Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 04-01-2018 , and ending 03-31-2019
Name of foundation
ELIZABETH J TELLIER FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1000 NORTH WATER STREET SUITE 1500
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI53202
A Employer identification number

39-1777930
B Telephone number (see instructions)

(414) 347-7089
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,957,119
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 20,778 20,778  
4 Dividends and interest from securities... 49,746 49,746  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 210,965
b Gross sales price for all assets on line 6a 1,340,186
7 Capital gain net income (from Part IV, line 2)... 210,965
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 281,489 281,489  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 2,185 725   1,460
b Accounting fees (attach schedule)....... 2,825 935   1,890
c Other professional fees (attach schedule).... 20,000 15,000   5,000
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 2,450      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 860 860    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 28,320 17,520   8,350
25 Contributions, gifts, grants paid....... 217,690 217,690
26 Total expenses and disbursements. Add lines 24 and 25 246,010 17,520   226,040
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 35,479
b Net investment income (if negative, enter -0-) 263,969
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 829,558 982,498 982,498
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,930,188 Click to see attachment1,386,214 2,206,104
c Investments—corporate bonds (attach schedule)....... 154,880 Click to see attachment605,824 610,908
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 113,962 Click to see attachment89,531 157,609
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,028,588 3,064,067 3,957,119
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 3,028,588 3,064,067
30 Total net assets or fund balances (see instructions)..... 3,028,588 3,064,067
31 Total liabilities and net assets/fund balances (see instructions). 3,028,588 3,064,067
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
3,028,588
2
Enter amount from Part I, line 27a .....................
2
35,479
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,064,067
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,064,067
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P    
b PUBLICLY TRADED SECURITIES P    
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 621,282   579,406 41,876
b 718,904   549,815 169,089
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       41,876
b       169,089
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 210,965
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3 41,876
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 278,456 3,873,477 0.071888
2016 243,672 3,650,904 0.066743
2015 223,348 3,680,354 0.060687
2014 266,726 3,824,302 0.069745
2013 219,774 3,661,895 0.060016
2
Total of line 1, column (d) .....................
2
0.329079
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.065816
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
3,868,013
5
Multiply line 4 by line 3......................
5
254,577
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,640
7
Add lines 5 and 6........................
7
257,217
8
Enter qualifying distributions from Part XII, line 4,.............
8
226,040
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 5,279
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 5,279
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 5,279
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 2,662
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,662
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,617
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletWI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletSCHENSEMA CPA INC Telephone no.bullet (262) 674-1123

