STRATEGY STUDIO / PUBLIC DATA EXPLORER

HEYRMAN CONSTRUCTION CO INC FNDTN: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEYRMAN CONSTRUCTION CO INC FNDTN (EIN 39-6615213)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201711359349103351
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T13:37:33-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391421794PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HERMANS & ASSOCIATES CPA'S SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11901 S WEBSTER AVE SUITE 3AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54301ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN396615213EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEYRMAN CONSTRUCTION CO INCBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHEYRBusinessNameControlTxt
Phone9204333109PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12800AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072800ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEARL HEYRMANPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9204333109PhoneNum
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHLEEN M HERMANSPreparerPersonNm
PTINP00118408PTIN
Phone9204356121PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.103.135.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-10IPDt
IP Tm09:38:01IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF1243016E0D4E0F2A2EDDDA7C2B97F0E580CA29CAtSubmissionCreationDeviceId
At Submission Filing Device IdF1243016E0D4E0F2A2EDDDA7C2B97F0E580CA29CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$490,655FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$114,033ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$5,837DividendsRevAndExpnssAmt
Dividends Net Invst Incm$5,837DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$145,901NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$363,701GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$145,901CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$265,771TotalRevAndExpnssAmt
Total Net Invst Incm$151,738TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$520AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$520AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$3,474OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$3,474OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$418TaxesRevAndExpnssAmt
Taxes Net Invst Incm$49TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$4,412TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,043TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$11,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$11,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$15,912TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,043TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$11,500TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$249,859ExcessRevenueOverExpensesAmt
Net Investment Income$147,695NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$7,191CashBOYAmt
Cash EOY$19,079CashEOYAmt
Cash EOYFMV$19,079CashEOYFMVAmt
Other Investments BOY$168,062OtherInvestmentsBOYAmt
Other Investments EOY$406,232OtherInvestmentsEOYAmt
Other Investments EOYFMV$471,576OtherInvestmentsEOYFMVAmt
Total Assets BOY$175,253TotalAssetsBOYAmt
Total Assets EOY$425,311TotalAssetsEOYAmt
Total Assets EOYFMV$490,655TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$175,253CapitalStockBOYAmt
Capital Stock EOY$425,311CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$175,253TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$425,311TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$175,253TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$425,311TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$175,253TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$249,859ExcessRevenueOverExpensesAmt
Other Increases$199OtherIncreasesAmt
Subtotal$425,311SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$425,311TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (19 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDt
8.494 SH GOLDMAN SACHS TR GROWTH OPPORTUNP2016-01-26$181$230-$49-$49
900 SH FORTIVE CORPP2016-12-19$49,071$49,239-$168-$1682016-12-16
