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 01-01-2018 , and ending 12-31-2018
Name of foundation
KUNES FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1234 E GENEVA ST PO BOX 546
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DELAVAN, WI53115
A Employer identification number

47-2405427
B Telephone number (see instructions)

(262) 728-5544
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$152,962J 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) 972,307
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss) -9,005
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 121,945
b Gross sales price for all assets on line 6a 273,120
7 Capital gain net income (from Part IV, line 2)... 0
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........ 1,094,252 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,550 775   775
b Accounting fees (attach schedule)....... Click to see attachment 2,274 1,137   1,137
c Other professional fees (attach schedule)....        
17 Interest............... 1,506 1,506   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 5,948 5,256   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 24,378 2,243   13,485
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 35,656 10,917   15,397
25 Contributions, gifts, grants paid....... 1,071,121 1,071,121
26 Total expenses and disbursements. Add lines 24 and 25 1,106,777 10,917   1,086,518
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -12,525
b Net investment income (if negative, enter -0-) 0
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............. 211,881 152,962 152,962
2 Savings and temporary cash investments.........      
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).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment100,000 Click to see attachment0 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 311,881 152,962 152,962
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)...... 146,394  
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 146,394 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........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 165,487 152,962
30 Total net assets or fund balances (see instructions)..... 165,487 152,962
31 Total liabilities and net assets/fund balances (see instructions). 311,881 152,962
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
165,487
2
Enter amount from Part I, line 27a .....................
2
-12,525
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
152,962
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
152,962
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.)
1a
b
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
b
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
b
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  
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  
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 520,709 330,599 1.575047
2016 4,197 67,893 0.061818
2015 167 62,794 0.002659
2014 0 79,315 0.000000
2013      
2
Total of line 1, column (d) .....................
2
1.639524
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
0.409881
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
188,296
5
Multiply line 4 by line 3......................
5
77,179
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
0
7
Add lines 5 and 6........................
7
77,179
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,086,518
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 0
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 0
3 Add lines 1 and 2........................... 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletDAVID HAYES Telephone no.bullet (262) 728-5544

    Located atbullet1234 E GENEVA STDELAVANWI ZIP+4bullet53115
    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
     
    No
    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
    GREGG KUNES PRESIDENT, DIRECTOR
    1.00     		0 0 0
    1234 E GENEVA ST
    DELAVAN,WI53115
    DEBORAH KUNES VICE PRESIDENT, DIRECTOR
    1.00     		0 0 0
    1234 E GENEVA ST
    DELAVAN,WI53115
    SCOTT CHRISTIAN DIRECTOR
    1.00     		0 0 0
    1624 HOBBS DR STE 1
    DELAVAN,WI53115
    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 0
    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.............bullet0
    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  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    191,163
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    191,163
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    191,163
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    2,867
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    188,296
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    9,415
    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
    9,415
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
     