    Located atbulletPO BOX 682JACKSONWI ZIP+4bullet53037
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ROBERT W CHERNOW PRESIDENT/DI
    3.00
    0 0 0
    2020 LAKE SHORE RD
    GRAFTON,WI53024
    JOHN C DOWD TREASURER/DI
    0.30
    0 0 0
    7240 NORTH RIVER ROAD
    RIVER HILLS,WI53217
    JO ELLEN CHERNOW DIRECTOR
    0.20
    0 0 0
    1637 WEST HOLLYWOOD AVE
    CHICAGO,IL60660
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,860,345
    b
    Average of monthly cash balances.......................
    1b
    906,028
    c
    Fair market value of all other assets (see instructions)................
    1c
    160,544
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,926,917
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,926,917
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    58,904
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,868,013
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    193,401
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    193,401
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    5,279
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,279
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    188,122
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    188,122
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    188,122
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    226,040
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    226,040
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    226,040
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 188,122
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 41,861
    b From 2014...... 86,681
    c From 2015...... 41,242
    d From 2016...... 66,787
    e From 2017...... 90,036
    fTotal of lines 3a through e........ 326,607
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 226,040
    a Applied to 2017, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2018 distributable amount..... 188,122
    e Remaining amount distributed out of corpus 37,918
    5 Excess distributions carryover applied to 2018.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 364,525
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    41,861
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    322,664
    10 Analysis of line 9:
    a Excess from 2014.... 86,681
    b Excess from 2015.... 41,242
    c Excess from 2016.... 66,787
    d Excess from 2017.... 90,036
    e Excess from 2018.... 37,918
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    CUREAIDS FOUNDATION INC
    7240 NORTH RIVER ROAD
    RIVER HILLS,WI53217
    N/A PUBLIC IRENJI PS/IRMA RELIEF 30,000
    GRAND AVENUE CLUB
    210 EAST MICHIGAN AVENUE
    MILWAUKEE,WI53202
    N/A PUBLIC SUPPORT FOR MENTAL HEALTH 15,000
    THREE HOLY WOMEN CHURCH
    1716 N HUMBOLDT AVENUE
    MILWAUKEE,WI53202
    N/A PUBLIC OUTREACH PROGRAM-ELDERLY & HOMELES 15,000
    ELMBROOK HUMANE SOCIETY
    20950 ENTERPRISE AVENUE
    BROOKFIELD,WI53045
    N/A PUBLIC SUPPORT FOR SPAY & NEUTER PROGRAM 3,000
    DISABILITY RIGHTS WISCONSIN
    6737 W WASHINGTON ST
    STE 3230
    MILWAUKEE,WI53214
    N/A PUBLIC SUPPORT FOR TRAINING PROJECT 15,000
    CENTER FOR POPULAR DEMOCRACY
    449 TROUTMAN ST STE A
    BROOKLYN,NY11237
    N/A PUBLIC SUPPORT FOR WE BELIEVE YOU FUND 25,000
    META HOUSE
    2625 N WEIL STREET
    MILWAUKEE,WI53212
    N/A PUBLIC SUPPORT CHILD & FAMILY SERVICES 15,000
    SPECIALTY PUREBRED CAT RESCUE
    PO BOX 132
    KENOSHA,WI53171
    N/A PUBLIC SUPPORT FOR SPAY & NEUTER PROGRAM 3,000
    LET IT BE US
    145 WEST MAIN STREET
    BARRINGTON,IL60010
    N/A PUBLIC MENTORSHIP PROGRAM 15,000
    FOR CAT'S SAKE
    PO BOX 341246
    WEST MILWAUKEE,WI53234
    N/A PUBLIC SUPPORT FOR SPAY & NEUTER PROGRAM 3,000
    HAPPY ENDINGS
    5349 WEST FOREST HOME AVE
    MILWAUKEE,WI53220
    N/A PUBLIC SUPPORT FOR SPAY & NEUTER PROGRAM 3,000
    WI ADOPT A GOLDEN RETRIEVER
    12605 WEST NORTH AVE 285
    BROOKFIELD,WI53005
    N/A PUBLIC SUPPORT FOR SPAY & NEUTER PROGRAM 3,000
    ALL 4 KIDS
    PO BOX 16645
    MILWAUKEE,WI53216
    N/A PUBLIC SUPPORT FOR FOSTER CARE PROGRAM 15,500
    COMMON GROUND
    1034 EAST OGDEN AVENUE
    MILWAUKEE,WI53202
    N/A PUBLIC APRIL 29, 2018 EVENT 3,000
    UNISON INC
    2977 N 50TH ST
    MILWAUKEE,WI53210
    N/A PUBLIC CHILDREN & YOUNG ADULTS PSYCH RE 10,000
    SAINT A'S
    6737 W WASHINGTON AVE
    MILWAUKEE,WI53214
    N/A PUBLIC TRAUMA SUPPORT 22,500
    PATHFINDERS
    4200 N HOLTON
    STE 400
    MILWAUKEE,WI53212
    N/A PUBLIC TRANSPORTATION 16,690
    MADACC
    3839 WEST BURNHAM ST
    WEST MILWAUKEE,WI53215
    N/A PUBLIC SPAY & NEUTER PROGRAM 5,000
    Total .................................bullet 3a 217,690
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 20,778  
    4 Dividends and interest from securities....     14 49,746  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 210,965  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   281,489  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    281,489
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ARNOW & ASSOC 2,825 935   1,890

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Name of Bond End of Year Book Value End of Year Fair Market Value
    2000 AMTRUST FINANCIAL SERVICES INC 50,193 36,500
    2000 DIGITAL REALTY TRUST INC 50,555 49,960
    2500 DOMINION RESOURCES INC 53,348 63,125
    2500 PS BUSINESS PARKS INC 52,729 61,250
    2000 SOUTHERN COMPANY    
    2000 UNUM GROUP 51,312 52,260
    350,000 UNITED STATES TREASURY BILL 347,687 347,813

