KOHL FAMILY FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KOHL FAMILY FOUNDATION (EIN 39-1911092)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-15
- IRS object ID
- 201702279349100710
- 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
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T09:42:14-00:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTINE AND ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1337 N TAYLOR DR | AddressLine1Txt |
| City | SHEBOYGAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53081 | 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 | 391911092 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOHL FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KOHL | BusinessNameControlTxt |
| Phone | 9208763611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 354 | AddressLine1Txt |
| City | ELKHART LAKE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53020 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARRY MATZ | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Signature | 2017-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KENT J AUGUSTINE | PreparerPersonNm |
| Phone | 9204526272 | PhoneNum |
| Preparation | 2017-08-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 97.91.110.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-15 | IPDt |
| IP Tm | 14:41:59 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 093E15CC22B0B216799F5D1A19B9DA3CF7909F58 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 093E15CC22B0B216799F5D1A19B9DA3CF7909F58 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,500,014 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Interest On Sav Rev And Expnss | $6 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $6 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $33,534 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $33,534 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $415 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $207,692 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $415 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $33,955 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $33,955 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,800 | AccountingFeesRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $15,213 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $15,213 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $300 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $300 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $10 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $17,323 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $15,513 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $66,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $66,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $83,823 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $15,513 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $66,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$49,868 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $18,442 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $16,813 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $19,241 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $19,241 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $69,298 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $69,298 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $89,093 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $428,582 | CorporateStockBOYAmt |
| Corporate Stock EOY | $432,516 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $520,819 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $616,667 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $527,808 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $518,267 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $385,789 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $339,418 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $352,594 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,517,149 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,388,281 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,500,014 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $79,000 | OtherLiabilitiesBOYAmt |
| Total Liabilities BOY | $79,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $1,438,149 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,388,281 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,438,149 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,388,281 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,517,149 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,388,281 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,438,149 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$49,868 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,388,281 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,388,281 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (11 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| BAIRD CORE PLUS BD | P | 2015-06-30 | 2016-01-19 | $30,000 | $30,640 | -$640 | -$640 |
| PIMCO TOTAL RETURN FUND | P | 2015-06-30 | 2016-01-19 | $1,892 | $1,936 | -$44 | -$44 |
| PRINCIPAL MIDCAP | P | 2015-12-17 | 2016-01-19 | $3,337 | $3,689 | -$352 | -$352 |
| VANGUARD S/T INVEST GRADE | P | 2015-06-30 | 2016-12-27 | $1,452 | $1,477 | -$25 | -$25 |
| FEDERATED US GOVT SEC | P | 2012-05-07 | 2016-01-19 | $15,000 | $15,914 | -$914 | -$914 |
| FEDERATED US GOVT 2 TO 5 | P | 2012-05-07 | 2016-12-27 | $25,000 | $26,939 | -$1,939 | -$1,939 |