62.079 SH GOLDMAN SACHS SATELLITE CL IP2016-01-05$459$490-$31-$31
1200 SH V F CORP COMP2016-12-19$64,073$64,794-$721-$7212016-12-16
90.571 SH GOLDMAN SACHS TR GROWTH OPPORTUN INSTLP2016-01-26$1,930$2,564-$634-$634
70 SH AMAZON.COM INC COMP2016-01-21$40,682$20,029$20,653$20,6532013-08-16
42 SH AMAZON.COM INC COMP2016-01-26$25,046$12,017$13,029$13,0292013-08-16
28 SH AMAZON.COM INC COMP2016-03-24$16,162$8,012$8,150$8,1502013-08-16
15 SH AMAZON.COM INC COMP2016-04-04$8,906$4,292$4,614$4,6142013-08-16
15 SH AMAZON.COM INC COMP2016-12-19$11,514$4,292$7,222$7,2222013-08-16
365.497 SH GOLDMAN SACHS SATELLITE CL IP2016-01-05$2,701$2,970-$269-$269
262.54 SH GOLDMAN SACHS TR GROWTH OPPORUN INSTLP2016-01-26$5,595$4,038$1,557$1,557
75 SH ALPHABET INC CL C COMP2016-01-21$53,374$19,376$33,998$33,9982007-07-27
35 SH ALPHABET INC CL C COMP2016-01-26$24,871$7,552$17,319$17,3192008-03-11
40 SH ALPHABET INC CL C COMP2016-03-24$29,299$8,630$20,669$20,6692008-03-11
15 SH ALPHABET INC CL C COMP2016-04-04$11,172$3,236$7,936$7,9362008-03-11
10 SH ALPHABET INC CL C COMP2016-08-15$7,815$2,158$5,657$5,6572008-03-11
465.934 SH GOLDMAN SACHS SATELLITE CL IP2016-01-05$3,443$3,881-$438-$4382011-04-25
CAPITAL GAINS DIVIDENDSP$7,407$7,407$7,407
FieldValueIRS element (for citing)
Capital Gain Net Income$145,901CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$6,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$134,295NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.044678DistributionYr1Rt
Adjusted Qlfy Distri Yr2$5,500AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$123,296NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.044608DistributionYr2Rt
Adjusted Qlfy Distri Yr3$4,913AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$112,510NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.043667DistributionYr3Rt
Adjusted Qlfy Distri Yr4$5,015AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$99,813NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.050244DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,691AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$100,592NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046634DistributionYr5Rt
Total Distribution0.229831TotalDistributionRt
Average Distribution0.045966AverageDistributionRt
Net Vl Noncharitable Assets$363,500NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$16,709AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,477NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$18,186AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$11,500QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,954InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,954SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,954TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$149EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$149TotalPaymentsAndCreditsAmt
Tax Due$2,805TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksASSOCIATED TRUST COMPANYIndividualWithBooksNm
Phone9204333109PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1200 N ADAMS STAddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543079006ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
EARL HEYRMAN
1030 WAUBE LANEGREEN BAYWI54304TRUSTEE1.00$0$0$0
VERNON HEYRMAN
1030 WAUBE LANEGREEN BAYWI54304TRUSTEE1.00$0$0$0
CHRISTOPHER HEYRMAN
1030 WAUBE LANEGREEN BAYWI54304TRUSTEE1.00$0$0$0
CARLA RAISLEGER
1030 WAUBE LANEGREEN BAYWI54304TRUSTEE1.00$0$0$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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$358,433AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$10,603AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$369,036TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$369,036AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,536CashDeemedCharitableAmt
Net Vl Noncharitable Assets$363,500NetVlNoncharitableAssetsAmt
Minimum Investment Return$18,175MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$18,175MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,954TaxBasedOnInvestmentIncomeAmt
Total Tax$2,954TotalTaxAmt