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    9,415
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    9,415
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    9,415
    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
    1,086,518
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    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
    1,086,518
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,086,518
    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 9,415
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017...... 502,141
    fTotal of lines 3a through e........ 502,141
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,086,518
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 9,415
    e Remaining amount distributed out of corpus 1,077,103
    5 Excess distributions carryover applied to 2018. 0 0
    (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 1,579,244
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    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......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    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) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		1,579,244
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017.... 502,141
    e Excess from 2018.... 1,077,103
    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
    2X4'S FOR HOPE
    5700 SOUTH 24TH ST
    QUINCY,IL62305     		N/A PC SUPPORT FOR PICNIC EVENT 1,200
    AAHAA
    874 MAIN ST
    ANTIOCH,IL60002     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    AGAPE HOUSE INC
    215 S MAIN ST
    WALWORTH,WI53184     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 8,000
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET NW
    ATLANTA,GA30303     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,100
    AMERICAN LEGION
    PO BOX 1055
    INDIANAPOLIS,IN46206     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    AMERICA'S GOLD STAR FAMILIES
    2426 W CORNERSTONE CT
    PEORIA,IL61614     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    ANTIOCH LIONS CLUB
    PO BOX 324
    ANTIOCH,IL60002     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,202
    ASSOCIATION FOR THE PREVENTION OF FAMILY VIOLENCE INC
    735 N WISCONSIN ST 101
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    AVANT MINISTRIES
    10000 N OAK TRAFFICWAY
    KANSAS CITY,MO64155     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 750
    BELFRY MUSIC THEATRE
    3601 WI-67
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    BIG FOOT LIONS CLUB
    PO BOX 189
    WALWORTH,WI53184     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    BIZTANK SCHOLARSHIP FUND
    1501 E WISCONSIN ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,250
    BLOOMFIELD POLICE DEPARTMENT
    N1100 TOWN HALL RD
    PELL LAKE,WI53157     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    BRADLEY IMPACT FUND
    1249 N FRANKLIN PL
    MILWAUKEE,WI53202     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    BROOKLIFE CHURCH
    857 S ROCHESTER ST 300
    MUKWONAGO,WI53149     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    CALVARY COMMUNITY CHURCH
    STATE RD 50 HARRIS ROAD
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 4,644
    CAMP TIMBER-LEE
    N8705 SCOUT RD
    EAST TROY,WI53120     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
    100 LAKE HART DR STE 3500
    ORLANDO,FL32832     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 800
    CHILDREN'S ONCOLOGY SERVICES INC
    213 W INSTITUTE PL
    CHICAGO,IL60610     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    CHILDREN'S WORLD IMPACT INC
    431 GENEVA NATIONAL AVE S
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,000
    CHRIST EPISCOPAL CHURCH DELAVAN
    503 E WALWORTH AVE
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    CITY OF DELAVAN FIRE DEPARTMENT
    811 ANN ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    CITY OF HOPE
    1214 JOLIET ST
    JANESVILLE,WI53546     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    COLCHESTER LIONS CLUB
    207 S FULTON ST
    COLCHESTER,IL62326     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 260
    COMMUNITY BAPTIST CHURCH
    11 1ST ST
    DARIEN,WI53114     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    CORNFIELDS AND COW SHIT CHARITABLE GOLF OUTING
    425 1ST STREET
    SAVANNA,IL61074     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 600
    DARIEN CORNFEST
    W MADISON ST
    DARIEN,WI53114     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 25
    DELAVAN CHRISTIAN CHURCH
    850 OAK ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 175
    DELAVAN CINCO DE MAYO FESTIVAL
    PO BOX 11
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    DELAVAN DARIEN SCHOOL DISTRICT
    324 BELOIT ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    DELAVAN FOOD PANTRY
    714 E WALWORTH AVE
    DELAVAN,WI53155     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    DELAVAN HISTORICAL SOCIETY
    PO BOX 746
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 525