| PIMCO TOTAL RETURN FUND | P | 2012-05-07 | 2016-01-19 | $29,914 | $34,063 | -$4,149 | -$4,149 |
| PRINCIPAL MIDCAP | P | 2012-05-07 | 2016-01-19 | $6,663 | $6,223 | $440 | $440 |
| RIDGEWORTH SEIX HIGH INCOME | P | 2012-05-07 | 2016-12-27 | $10,000 | $11,064 | -$1,064 | -$1,064 |
| VANGUARD LARGE CAP ETF | P | 2015-06-19 | 2016-07-26 | $46,982 | $46,371 | $611 | $611 |
| VANGUARD S/T INVEST GRADE | P | 2012-05-07 | 2016-12-27 | $28,528 | $28,961 | -$433 | -$433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $415 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$1,036 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $72,778 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,342,568 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 000.054208 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $71,517 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,550,429 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 000.046127 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $71,500 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,492,493 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 000.047906 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $77,621 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,404,708 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 000.055258 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $82,340 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,464,289 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 000.056232 | DistributionYr5Rt |
| Total Distribution | 000.259731 | TotalDistributionRt |
| Average Distribution | 000.051946 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,506,324 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $78,248 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $184 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $78,432 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $66,500 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $369 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $369 | SubtotalAmt |
| Tax Based On Investment Income | $369 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,278 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,278 | TotalPaymentsAndCreditsAmt |
| Original Return Tax Paid | $1,278 | OriginalReturnTaxPaidAmt |
| Overpayment | $909 | OverpaymentAmt |
| Applied To ES Tax | $909 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | GARRY L MATZ | IndividualWithBooksNm |
| Phone | 9208763611 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 354 | AddressLine1Txt |
| City | ELKHART LAKE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| PATRICIA CRAUSWELL | ||||||
| PO BOX 354 | ELKHART LAKE | WI | 53020 | TRUSTEE | 000.00 | $0 |
| KATHLEEN GARNER | ||||||
| PO BOX 354 | ELKHART LAKE | WI | 53020 | TRUSTEE | 000.00 | $0 |
| TODD WEIMER | ||||||
| PO BOX 354 | ELKHART LAKE | WI | 53020 | TRUSTEE | 000.00 | $0 |
| GARRY MATZ | ||||||
| PO BOX 354 | ELKHART LAKE | WI | 53020 | TRUSTEE | 000.00 | $0 |
| LARRY SILTON | ||||||
| PO BOX 354 | ELKHART LAKE | WI | 53020 | TRUSTEE | 000.00 | $0 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,511,234 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $18,029 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,529,263 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,529,263 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $22,939 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,506,324 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $75,316 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $75,316 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $369 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $369 | TotalTaxAmt |
| Distributable Before Adj | $74,947 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $74,947 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $74,947 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $66,500 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $66,500 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $66,500 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $74,947 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr4 | $2,766 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr1 | $8,094 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $10,860 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $66,500 | QualifyingDistributionsAmt |
| Applied To Current Year | $66,500 | AppliedToCurrentYearAmt |
| Excess Distri Cyov App CY Corpus | $8,447 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $8,447 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $2,413 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $2,413 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $2,413 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| HELENA UNITED METHODIST CHURCH | |||||||
| 2035 HIGHWAY 58 | HELENA | AL | 35080 | NONE | NC | GENERAL OPERATIONS | $10,000 |
| INTEGRATED TOUCH FOR KIDS | |||||||
| 8340 NORTH THORNYDALE ROAD | TUCSON | AZ | 85741 | NONE | NC | GENERAL OPERATIONS | $500 |
| ELKHART LAKE SCHOOL DISTRICT | |||||||
| 201 NORTH LINCOLN STREET | ELKHART LAKE | WI | 53020 | NONE | GOV | GENERAL OPERATIONS | $12,000 |
| ELKHART LAKE FIRST RESPONDERS | |||||||
| PO BOX 72 | ELKHART LAKE | WI | 53020 | NONE | NC | GENERAL OPERATIONS | $6,000 |
| ST JAMES LUTHERAN SCHOOL | |||||||
| 324 SOUTH ANDREWS ST | SHAWANO | WI | 54166 | NONE | NC | GENERAL OPERATIONS | $11,500 |
| TUCSON COLD WET NOSES | |||||||
| 2209 NORTH NORTHWAY | TUCSON | AZ | 85716 | NONE | NC | GENERAL OPERATIONS | $1,000 |
| SALVATION ARMY | |||||||
