,305 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,304 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $113 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $113 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,153 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,753 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $400 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $5,875 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $4,171 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,704 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $226,916 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $226,916 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $232,791 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $4,171 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $228,620 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$195,499 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $33,121 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $4,373 | CashBOYAmt |
| Cash EOY | $6,879 | CashEOYAmt |
| Cash EOYFMV | $6,879 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $13,666 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $18,442 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $18,442 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $252,449 | CorporateStockBOYAmt |
| Corporate Stock EOY | $157,552 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $144,908 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $188,787 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $82,233 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $79,052 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $459,275 | TotalAssetsBOYAmt |
| Total Assets EOY | $265,106 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $249,281 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $459,275 | CapitalStockBOYAmt |
| Capital Stock EOY | $265,106 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $459,275 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $265,106 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $459,275 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $265,106 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $459,275 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$195,499 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,330 | OtherIncreasesAmt |
| Subtotal | $265,106 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $265,106 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (15 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| BARON EMERGING MARKETS INSTITUTIONAL | P | 2018-09-27 | $36,023 | $27,178 | $8,845 | $8,845 |
| CAMBIAR INTL EQUITY FUND INS | P | 2018-12-28 | $9,039 | $7,966 | $1,073 | $1,073 |
| GLENMEDE SC EQUITY PORT ADV | P | 2018-12-14 | $13,267 | $12,919 | $348 | $348 |
| INVESCO QQQ TRUST | P | 2018-06-13 | $7,005 | $4,565 | $2,440 | $2,440 |
| ISHARES RUSSEL 3000 | P | 2018-01-26 | $5,526 | $2,242 | $3,284 | $3,284 |
| POWERSHARES QQQ | P | 2018-02-23 | $3,663 | $2,511 | $1,152 | $1,152 |
| MIDCAP SPDR TRUST SERIES I ETF | P | 2018-06-13 | $20,213 | $9,973 | $10,240 | $10,240 |
| T ROWE PRICE BLUE CHIP GROWTH FD | P | 2018-12-14 | $4,454 | $2,275 | $2,179 | $2,179 |
| VANGUARD EQUITY INCOME ADM | P | 2018-12-19 | $18,016 | $15,218 | $2,798 | $2,798 |
| VANGUARD 500 INDEX ADMIRAL | P | 2018-10-02 | $5,018 | $4,985 | $33 | $33 |
| BAIRD AGGREGATE BOND FUND | P | 2018-10-02 | $48,936 | $50,961 | -$2,025 | -$2,025 |
| ISHARES INTERMEDIATE GOVERNMENT | P | 2018-09-28 | $58,183 | $59,311 | -$1,128 | -$1,128 |
| NUVEEN CORE PLUS BOND I | P | 2018-12-28 | $21,261 | $22,695 | -$1,434 | -$1,434 |
| OPPENHEIMER SENIOR FLOATING RATE I | P | 2018-09-27 | $12,982 | $12,998 | -$16 | -$16 |
| NUVEEN REAL ESTATE SECS I | P | 2018-12-28 | $6,017 | $6,558 | -$541 | -$541 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $27,248 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $198,449 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $623,042 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.318516 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $348,536 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $834,123 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.417847 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $215,895 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,101,908 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.195928 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $158,219 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,252,488 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.126324 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $86,711 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,251,806 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.069269 | DistributionYr5Rt |
| Total Distribution | 1.127884 | TotalDistributionRt |
| Average Distribution | 0.225577 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $400,796 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $90,410 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $331 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $90,741 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $228,620 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $331 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $331 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $331 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,413 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,413 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,082 | OverpaymentAmt |
| Applied To ES Tax | $1,082 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID ANDERSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6086982244 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 MIDDLETON BEACH ROAD | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| DAVID R ANDERSON | ||||||||