    DELAVAN LAKE AREA CHAMBER OF COMMERCE
    52 E WALWORTH AVE
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    DELAVAN PARKS & RECREATION DEPARTMENT
    123 S SECOND ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    DELAVAN TOWNSHIP FIRE DEPARTMENT
    5698 TOWN HALL RD
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,750
    DELAVAN YOUTH FOOTBALL
    150 CUMMINGS ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    DELAVAN-DARIEN ROTARY CLUB
    PO BOX 521
    DELAVAN,WI53155     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    DELAVAN-DARIEN SCHOOL DISTRICT FOUNDATION
    PO BOX 582
    DELAVAN,WI53155     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    DELAVAN'S LIONS CLUB
    PO BOX 543
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    DUCKS UNLIMITED INC
    ONE WATERFOWL WAY
    MEMPHIS,TN38120     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,400
    EAST TROY MANOR
    3271 NORTH ST
    EAST TROY,WI53120     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 50
    EL AYUDANTE MISSIONS INC
    PO BOX 154
    RODEO,CA94572     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,600
    ELIM CHRISTIAN SERVICES
    13020 CENTRAL AVE
    PALOS HEIGHTS,IL60463     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,000
    ELKHORN AREA HIGH SCHOOL
    482 E GENEVA ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,100
    ELKHORN PENGUINS
    482 E GENEVA ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    ETERNAL WORD MINISTRIES
    PO BOX 3136
    MUNSTER,IN46321     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 131,359
    EVANGELICAL FREE CHURCH OF AMERICA
    901 E 78TH ST
    MINNEAPOLIS,MN55420     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    EXTREME SOFTBALL
    2401 N STATE HIGHWAY 1
    FLAT ROCK,IL62427     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 400
    FAITH BAPTIST CHURCH
    1500 CREEK RD
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 86,123
    FAITH CHRISTIAN SCHOOL
    W5525 HIGHWAY 67
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,500
    FAITH TEMPLE OF CHRIST
    7601 WHITCOMB ST
    MERRIVILLE,IN46410     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 56,770
    FEEDING WALWORTH COUNTY
    PO BOX 546
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 230
    FIRST REFORMED CHURCH
    510 15TH AVE
    FULTON,IL61252     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    FONTANA FIRE & RESCUE
    190 FONTANA BLVD
    FONTANAONGENVEA LAKE,WI53125     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,100
    FOUNDATION FOR FOCUS HOUSE AND COMMUNITY PROGRAMMING
    3279 S IL ROUTE 251
    ROCHELLE,IL61068     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    FRIENDS OF LAKELAND SCHOOL
    100 W WALWORTH
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    FRIENDS OF THE PHOENIX PARK BANDSHELL
    111 E WISCONSIN ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    GAVERS COMMUNITY CANCER FOUNDATION
    1313 KISHWAUKEE VALLEY RD
    WOODSTOCK,IL60098     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 7,500
    GEM CITY KIWANIS
    PO BOX 178
    QUINCY,IL62306     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    GENEVA LAKE MANOR
    211 S CURTIS ST
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    GENEVA LAKE SAILING SCHOOL
    1250 S LAKE SHORE DR
    FONTANAONGENVEA LAKE,WI53125     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,000
    GENEVA LAKE WEST CHAMBER OF COMMERCE
    PO BOX 118
    FONTANA,WI53125     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 120
    GENEVA NATIONAL FOUNDATION
    1221 GENEVA NATIONAL AVE S
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 20,000
    GLACIER'S EDGE COUNCIL BOY SCOUTS OF AMERICA
    PO BOX 14135
    MADISON,WI53708     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,663
    GLOBAL MESSENGER SERVICE
    PO BOX 551
    FENTON,MO63026     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 8,500
    GOOD HOPE SCIOTA LIONS CLUB
    300 W MAIN ST
    GOOD HOPE,IL61438     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    GOOD HOPE TURKEY TROT
    145 W MAIN ST
    GOOD HOPE,WI61438     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    GOSPEL MINISTRIES INTERNATIONAL
    874 S MCDONALD RD
    MCDONALD,TN37353     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 38,500
    GRACE EVANGELICAL FREE CHURCH
    6403 S COUNTY RD D
    BELOIT,WI53511     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 20,557
    GREAT RIVER OUTREACH
    926 VIADUCT RD
    SAVANNA,IL61074     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    HABITAT OGLE COUNTY
    1091 LOST NATION RD
    DIXON,IL61021     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,750
    HEAT ATHLETICS INC
    N64 W22480 MAIN STREET
    SUSSEX,WI53089     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    IMMACULATE CONCEPTION CATHOLIC SCHOOL
    115 N B ST
    MONMOUTH,IL61462     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    IMPACT MINISTRIES INTERNATIONAL
    PO BOX 102
    LONSDALE,MN55046     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 49,000