| N3581 BLUEBERRY LANE | WALCO | WI | 53093 | NONE | PC | GENERAL OPERATIONS | $500 |
| SCHRINERS HOSPITAL FOR CHILDREN | |||||||
| NORTH OAK PARK AVE | CHICAGO | IL | 60707 | NONE | PC | GENERAL OPERATIONS | $500 |
| BUTTERFLY EDUCATION ARTS INC | |||||||
| 81 NORTH MAIN ST | FLORENCE | MA | 01062 | NONE | NC | GENERAL OPERATIONS | $1,000 |
| FRIENDS OF PACE | |||||||
| 4000 NORTH SILVERBELL ROAD | TUCSON | AZ | 85745 | NONE | NC | GENERAL OPERATIONS | $1,000 |
| BRIARWOOD CHRISTIAN SCHOOL | |||||||
| 6255 CAHABA VALLEY ROAD | BIRMINGHAM | AL | 35242 | NONE | NC | GENERAL OPERATIONS | $13,000 |
| ANAT BANIEL METHOD FOUNDATION | |||||||
| 4330 REDWOOD HWY SUITE 350 | SAN RAFAEL | CA | 94903 | NONE | PF | GENERAL OPERATIONS | $1,000 |
| FRIENDS OF ELKHART LAKE LIBRARY | |||||||
| 40 PINE STREET | ELKHART LAKE | WI | 53020 | NONE | NC | GENERAL OPERATIONS | $500 |
| ALZHEIMERS DISEASE RESEARCH | |||||||
| 22512 GATEWAY CENTER DRIVE | CLARKSBURG | MD | 20871 | NONE | NC | GENERAL OPERATIONS | $500 |
| ELKHART LAKE BOY SCOUTS | |||||||
| 191 EAST MAPLE STREET | ELKHART LAKE | WI | 53020 | NONE | NC | GENERAL OPERATIONS | $1,000 |
| CAMP TO BELONG WISCONSIN INC | |||||||
| PO BOX 321 | FOND DU LAC | WI | 54936 | NONE | NC | GENERAL OPERATIONS | $1,000 |
| UNIVERSITY OF ARIZONAUA PRESENTS | |||||||
| 111 NORTH CHERRY AVE | TUSCON | AZ | 85721 | NONE | GOV | GENERAL OPERATIONS | $5,000 |
| CHILDRENS MUSEUM | |||||||
| 902 N 8TH ST | SHEBOYGAN | WI | 53081 | NONE | NC | GENERAL OPERATIONS | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $66,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $33,534 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $415 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $33,955 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $33,955 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | AUGUSTINE ASSOCIATES, LLC | CategoryTxt |
| Amt | $1,800 | Amt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (11 entries)
| AssetAssetDesc | AcquiredAcquiredDt | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|---|---|---|
| BAIRD CORE PLUS BD | 2015-06 | P | 2016-01 | $30,000 | $30,640 | -$640 |
| PIMCO TOTAL RETURN FUND | 2015-06 | P | 2016-01 | $1,892 | $1,936 | -$44 |
| PRINCIPAL MIDCAP | 2015-12 | P | 2016-01 | $3,337 | $3,689 | -$352 |
| VANGUARD S/T INVEST GRADE | 2015-06 | P | 2016-12 | $1,452 | $1,477 | -$25 |
| FEDERATED US GOVT SEC | 2012-05 | P | 2016-01 | $15,000 | $15,914 | -$914 |
| FEDERATED US GOVT 2 TO 5 | 2012-05 | P | 2016-12 | $25,000 | $26,939 | -$1,939 |
| PIMCO TOTAL RETURN FUND | 2012-05 | P | 2016-01 | $29,914 | $34,063 | -$4,149 |
| PRINCIPAL MIDCAP | 2012-05 | P | 2016-01 | $6,663 | $6,223 | $440 |
| RIDGEWORTH SEIX HIGH INCOME | 2012-05 | P | 2016-12 | $10,000 | $11,064 | -$1,064 |
| VANGUARD LARGE CAP ETF | 2015-06 | P | 2016-07 | $46,982 | $46,371 | $611 |
| VANGUARD S/T INVEST GRADE | 2012-05 | P | 2016-12 | $28,528 | $28,961 | -$433 |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Election for Treatment of Unused Prior Year Corpus Distributions Pursuant to IRC Section 4942g3 and | FormAndLineReferenceDesc |
| Medium Explanation | Election for Treatment of Unused Prior Year Corpus Distributions Pursuant to IRC Section 4942g)3) and Reg. 53.4942a)3c)2)iv) the Foundation elects to treat unused prior tax years distributions that were treated as corpus distributions as distributions from corpus in the current tax year. | MediumExplanationTxt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| PIMCO TOTAL RETURN | $71,156 | $70,660 |
| BAIRD CORE PLUS BD | $78,944 | $78,484 |
| FEDERATED US GOVT SEC FD | $127,360 | $124,350 |
| RIDGEWORTH HIGH INCOME | $87,723 | $83,943 |
| VANGUARD S/T INVESTMENT | $162,625 | $160,830 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (11 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 2072 shares of ABERDEEN INTL EQUITY | $27,715 | $25,462 |
| 1960 shares of CALAMOS INTERNATIONAL | $33,625 | $31,315 |
| 4031 shares of COLUMBIA DIVIDEND INCOME | $59,980 | $77,080 |
| 1457 shares of JAMES SMALL CAP FUND | $36,578 | $51,896 |
| 3970 shares of JANUS INTECH US CORE | $61,212 | $72,618 |
| 4249 shares of LAUDUS US LARGE CAP GROWTH | $61,922 | $69,847 |
| 896 shares of OPPENHEIMER DEVELOPING | $29,750 | $29,064 |
| 937 shares of OPPENHEIMER GLOBAL OPPTY | $29,484 | $43,091 |
| 2551 shares of PRINCIPAL MIDCAP BLEND A | $37,974 | $56,414 |
| 1562 shares of SCOUT MID CAP FD | $21,585 | $25,953 |
| 1947 shares of T ROWE PRICE GLBL REAL ESTATE | $32,691 | $38,079 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (6 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ISHARES JP MORGAN USD MTS BOND ETF | FMV | $72,332 | $71,974 |
| VANGUARD FTSE DEVELOPED MARKETS ETF | FMV | $39,396 | $36,211 |
| VANGUARD LARGE CAP ETF | FMV | $85,444 | $90,802 |
| VANGUARD MID CAP ETF | FMV | $34,925 | $36,198 |
| VANGUARD REIT ETF | FMV | $34,931 | $35,653 |
| VANGUARD UTILITIES ETF | FMV | $72,390 | $81,756 |
Legal Fees Schedule LegalFeesSchedule
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BANK SERVICE CHARGES | Desc |
| Revenue And Expenses Per Books | $10 | RevenueAndExpensesPerBooksAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEPOSIT IN TRANSIT | Desc |
| BOY Book Value | $79,000 | BOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | SCHWAB | CategoryTxt |
| Amt | $15,213 | Amt |
| Net Investment Income | $15,213 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Tax on investment income | CategoryTxt |
| Amt | $300 | Amt |
| Net Investment Income | $300 | NetInvestmentIncomeAmt |