ELWYN REMINGTON FOUNDATION INC: Form 990PF, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ELWYN REMINGTON FOUNDATION INC (EIN 39-1633403)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-05-03
- IRS object ID
- 201111239349100906
- Schema version
- 2010v3.2
- 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
- Investments Govt Obligations Sch
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-03T11:23:31-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRETTINGEN SMITS NOVAK & BASTLE SC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 290 | AddressLine1 |
| City | ANTIGO | City |
| State | WI | State |
| ZIP Code | 54409 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391633403 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELWYN REMINGTON FOUNDATION INC CO RUDER WARE LLSC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ELWY | NameControl |
| Phone | 7158454336 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 FIRST STREET SUITE 8000 | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 544028050 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK BRADLEY | Name |
| Title | SECRETARY-TREASURER | Title |
| Phone | 7158454336 | Phone |
| Date Signed | 2011-04-19 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY G SMITS | Name |
| Phone | 7156237696 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 616990 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 2925 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 2908 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 2908 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 3854 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 3854 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 1330 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 16331 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 1330 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | 178200 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 102849 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 189217 | TotalRevenueAndExpenses |
| Total Net Investment Income | 110941 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 1364 | LegalFeesRevAndExpnss |
| Legal Fees Net Invst Incm | 0 | LegalFeesNetInvstIncm |
| Legal Fees Dsbrs Chrtbl Prps | 1364 | LegalFeesDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 940 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 940 | AccountingFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 3376 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 3376 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 0 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 235 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 171 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 11 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 1 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 10 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 5926 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 3548 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 2314 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 17500 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 17500 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 23426 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 3548 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 19814 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 165791 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 107393 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash EOY | 640 | CashEOY |
| Cash EOYFMV | 640 | CashEOYFMV |
| Savings And Temp Cash Invst BOY | 12013 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 414735 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 414735 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig BOY | 39117 | InvestmentsGovtObligBOY |
| Investments Govt Oblig EOY | 29063 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 29973 | InvestmentsGovtObligEOYFMV |
| Investments Corp Stock BOY | 52167 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 98305 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 131141 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 10206 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 39793 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 40501 | InvestmentsCorpBondsEOYFMV |
| Other Assets BOY | 303242 | OtherAssetsBOY |
| Other Assets EOY | 0 | OtherAssetsEOY |
| Other Assets EOYFMV | 0 | OtherAssetsEOYFMV |
| Total Assets BOY | 416745 | TotalAssetsBOY |
| Total Assets EOY | 582536 | TotalAssetsEOY |
| Total Assets EOYFMV | 616990 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 416745 | CapitalStockBOY |
| Capital Stock EOY | 582536 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 0 | RetainedEarningsBOY |
| Retained Earnings EOY | 0 | RetainedEarningsEOY |
| Total Net Assets BOY | 416745 | TotalNetAssetsBOY |
| Total Net Assets EOY | 582536 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 416745 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 582536 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 416745 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 165791 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 582536 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 582536 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (10 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|---|---|