    INSPIRATION MINISTRIES
    PO BOX 948
    WALWORTH,WI53184     		N/A PC SUPPORT PROGRAMS SERVING PEOPLE WITH DISABILITIES 25,100
    JAD FOUNDATION INC
    101 TERRACE DR
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,833
    JAMIESON COMMUNITY CENTER
    1025 S 2ND ST
    MONMOUTH,IL61462     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    JERUSALEM PRAYER TEAM
    PO BOX 30000
    PHOENIX,AZ85046     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,200
    JEWS FOR JESUS
    60 HAIGHT ST
    SAN FRANCISCO,CA94102     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,800
    KIDS AROUND THE WORLD
    4750 HYDRAULIC RD
    ROCKFORD,IL61109     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,500
    LAKE COUNTY HONOR FLIGHT
    2530 S ADMIRAL DR
    NORTH CHICAGO,IL60088     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    LAKE GENEVA WOMEN'S WEEKEND
    527 CENTER ST
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 125
    LAKE GENEVA YOUTH CAMP
    300 CONFERENCE POINT RD
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 25,000
    LAKELAND COMMUNITY CHURCH
    N3181 WISCONSIN 67
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 143,000
    LAS WATER SKI SHOW TEAM
    PO BOX 936
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 400
    LAUREL CHURCH MINISTRIES INC
    7525 TAFT STREET
    MERRILLVILLE,TN46410     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 25,280
    LEADERSHIP RESOURCES
    12575 RIDGELAND AVE
    PALOS HEIGHTS,IL60463     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 20,000
    LINK UP FOR LIFE FOUNDATION
    535 MAINE ST STE 11B
    QUINCY,IL62301     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    LIVING HOPE CHRISTIAN MINISTRIES
    12700 HILLCREST RD STE 254
    DALLAS,TX75230     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 14,500
    LONNIE JARVIS MINISTRIES INC
    1000 E 80TH PL
    MERRILLVILLE,IN46410     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 28,000
    MAGIC AND MORE MAGIC SHOW FUND
    231 COOK STREET
    LAKE GENEVA,WI53147     		N/A PC SUPPORT LUKE HOMAN MEMORIAL GOLF OUTING 100
    MAKE-A-WISH FOUNDATION OF AMERICA
    4742 N 24TH ST STE 400
    PHOENIX,AZ85016     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    MAYO CLINIC
    200 FIRST ST SW
    ROCHESTER,MN55905     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 30,000
    MCDONOUGH COUNTY FAIR
    3028 WEST JACKSON ST
    MACOMB,IL61455     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    MCHENRY COUNTY FAIR
    12015 COUNTRY CLUB RD
    WOODSTOCK,IL69008     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    MILWAUKEE YOUTH SYMPHONY ORCHESTRA INC
    325 W WALNUT ST
    MILWAUKEE,WI53212     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    MONMOUTH AREA CHAMBER OF COMMERCE
    89 PUBLIC SQUARE
    MONMOUTH,IL61462     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    MONMOUTH KIWANIS CLUB
    PO BOX 581
    MONMOUTH,IL61462     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 388
    MONONA FARMERS MARKET
    800 E BROADWAY
    MONONA,WI53716     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    MOUNT ST JOSEPH
    24955 N US HWY 12
    LAKE ZURICH,IL60047     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    MT CARROLL FIRE DEPARTMENT
    318 S CLAY ST
    MT CARROLL,IL61053     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    MT CARROLL MAYFEST
    203 E SEMINARY ST
    MT CARROLL,IL61053     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    MT ZION CHRISTIAN SCHOOL
    2330 WI-120
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 620
    MT ZION CHURCH
    2330 WI-120
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 18,000
    NEW LIFE EUNJIN CHURCH
    2416 N WRIGHT RD
    JANESVILLE,WI53546     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,500
    OPEN ARMS FREE CLINIC
    205 COMMERCE CT
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,600
    OPTIMIST CLUB OF QUINCY
    PO BOX 582
    QUINCY,IL62306     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    OREGON CHAMBER OF COMMERCE
    122 N 4TH ST
    OREGON,IL61061     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    OREGON LIONS CLUB
    OREGON VFW POST 8739 1310 W
    WASHINGTON
    OREGON,IL61061     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 35
    OREGON PARK DISTRICT
    304 S 5TH ST
    OREGON,IL61061     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    PEDIATRIC BRAIN TUMOR FOUNDATION
    302 RIDGEFIELD CT
    ASHEVILLE,NC28806     		N/A PC RIDES FOR KIDS EVENT 150
    QUINCY HIGHSCHOOL BASEBALL
    3322 MAINE ST
    QUINCY,IL62301     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 350
    QUINCY YOUNG LIFE
    436 S 6TH ST 202
    QUINCY,IL62301     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 3,000
    RADAR RACING
    7992 PATON RD
    SAINT GERMAIN,WI54558     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    REDEEMER LUTHERAN CHURCH
    827 16TH ST
    ROCKFORD,IL61104     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    REVIVE ART LLC
    721 GENEVA ST