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Name of Stock End of Year Book Value End of Year Fair Market Value
    250 SHARES ACCENTURE PLC 40,919 44,005
    2500 SHARES ADVANCED EMISSIONS SOL 30,079 28,900
    350 SHARES ALBEMARLE CORPORATION    
    200 SHARES ALIBABA GROUP HOLDING LTD 32,853 36,490
    1000 SHARES APPLIED MATERIALS INC 37,856 39,660
    1500 SHARES AT&T INC 46,888 47,040
    3000 SHARES BADGER METER INC 14,756 166,920
    1000 SHARES BANCOLOMBIA SA    
    1000 SHARES BAOZUN INC 15,636 41,540
    750 SHARES BERKLEY WR CORP 20,402 63,540
    1500 SHARES BROWN & BROWN INC    
    800 SHARES BUNGE LTD    
    50 SHARES CABLE ONE INC 22,021 49,069
    850 SHARES CANADIAN NATIONAL RAILWAY 49,594 76,058
    100 SHARES CASS IINFORMATION SYS INC    
    1600 SHARES CHURCH & DWIGHT CO INC 27,853 113,968
    200 SHARES CHURCHILL DOWNS INC    
    300 SHARES CINTAS CORP    
    800 SHARES COPART INC    
    200 SHARES COSTCO WHOLESALE CORP 42,357 48,428
    4000 SHARES CPI AEROSTRUCTURES INC 37,067 26,000
    1800 SHARES DISCOVERY COMMUNICATIONS 42,840 48,636
    325 SHARES DOWDUPONT INC    
    400 SHARES EASTMAN CHEMICAL CO    
    600 SHARES ELI LILLY & CO 24,812 77,856
    600 SHARES ENBRIDGE INC    
    400 SHARES ENERGIZER HOLDINGS INC 8,771 17,972
    1000 SHARES GILEAD SCIENCES INC 22,550 65,010
    937 SHARES HEICO CORPORATION 47,081 88,893
    350 SHARES IDEXX LABORATORIES CORP    
    2200 SHARES ING GROEP NV    
    500 SHARES INGEVITY CORPORATION 40,374 52,805
    265 SHARES INTERNATIONAL BUS MACHINE    
    265 SHARES INTL BUSINESS MACHINES CO 39,673 37,392
    300 SHARES INTL FLAVORS & FRAGRANCES    
    850 SHARES JOHN WILEY & SONS INC    
    1800 SHARES KEMET CORP    
    2100 SHARES KIMBALL ELECTRONICS INC 40,935 32,529
    1400 SHARES KRONOS WORLDWIDE INC    
    500 SHARES LIBERTY MEDIA CORPORATION 11,192 17,020
    675 SHARES MANTECH INTERNATIONAL COR    
    750 SHARES MICROSOFT CORP 24,990 88,455
    1000 SHARES MOMO INC 27,397 38,240
    400 SHARES NATIONAL BEVERAGE CORP    
    700 SHARES NEOGEN CORPORATION 5,946 40,173
    225 SHARES NEXTERA ENERGY INC 39,505 43,497
    1000 SHARES NUCOR CORP 52,155 58,350
    400 SHARES OLD DOMINION FREIGHT LINE    
    1700 SHARES ON SEMICONDUCTOR CORP    
    1500 SHARES REPUBLIC SERVICES INC 40,787 120,570
    2400 SHARES PEOPLES UTD FNL INC 42,263 39,456
    160 SHARES RUTHS HOSPITALITY GROUP 4,124 4,094
    700 SHARES ROYAL BANK OF CANADA 54,461 52,885
    900 SHARES ROYAL DUTCH SHELL PLC 52,652 57,555
    2000 SHARES STMICROELECTRONICS NV    
    300 SHARES S&P GLOBAL INC 45,042 63,165
    500 SHARES SMUCKER J M COMPANY 53,612 58,250
    900 SHARES SONY CORPORATION 51,085 38,016
    900 SHARES SYSCO CORPORATION 30,484 60,084
    900 SHARES T MOBILE US INC 24,652 62,190
    650 SHARES T ROWE PRICE GROUP 50,435 65,078
    550 SHARES TJX COMPANIES INC    
    350 SHARES UNITED TECHNOLOGIES CORP 39,658 45,112
    200 SHARES VAIL RESORTS INC    
    525 SHARES WALMART INC 50,457 51,203
    1000 SHARES WEC ENERGY GROUP    

    TY 2018 InvestmentsOtherSchedule2
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    2000 SHARES DIGITAL REALTY TRUST INC AT COST    
    400 SHARES PUBLIC STORAGE INC AT COST 47,119 87,112
    900 SHARES WP CAREY INC AT COST 42,412 70,497

    TY 2018 LegalFeesSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,185 725   1,460


    TY 2018 OtherExpensesSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INVESTMENT FEES 102 102    
    OTHER FEES - ADJUSTMENT 758 758    


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BACKOFF FINAN-INVESTMENT MAN 15,000 15,000    
    DR. BARBARA MYKLEBUST 5,000     5,000


    TY 2018 TaxesSchedule
    Name:
    ELIZABETH J TELLIER FOUNDATION INC
    EIN:
    39-1777930
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX PAID        
    2018 ESTIMATED TAX 2,450