| BP PLC | P | 2009-03-06 | 2010-06-10 | 325 | 562 | -237 | -237 |
| EATON CORP | P | 2009-01-21 | 2010-03-11 | 359 | 234 | 125 | 125 |
| HOME DEPOT | P | 2008-12-12 | 2010-06-15 | 638 | 465 | 173 | 173 |
| NIKO RESOURCES | P | 2004-03-29 | 2010-06-15 | 503 | 126 | 377 | 377 |
| US TREAS NTS | P | 2007-03-16 | 2010-11-15 | 5000 | 5027 | -27 | -27 |
| BP PLC | P | 2004-03-29 | 2010-06-10 | 812 | 1224 | -412 | -412 |
| EATON CORP | P | 2009-01-21 | 2010-03-11 | 1435 | 935 | 500 | 500 |
| HOME DEPOT | P | 2008-12-12 | 2010-06-15 | 1756 | 1278 | 478 | 478 |
| NIKO RESOURCES | P | 2004-01-29 | 2010-06-15 | 503 | 123 | 380 | 380 |
| US TREAS NTS | P | 2007-03-16 | 2010-11-15 | 5000 | 5027 | -27 | -27 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 1330 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 18988 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 431133 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.044042 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 19489 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 405826 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.048023 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 19702 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 439905 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.044787 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 23949 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 435939 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.054937 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 27481 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 443650 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.061943 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.253732 | TotalDistributionRatio |
| Average Distribution Ratio | 0.050746 | AverageDistributionRatio |
| Net Noncharitable Assets | 510996 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 25931 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 1074 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 27005 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 19814 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 2148 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 2148 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 2148 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 2148 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | WI | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | BRETTINGEN SMITS NOVAK SC | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 7156237696 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 290 | AddressLine1 |
| City | ANTIGO | City |
| State | WI | State |
| ZIP Code | 544090290 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| CHARLES MELZER | ||||||||
| 632 EASTVIEW DRIVE | ANTIGO | WI | 54409 | OFFICER-DIRECTOR | 1.00 | 0 | 0 | 0 |
| JEANNE LUCHT | ||||||||
| 206 SUPERIOR STREET | ANTIGO | WI | 54409 | OFFICER-DIRECTOR | 1.00 | 0 | 0 | 0 |
| MARK BRADLEY | ||||||||
| 608 SUPERIOR STREET | ANTIGO | WI | 54409 | OFFICER-DIRECTOR | 1.00 | 0 | 0 | 0 |
| MATTHEW SHINNERS | ||||||||
| 3347 CORTLAND LANE | ANTIGO | WI | 54409 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| MAUREEN WINTER | ||||||||
| 625 LANGLADE ROAD | ANTIGO | WI | 54409 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| TERI MELZER | ||||||||
| 1217 E GUNN ST 5 | APPLETON | WI | 54915 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| RUDER WARE LLSC | ||||||||
| 500 FIRST STREET SIUTE 8000 | WAUSAU | WI | 54402 | AGENT | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 132439 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 236346 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 149993 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 518778 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 518778 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 7782 | CashDeemedCharitable |
| Net Noncharitable Assets | 510996 | NetNoncharitableAssets |
| Minimum Investment Return | 25550 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 25550 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 2148 | TaxBasedOnInvestmentIncome |
| Total Tax | 2148 | TotalTax |
| Distributable Amount Before Adj | 23402 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 23402 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 23402 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 19814 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 19814 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 19814 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 23402 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year5 | 2037 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 2336 | ExcessDistriCarryoverYear4 |
| Total Excess Distri Carryover | 4373 | TotalExcessDistriCarryover |
| Qualifying Distributions | 19814 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 19814 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 0 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 3588 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 3588 | ExcessDistriCyovAppliedCY |