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 540
    RICK'S RUN
    1100 CROSBY AVE
    STEVENS POINT,WI54481     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    ROCK FALLS CHAMBER OF COMMERCE
    601 W 10TH ST
    ROCK FALLS,IL61071     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    ROCK FALLS HIGH SCHOOL
    101 12TH AVE
    ROCK FALLS,IL61071     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    ROCK FALLS RIVER CHASE
    1611 HACKETT ST
    BELOIT,WI53511     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    ROCK FALLS SELECT SOFTBALL
    101 12TH AVE
    ROCK FALLS,IL61071     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    ROCK RIVER BAIT BOX
    9614 N2290 ROCK RIVER RD
    FORT ATKINSON,WI53538     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    ROCK RIVER VALLEY SELF HELP ENTERPRISES
    2300 W LE FEVRE RD
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    SAFE FAMILIES FOR CHILDREN
    4300 W IRVING PARK RD
    CHICAGO,IL60641     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 15,000
    SALVATION ARMY
    615 SLATERS LANE
    ALEXANDRIA,VA22314     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    SAMARITANS PURSE
    PO BOX 3000
    BOONE,NC28607     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,000
    SANDRA MJOEN
    14 CLAY STREET
    OREGON,IL61061     		N/A INDIVIDUAL THIS WAS A DONATION MADE TO SANDRA MJOEN'S CHILD BECAUSE SHE WAS SEVERLY BURNED AND NEEDED HELP PLAYING FOR TREATMENTS. 1,500
    SANTA CAUSE
    PO BOX 519
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,000
    SAUK VALLEY AREA CHAMBER OF COMMERCE
    211 LOCUST ST
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    SAUK VALLEY FOODBANK
    1801 PLANT ROAD
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    SAUK VALLEY JAYCEES
    211 LOCUST ST
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    SAUK VALLEY UNITE SERVICE CAMP
    230 EAST 23RD ST
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,000
    SAVANNA FIRE DEPARTMENT
    101 W MAIN ST
    SAVANNA,IL61074     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 50
    SCHOOL DISTRICT OF DELAVAN-DARIEN
    324 BELOIT ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 25,000
    SEEDS OF HOPE
    W4818 POTTER RD
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,500
    SERENA BASEBALL LEAGUE INC
    PO BOX 513
    SHERIDAN,IL60551     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 350
    SKILLFUL EDUCATOR LLC
    10 ROCKEFELLER PLAZA 16TH FLOOR
    NEW YORK,NY10020     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,050
    SOUTHERN LAKES ASSOCIATION OF THE DEAF
    715 E WISCONSIN ST
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    SOUTHERN LAKES EVANGELICAL FREE CHURCH INC
    N6686 US HWY 12
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 60,000
    SPECIAL OLYMPICS ILLINOIS
    605 E WILLOW ST
    NORMAL,IL61761     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    SPECIAL OLYMPICS
    2310 CROSSROADS DR
    MADISON,WI53718     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    ST VINCENT DE PAUL
    PO BOX 1095
    ROHNERT PARK,CA94927     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    ST ANDREW'S PARISH
    714 E WALWORTH AVE
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,050
    ST BENEDICT'S ABBEY
    12605 224TH AVE
    BENET LAKE,WI53102     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    ST JOHN'S LUTHERN CHURCH
    104 S BROAD ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 25,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PL
    MEMPHIS,TN38105     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,100
    ST PATRICK PARISH
    107 W WALWORTH ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    STERLING PARK DISTRICT
    1913 3RD AVE
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    STERLING POLICE DEPARTMENT
    212 3RD AVE 3
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    STERLING-ROCK FALLS FAMILY YMCA
    2505 AVENUE E
    STERLING,IL61081     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,000
    STEVE JENSEN
    1828 S SHORE DRIVE
    DELEVAL,WI53115     		N/A INDIVIDUAL PAYMENT TO STEVE JENSEN IN ORDER TO HELP HIM BUY A PROSTHETIC LEG . 400
    THE CARING CENTER
    402 W VERONA AVE
    VERONA,WI53593     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,200
    THE NRA FOUNDATION
    11250 WAPLES MILL RD
    FAIRFAX,VA22030     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 466
    THE RIVER
    405 E WALWORTH AVE
    DELAVAN,WI53115     		N/A PC SUPPORT CONSTRUCTION PROJECT 10,000
    THE ROLLING HILLS FOUNDATION
    201 IL-64
    LANARK,IL61046     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    THE SCOTT DAVID RUDOLF MEMORIAL SCHOLARSHIP TRUST
    2 W MAIN ST
    MT MORRIS,IL61054     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    THE SINNISSIPPI FOUNDATION
    325 ILLINOIS ROUTE 2 SUITE 100
    DIXON,IL61021     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    THE TIME IS NOW
    PO BOX 1
    LAKE GENEVA,WI53147     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,000
    THE WORD FOR YOU TODAY
    6525 SHILOH RD