Distributable Before Adj$15,221DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$15,221DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$15,221DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$11,500ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$11,500QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$11,500AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$15,221DistributableAsAdjustedAmt
Undistributed Income PY$6,543UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$11,500QualifyingDistributionsAmt
Applied To Year1$6,543AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,957AppliedToCurrentYearAmt
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$10,264UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCARLA RAISLEGER HEYRMAN CONSTRUCTIORecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11030 WAUBE LANEAddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54304ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9204333136RecipientPhoneNum
Form And Info And MaterialsTHERE IS NO PARTICULAR FORM TO SUBMIT REQUESTSFormAndInfoAndMaterialsTxt
Submission DeadlinesTHERE IS NO DEADLINESubmissionDeadlinesTxt
Restrictions On AwardsTHERE ARE NO RESTRICTIONS OR LIMITATIONSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BOYS AND GIRLS CLUB OF GREEN BAY
311 S ONEIDA STGREEN BAYWI54303NONEPCPROGRAM SUPPORT$1,000
EAST SHORE INDUSTRIES INC
813 RABAS STALGOMAWI54201NONEPCHELP DISABLED TO INDEPENDENCE$250
FAMILY SERVICE ASSOCIATION
1930 N 8TH STSHEBOYGANWI53081NONEPCFINANCIAL MANAGEMENT PROGRAMS$500
FREEDOM HOUSE
2997 ST ANTHONY DRIVEGREEN BAYWI54311NONEPCSERVICE TO HOPELESS & HOMELESS$500
GIRL SCOUTS OF AMERICA
PO BOX 9456GREEN BAYWI54308NONEPCLEADERSHIP DEVELOPMENT TO GIRLS AGES 5-17$500
HEAVEN'S TOUCH INC
1043 WESTERN AVEGREEN BAYWI54303NONEPCPROGRAM SUPPORT$500
MY BROTHER'S KEEPER INC
1039 W MASON STGREEN BAYWI54303NONEPCMALE MENTORING PROGRAM$250
NATIONAL MULTIPLE SCLEROSIS SOCIETY
8111 N STADIUM DRIVE STE 100HOUSTONTX77054NONEPCMOBILIZE PEOPLE TO DRIVE RESEARCH FOR A CURE$250
NEW COMMUNITY SHELTER
301 MATHER STGREEN BAYWI54303NONEPCSHELTER, COUNSELING, & MEALS TO GREEN BAY AREA$300
ST JOSEPH'S SCHOOL
6914 53RD STREETKENOSHAWI53144NONEPCPROGRAM SUPPORT$500
THE BOY SCOUTS OF AMERICA
PO BOX 267APPLETONWI54912NONEPCASSIST YOUTH TO MAKE ETHICAL & MORAL CHOICES$500
UNITY OF FRIENDS
909 N RIVERSIDE DRIVEGREEN BAYWI54303NONEPCPROGRAM SUPPORT$950
BELLIN COLLEGE OF NURSING
3201 EATON RDGREEN BAYWI54311NONEPCPROGRAM SUPPORT$5,000
DOOR COUNTY ECONOMIC DEVELOPMENT CORP
185 E WALNUT STSTURGEON BAYWI54235NONEPCPROGRAM SUPPORT$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$11,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5,837ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$145,901ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$151,738ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$151,738TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
EARL A HEYRMAN
13012 AUTUM LEAVES CIRCLEGREEN BAYWI54313$49,239Yes (X)
EARL A HEYRMAN
23012 AUTUM LEAVES CIRCLEGREEN BAYWI54313$64,794Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1900 SHARES FORTIVE CORP COM$49,2392016-12-16
21200 SH VF CORP COM$64,7942016-12-16

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryHERMANS & ASSOCIATES, CPA'S S.C.CategoryTxt
Amt$520Amt
Net Investment Income$520NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (12 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DODGE AND COX STOCK FDAT COST$27,943$42,323
AM FDS EUROPACIFIC GROWTH FD CL F2AT COST$4,715$6,225
HARBOR CAPITAL APPRECIATION FDAT COST$31,105$38,073
PERKINS SMALL CAP VALUE FUND CL IAT COST$13,238$15,781
PERKINS MID CAP VALUE FUND CL IAT COST$5,899$4,832
AM FDS NEW WORLD FD CL F2AT COST$5,719$5,511
VANGUARD MORGAN GROWTH ADMIRAL SHSAT COST$17,600$21,441
VANGUARD INDEX TR 500 ADMIRAL SHSAT COST$195,234$224,674
WASATCH SMALL CAP GROWTH FDAT COST$12,166$13,341
IF INTERNATIONAL EQUITY SER FUND PRIMARY SHSAT COST$14,613$14,405
VANGUARD MID CAP INDEX ADMAT COST$53,000$60,397
VANGUARD SML CAP INX-ADMAT COST$25,000$24,573

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescTO ADJUST TO ACTUALDesc
Amt$199Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$3,474Amt
Net Investment Income$3,474NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$49$49$0
2016 ESTIMATED PAYMENTS$45$0$0
2015 ESTIMATED TAX PAYMENTS$324$0$0