| Total Corpus | 785 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 785 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 785 | ExcessFromYear4 |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (18 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| BIRNAMWOOD VOLUNTEER FIRE DEPT | |||||||
| PO BOX C | BIRNAMWOOD | WI | 54414 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| CORNING VOLUNTEER FIRE DEPT | |||||||
| N1369 US HWY 64 107 | MERRILL | WI | 54452 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| ELCHO VOLUNTEER FIRE DEPT | |||||||
| PO BOX 241 | ELCHO | WI | 54428 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| FOX VALLEY TECHNICAL COLLEGE | |||||||
| 1825 N BLUEMOND DRIVE | APPLETON | WI | 54912 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| LANGLADE COUNTY HISTORICAL SOCIETY | |||||||
| PO BOX 219 | ANTIGO | WI | 54409 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $2,000 |
| NORTHCENTRAL TECHNICAL COLLEGE | |||||||
| 1000 W CAMPUS DRIVE | WAUSAU | WI | 54401 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| RED ROBIN SCHOLARSHIP FOR DESIGNATED STUDENTS | |||||||
| PO BOX 214 | ANTIGO | WI | 54409 | N/A | OTHER PUBLIC CHARITY | SCHOLARSHIP | $2,500 |
| UNIV OF WI-EAU CLAIRE | |||||||
| 112 SCHOFIELD HALL | EAU CLAIRE | WI | 54702 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| UNIV OF WI-GREEN BAY | |||||||
| 2420 NICOLET DRIVE | GREEN BAY | WI | 54311 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| UNIV OF WI-MADISON | |||||||
| 21 N PARK STREET | MADISON | WI | 53715 | N/A | SCHOOL | SCHOLARSHIP | $1,000 |
| UNIV OF WI-MARATHON COUNTY | |||||||
| 518 S 7TH AVENUE | WAUSAU | WI | 54401 | N/A | SCHOOL | SCHOLARSHIP | $1,000 |
| UNIV OF WI-STEVENS POINT | |||||||
| 102 STUDENT SERVICES CENTER | STEVENS POINT | WI | 54481 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| RASMUSSEN COLLEGE | |||||||
| 1101 WESTWOOD DRIVE | WAUSAU | WI | 54401 | N/A | SCHOOL | SCHOLARSHIP | $500 |
| LANGLADE COUNTY COMMUNITY DEVELOPMENT | |||||||
| 700 EDISON STREET | ANTIGO | WI | 54409 | N/A | OTHER PUBLIC CHARITY | COMMUNITY TREE PLANTING GRANT | $2,500 |
| ANTIGO STOCK CAR INC | |||||||
| PO BOX 279 | ANTIGO | WI | 54409 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $1,000 |
| TOWN OF RINGLE VOLUNTEER FIRE DEPARTMENT | |||||||
| 7107 TOWN HALL RD | RINGLE | WI | 54471 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| MATTOON FIRE DEPARTMENT | |||||||
| 310 STATE AVENUE | MATTOON | WI | 54450 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| WHITE LAKE VOLUNTEER FIRE DEPARTMENT | |||||||
| 113 BISSELL STREET | WHITE LAKE | WI | 54491 | N/A | OTHER PUBLIC CHARITY | PUBLIC IMPROVEMENT | $750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 17500 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $2,908 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $3,854 | ExclusionAmount |
Other Investment Income Part VII OtherInvestmentIncomePartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $102,849 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $1,330 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed (2 entries)
| DescriptionDescription | ExclusionExclusionAmount |
|---|---|
| NET PROCEEDS FROM LIFE INS CO'S. | $75,141 |
| NET BOOK/TAX TIMING DIFFERENCES | $210 |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $186,292 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 186292 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING & LEGAL FEES | Category |
| Amount | $940 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 940 | DisbursementsCharitablePrps |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Bond | CORPORATE BONDS | NameOfBond |
| EOY Book Value | 39793 | EOYBookValue |
| EOYFMV | 40501 | EOYFMV |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | CORPORATE STOCK | NameOfStock |
| EOY Book Value | 98305 | EOYBookValue |
| EOYFMV | 131141 | EOYFMV |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 29063 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 29973 | USGovtSecuritiesEOYFMV |
| State Local Securities EOY Book Val | 0 | StateLocalSecuritiesEOYBookVal |
| State Local Securities EOYFMV | 0 | StateLocalSecuritiesEOYFMV |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | Category |
| Amount | $1,364 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 1364 | DisbursementsCharitablePrps |
Other Assets Schedule OtherAssetsSchedule
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIFE INSURANCE | Description |
| BOY Book Value | 303242 | BOYBookValue |
| EOY Book Value | 0 | EOYBookValue |
| EOYFMV | 0 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| ANNUAL REPORT FEE | 10 | 0 | 10 |
| ADR FEES | 1 | 1 | 0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (5 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|
| MISC-ROUNDING/TIMING | 0 | 0 | 0 |
| FORM 1099-R NWML | 101915 | 101915 | 101915 |
| FORM 1099-R CUNA | 934 | 934 | 934 |
| NET PROCEEDS FROM LIFE INS CO'S. | 75141 | 75141 | |
| NET BOOK/TAX TIMING DIFFERENCES | 210 | 210 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| FIDUCIARY FEES | $2,617 | 2617 | 0 |
| INVESTMENT ADVISORY FEES | $759 | 759 | 0 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| EXCISE TAXES | $64 | 0 | 0 |
| FOREIGN W/H TAXES | $171 | 171 | 0 |