    ALPHARETTA,GA30005     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,772
    TREE HOUSE CHILD AND FAMILY CENTER
    W4063 HWY NN
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    TRI-COUNTY CATTLEMEN'S ASSSOCIATION SCHOLARSHIP PROGRAM
    23290 EAST 1500TH ST
    GOOD HOPE,IL61438     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 175
    TWIN OAKS SHELTER
    W9665 US-14
    DARIEN,WI53114     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    UNITED WAY OF WALWORTH COUNTY
    203 E WALWORTH ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    VIBE
    1406 N RANDOLPH ST
    MACOMB,IL61455     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 600
    VIP SERVICES
    811 E GENEVA ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 5,000
    WALK TO END ALZHEIMER'S
    620 SOUTH 76TH STREET SUITE 160
    MILWAUKEE,WI53214     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WALSH MINISTRIES
    PO BOX 2238
    COLLEGEDALE,TN37315     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 2,500
    WALWORTH COUNTY AGRICULTUAL SOCIETY
    411 E COURT ST
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 16,000
    WALWORTH COUNTY ARC
    PO BOX 563
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WALWORTH COUNTY DEPUTY SHERIFFS ASSOCIATION INCORPORATED
    1770 COUNTY RD NN
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,100
    WALWORTH COUNTY ECONOMIC DEVELOPMENT ALLIANCE INC
    400 COUNTY RD H ROOM 105
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 17,894
    WALWORTH COUNTY FIRE DEPARTMENT
    227 N MAIN ST
    WALWORTH,WI53184     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,500
    WALWORTH COUNTY FOOD PANTRIES
    205 COMMERCE CT
    ELKHORN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    WALWORTH COUNTY HISTORICAL SOCIETY
    PO BOX 273
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    WALWORTH COUNTY SNOWMOBILE ALLIANCE
    W4097 COUNTY RD NN
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WEST CARROLL FCCLA
    500 CRAGMOOR ST
    SAVANNA,IL61074     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WEST CARROLL SPORTS BOOSTERS
    642 S EAST ST
    MT CARROLL,IL61053     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 40
    WEST SIDE ELEMENTARY SCHOOL
    222 SUNSET DRIVE
    ELKHORN,WI53121     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WESTERN IL DREAM FACTORY
    410 W CHESTNUT ST SUITE 530
    LOUISVILLE,KY40202     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 800
    WESTERN IL FCA
    1101 W COLLEGE AVE
    JACKSONVILLE,IL62650     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 4,400
    WHISKEY RANCH - DELAVAN
    W9002 STATE ROAD 11
    DELAVAN,WI53115     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 500
    WILLIAMS BAY FIRE DEPARTMENT
    5 E GENEVA ST
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WILLIAMS BAY LIONS CLUB
    270 ELKHORN RD
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    WILLIAMS BAY RECREATION DEPARTMENT
    240 ELKHORN RD
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WILLIAMS BAY SCHOOL DISTRICT
    500 W GENEVA STREET
    WILLIAMS BAY,WI53191     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 400
    WISCONSIN PARKINSON ASSOCIATION
    16655 W BLUEMOUND RD
    BROOKFIELD,WI53005     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WIU AG MECHANICAL CLUB
    3300 RIVER DRIVE
    MOLINE,IL61265     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 150
    WIU FOOTBALL
    1 UNIVERSITY CIR
    MACOMB,IL61455     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    WOLF PACK SOCIAL CLUB
    510 S PERRYVILLE RD
    ROCKFORD,IL61108     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 200
    WOODSTOCK BASEBALL
    PO BOX 94
    WOODSTOCK,IL60098     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 1,000
    WOODSTOCK FIREWORKS FUND
    PO BOX 1930
    WOODSTOCK,IL60098     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 250
    WORLD VISION
    34834 WEYERHAEUSER WAY SOUTH
    FEDERAL WAY,WA98001     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    WORLD WALLEYE ASSOCIATION
    3000 N JOHNSBURG RD
    MCHENRY,IL60051     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 100
    YOUTH FOR CHRIST
    7670 S VAUGHN CT
    ENGLEWOOD,CO80112     		N/A PC SUPPORT FOR ORGANIZATION'S CHARITABLE ACTIVITIES 300
    Total .................................bullet 3a 1,071,121
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........     		         
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......     30 -9,005  
    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 ............     		    01 121,945  
    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).. 0 112,940 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    112,940
    (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.)
    5 THE BUILDING WAS ACQUIRED TO HOUSE A FOOD PANTRY AND MEDICAL CLINIC TO
    5 PROVIDE FOR THE NEEDS OF THE UNDERPRIVILEDGED
    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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    KUNES FAMILY FOUNDATION
     