| 2525 MIDDLETON BEACH ROAD | MIDDLETON | WI | 53562 | PRESIDENT/TREASURER | 1.00 | $0 | $0 | $0 |
| SARAH CAFLISCH | ||||||||
| 2211 FOLWELL AVENUE | FALCON HEIGHTS | MN | 55108 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| KRISTINE MOSES | ||||||||
| 4918 SHERWOOD RD | MADISON | WI | 53711 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| DAVID K ANDERSON | ||||||||
| 4917 WOODBURN DRIVE | MADISON | WI | 53711 | VICE PRESIDENT/SECRETARY | 1.00 | $0 | $0 | $0 |
| MATTHEW ANDERSON | ||||||||
| 1601 DURHAM COURT | EDMOND | OK | 73013 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| JOSEPH ANDERSON | ||||||||
| 1814 SKYLINE CURVE | MINNEAPOLIS | MN | 55410 | BOARD MEMBER | 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 |
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 | $390,470 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $16,429 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $406,899 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $406,899 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $6,103 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $400,796 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $20,040 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $20,040 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $331 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $331 | TotalTaxAmt |
| Distributable Before Adj | $19,709 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $19,709 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $19,709 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $228,620 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $228,620 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $331 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $228,289 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $19,709 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $27,410 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $96,505 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $161,326 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $307,398 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $168,031 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $760,670 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $228,620 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $19,709 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $208,911 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $969,581 | 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 | $27,410 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $942,171 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $96,505 | ExcessFromYear4Amt |
| Excess From Year3 | $161,326 | ExcessFromYear3Amt |
| Excess From Year2 | $307,398 | ExcessFromYear2Amt |
| Excess From Year1 | $168,031 | ExcessFromYear1Amt |
| Excess From Current Year | $208,911 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| BRIMHALL PTA | ||||||
| 1744 WEST CTY RD B | ROSEVILLE | MN | 55113 | YES | GENERAL PURPOSE | $500 |
| COFFEE HOUSE PRESS | ||||||
| 79 13TH AVENUE NE SUITE 110 | MINNEAPOLIS | MN | 55413 | YES | GENERAL PURPOSE | $12,500 |
| EDGEWOOD COLLEGE | ||||||
| 1000 EDGEWOOD COLLEGE DR | MADISON | WI | 53711 | YES | NURSING SCHOLARSHIP | $10,000 |
| MINNESOTA LITERACY COUNCIL | ||||||
| 700 RAYMOND AVENUE SUITE 180 | SAINT PAUL | MN | 55114 | YES | GENERAL PURPOSE | $20,500 |
| MWABA | ||||||
| 30 ASH ST | MADISON | WI | 53726 | YES | GENERAL PURPOSE | $10,025 |
| ROSEVILLE AREA SCHOOLS FOUNDATION | ||||||
| 1910 W COUNTY RD B | ROSEVILLE | MN | 55113 | YES | GENERAL PURPOSE | $4,000 |
| UNITED WAY OF DANE COUNTY | ||||||
| PO BOX 7548 | MADISON | WI | 53707 | YES | GENERAL PURPOSE | $18,000 |
| UW FOUNDATION | ||||||
| 1848 UNIVERSITY AVENUE | MADISON | WI | 53726 | YES | GENERAL PURPOSE | $138,559 |
| WISCONSIN CENTER FOR NURSING | ||||||
| 1921 E HARTFORD AVE | MILWAUKEE | WI | 53201 | YES | GENERAL PURPOSE | $3,000 |
| AMERICAN RED CROSS | ||||||
| 2600 W WISCONSIN AVE | MILWAUKEE | WI | 53233 | YES | GENERAL PURPOSE | $20,000 |
| CATHOLIC CHARITIES MADISON | ||||||
| 702 S HIGH POINT ROAD SUITE 201 | MADISON | WI | 53744 | YES | GENERAL PURPOSE | $25,000 |
| MOZAYIK VILLAGE | ||||||
| 1934 MELROSE STREET | MADISON | WI | 53704 | YES | GENERAL PURPOSE | $1,000 |
| AGRACE | ||||||
| 5395 E CHERYL PARKWAY | MADISON | WI | 53711 | YES | GENERAL PURPOSE | $7,000 |
| UNIVERSITY OF MN FOUNDATION | ||||||
| 200 OAK STREET SE SUITE 500 | MINNEAPOLIS | MN | 55455 | YES | GENERAL PURPOSE | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $275,084 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $10,044 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $27,248 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $37,292 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $37,292 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $2,609 | Amt |
| Net Investment Income | $1,305 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,304 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | US BANK | BondNm |
| EOY Book Value | $82,233 | EOYBookValueAmt |
| EOYFMV | $79,052 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | US BANK | StockNm |
| EOY Book Value | $157,552 | EOYBookValueAmt |
| EOYFMV | $144,908 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK AGENCY FEES | $2,753 | $2,753 | $0 |
| MISC. EXPENSE | $400 | $0 | $400 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER ADJUSTMENT | Desc |
| Amt | $1,330 | Amt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE | ExplanationTxt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID ANDERSON | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 MIDDLETON BEACH ROAD | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX PAID | CategoryTxt |
| Amt | $113 | Amt |
| Net Investment Income | $113 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |