JEFFRIS FAMILY FOUNDATION LTD: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JEFFRIS FAMILY FOUNDATION LTD (EIN 39-1281879)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201713189349100336
- Schema version
- 2016v3.0
- 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
- Form 990-PF
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T14:35:13-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391128206 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GODFREY & KAHN SC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 833 EAST MICHIGAN STREET SUITE 1800 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532025615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391281879 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFRIS FAMILY FOUNDATION LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JEFF | BusinessNameControlTxt |
| Phone | 6087571039 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1160 | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53547 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS M JEFFRIS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6087571039 | PhoneNum |
| Signature | 2017-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY C SMITH | PreparerPersonNm |
| PTIN | P01579152 | PTIN |
| Phone | 4142733500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 98.100.131.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-09 | IPDt |
| IP Tm | 13:52:00 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 839272D591D201DB392C288E91034CA872F1C91D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 839272D591D201DB392C288E91034CA872F1C91D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $27,250,253 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $200 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $48,082 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $48,082 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $459,729 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $459,729 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $405,508 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,571,256 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $405,508 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $913,519 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $913,319 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $234,120 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $62,500 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $171,620 | CompOfcrDirTrstDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $226,659 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $172,326 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $54,333 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $29,146 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $19,566 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $4,580 | TaxesDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $543 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $543 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $21,473 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $4,722 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $16,751 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $511,941 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $259,114 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $247,827 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $879,082 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $171,082 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,391,023 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $259,114 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $418,909 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$477,504 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $654,205 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $811,489 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $515,616 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $515,616 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $1,174,423 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $709,875 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $1,033,128 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $11,883,775 | CorporateStockBOYAmt |
| Corporate Stock EOY | $12,241,687 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $25,701,509 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $13,869,687 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,467,178 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $27,250,253 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $13,869,687 | RetainedEarningBOYAmt |
| Retained Earning EOY | $13,467,178 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $13,869,687 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,467,178 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $13,869,687 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,467,178 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $13,869,687 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$477,504 | ExcessRevenueOverExpensesAmt |
| Other Increases | $75,000 | OtherIncreasesAmt |
| Subtotal | $13,467,183 | SubtotalAmt |
| Other Decreases | $5 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $13,467,178 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $4,551,342 | $4,165,748 | $385,594 | $385,594 | |
| SECURITIES LITIGATION PROCEEDS | $1,503 | $1,503 | $1,503 | P | |
| CAPITAL GAINS DIVIDENDS | $18,411 | $18,411 | $18,411 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $405,508 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,149,895 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $27,428,049 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.041924 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,329,285 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $27,752,790 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.047897 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,367,376 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $25,693,283 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053219 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,052,073 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $23,451,929 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.087501 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,013,958 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $22,828,423 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.044416 | DistributionYr5Rt |
| Total Distribution | 0.274957 | TotalDistributionRt |
| Average Distribution | 0.054991 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $26,977,233 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,483,505 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $6,542 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,490,047 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,848,909 | 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 | $6,542 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,542 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,542 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $17,350 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $17,350 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $10,808 | OverpaymentAmt |
| Applied To ES Tax | $10,808 | 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 | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.JEFFRISFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | GODFREY KAHN SC | IndividualWithBooksNm |
| Phone | 4142733500 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 833 E MICHIGAN ST STE 1800 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | 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 | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| THOMAS M JEFFRIS | ||||||||
| PO BOX 1160 | JANESVILLE | WI | 53547 | PRESIDENT/TREASURER/DIRECTOR | 40.00 | $125,000 | $0 | $0 |
| PEGGY J SHERIDAN | ||||||||
| PO BOX 1160 | JANESVILLE | WI | 53547 | VICE PRES/SECRETARY/ASST TREASURER | 15.00 | $0 | $0 | $0 |
| ROYCE YEATER | ||||||||
| 29813 DAHLIA ST NW | ISANTI | MN | 55040 | DIRECTOR | 10.00 | $61,120 | $0 | $0 |
| ROMAN VETTER | ||||||||
| 215 N ALLEN ST | MADISON | WI | 53726 | DIRECTOR | 7.00 | $48,000 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GAMCO INVESTORS INC | |||||
| ONE CORPORATE CENTER | RYE | NY | 105801422 | INVESTMENT MANAGEMENT | $69,263 |
| GARDNER RUSSO & GARDNER LLC | |||||
| 223 E CHESTNUT ST | LANCASTER | PA | 17602 | INVESTMENT MANAGEMENT | $57,593 |
| GODFREY & KAHN SC | |||||
| 833 E MICHIGAN ST STE 1800 | MILWAUKEE | WI | 53202 | LEGAL/ACCOUNTING/TAX PREPARATION | $51,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $26,562,382 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $825,672 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $27,388,054 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $27,388,054 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $410,821 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $26,977,233 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,348,862 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,348,862 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,542 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,542 | TotalTaxAmt |
| Distributable Before Adj | $1,342,320 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $75,000 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,417,320 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,417,320 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $418,909 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Set Aside Suitability Test | $1,430,000 | SetAsideSuitabilityTestAmt |
| Qualifying Distributions | $1,848,909 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $6,542 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,842,367 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,417,320 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $1,154,348 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,848,909 | QualifyingDistributionsAmt |
| Applied To Year1 | $1,154,348 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $694,561 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $722,759 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ASSOCIATES FOR THE RESTORED TEMPLE THEATRE LTD | ||||||
| 220 S MAIN ST | VIROQUA | WI | 54665 | PUBLIC CHARITY | CHARITABLE - IN MEMORY OF FRED NELSON | $500 |
| AUBURN AUTOMOTIVE HERITAGE INC | ||||||
| 1600 S WAYNE ST | AUBURN | IN | 46706 | PUBLIC CHARITY | CHARITABLE - RESTORATION | $38,232 |
| CARVER COUNTY HISTORICAL SOCIETY | ||||||
| 555 W 1ST ST | WACONIA | MN | 55387 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF ANDREW PETERSON FARMSTEAD | $49,700 |
| ELLWOOD HOUSE ASSOCIATION INC | ||||||
| 509 N FIRST ST | DEKALB | IL | 60115 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF ELLWOOD HOUSE | $36,000 |
| HISTORIC MADISON INC | ||||||
| 500 WEST ST | MADISON | IN | 47250 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF SHREWSBURY-WINDLE HOUSE | $375,000 |
| KEOKUK UNION DEPOT FOUNDATION | ||||||
| PO BOX 463 | KEOKUK | WI | 52632 | PUBLIC CHARITY | CHARITABLE - PHASE II ROOF RESTORATION | $333,000 |
| LA CROSSE COMMUNITY FOUNDATION | ||||||
| 401 MAIN ST 205 | LA CROSSE | WI | 54601 | PUBLIC CHARITY | CHARITABLE | $250 |
| LICKING COUNTY FOUNDATION | ||||||
| 30 N 2ND ST | NEWARK | OH | 43058 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF LOUIS SULLIVAN BUILDING | $27,250 |
| LINN COUNTY HISTORICAL SOCIETY (THE HISTORY CENTER) | ||||||
| 716 OAKLAND RD NE 103 | CEDAR RAPIDS | IA | 52402 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF DOUGLAS MANSION | $5,400 |
| MILTON HISTORICAL SOCIETY | ||||||
| PO BOX 245 | MILTON | WI | 53563 | PUBLIC CHARITY | CHARITABLE - CAPITAL FUND DRIVE | $1,000 |
| ROCK COUNTY HISTORICAL SOCIETY | ||||||
| 426 N JACKSON ST | JANESVILLE | WI | 53548 | PUBLIC CHARITY | CHARITABLE - RESTORATION & FEASIBILITY STUDY FOR WILSON KING STONE HOUSE | $10,750 |
| ROCK COUNTY HISTORICAL SOCIETY | ||||||
| 426 N JACKSON ST | JANESVILLE | WI | 53548 | PUBLIC CHARITY | CHARITABLE - SPONSORSHIP | $1,000 |
| ROCK COUNTY HISTORICAL SOCIETY | ||||||
| 426 N JACKSON ST | JANESVILLE | WI | 53548 | PUBLIC CHARITY | CHARITABLE - SPONSORSHIP | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $879,082 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| FRIENDS OF ST MARY'S (STEEPLE SQUARE) | ||||||
| PO BOX 3188 | DUBUQUE | IA | 52004 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF ST MARY'S CHURCH TOWER & STEEPLE | $600,000 |
| GROUSELAND FOUNDATION INC | ||||||
| 3 W SCOTT ST | VINCENNES | IN | 47591 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF WILLIAM HENRY HARRISON HOME | $400,000 |
| LOGAN COUNTY LANDMARK PRESERVATION INC | ||||||
| 127 E COLUMBUS AVE | BELLEFONTAINE | OH | 43311 | PUBLIC CHARITY | CHARITABLE - RESTORATION OF HOLLAND THEATRE | $430,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $1,430,000 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $48,082 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $459,729 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $405,508 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $913,319 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $913,319 | 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 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | CORPORATE STOCK/MUTUAL FUNDS | StockNm |
| EOY Book Value | $12,241,687 | EOYBookValueAmt |
| EOYFMV | $25,701,509 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $709,875 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $1,033,128 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROUNDING | Desc |
| Amt | $5 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN/ADR INVESTMENT FEES | $1,336 | $1,336 | $0 |
| WEB HOSTING FEES | $3,165 | $0 | $3,165 |
| ADMIN/TRAVEL/MEETINGS EXPENSES | $14,940 | $1,808 | $13,132 |
| FILING FEES | $20 | $0 | $20 |
| MEMBERSHIPS/DIRECTORIES/SPONSORSHIPS | $434 | $0 | $434 |
| BROKERAGE CUSTODY FEES | $1,578 | $1,578 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECOVERY OF GRANT TREATED AS PRIOR YEAR DISTRIBUTION | Desc |
| Amt | $75,000 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| TAX RETURN PREPARATION/ACCOUNTING FEES | $51,333 | $0 | $51,333 |
| INVESTMENT MANAGEMENT FEES | $172,326 | $172,326 | $0 |
| SET ASIDE FEES | $3,000 | $0 | $3,000 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PAYROLL TAXES | $9,160 | $4,580 | $4,580 |
| FOREIGN TAXES | $14,986 | $14,986 | $0 |
| 2016 FORM 990-PF ESTIMATED TAX PAYMENTS | $5,000 | $0 | $0 |