    Employer identification number

    47-2405427
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    KUNES COUNTRY CHEVROLET GMC BUICK OF ELKHORN INC
     
    1350 HWY 67 S
     
    ELKHORN, WI53121

    		$ 69,330


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    KUNES COUNTRY AUTO GROUP INC
     
    200 W COMMERCIAL ST
     
    MT CARROLL, IL61053

    		$ 24,202


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    KUNES COUNTRY FORD OF ANTIOCH INC
     
    104 W IL RTE 173
     
    ANTIOCH, IL60002

    		$ 85,591


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    KUNES COUNTRY C INC
     
    1300 HWY 67 S
     
    ELKHORN, WI53121

    		$ 160,095


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    KUNES COUNTRY CHEVROLET-CADILLAC INC
     
    1231 E GENEVA ST
     
    DELAVAN, WI53115

    		$ 116,246


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    KUNES COUNTRY AUTO GROUP OF MACOMB INC
     
    3200 E JACKSON ST
     
    MACOMB, IL61455

    		$ 2,591


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
    KUNES COUNTRY OF MORRISON INC
     
    627 LINCOLNWAY E
     
    MORRISON, IL61270

    		$ 1,729


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    KUNES COUNTRY OF OREGON INC
     
    601 GALE ST
     
    OREGON, IL61061

    		$ 8,421


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    KUNES COUNTRY C-B OF STERLING INC
     
    2502 LOCUST ST
     
    STERLING, IL61081

    		$ 77,201


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    KUNES COUNTRY FORD LINCOLN OF STERLING INC
     
    2811 LOCUST ST
     
    STERLING, IL61081

    		$ 57,073


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    KUNES COUNTRY OF MONMOUTH INC
     
    1121 N 6TH ST
     
    MONMOUTH, IL61462

    		$ 5,054


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
    KUNES COUNTRY H OF QUINCY
     
    221 N 36TH ST
     
    QUINCY, IL62301

    		$ 86,722


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    13
    KUNES COUNTRY HYUNDAI OF QUINCY
     
    207 N 36TH ST
     
    QUINCY, IL62301

    		$ 39,278


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
    KUNES COUNTRY FORD LINCOLN OF DELAVAN
     
    1234 GENEVA ST
     
    DELAVAN, WI53115

    		$ 196,147


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    15
    KUNES COUNTRY SUPERSTORE OF STOUGHTON
     
    1423 US-51
     
    STOUGHTON, WI53589

    		$ 28,499


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    16
    KUNES COUNTRY CHRYSLER DODGE JEEP RAM OF WOODSTOCK
     
    1790 S EASTWOOD DR
     
    WOODSTOCK, IL60098

    		$ 6,261


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number

    47-2405427
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number

    47-2405427
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,274 1,137   1,137

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2018 GainLossSaleOtherAssetsSch
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    SALE OF FOOD PANTRY   PURCHASED     273,120 100,000   51,175 121,945  

    TY 2018 LegalFeesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,550 775   775


    TY 2018 OtherAssetsSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SECURITY DEPOST 100,000 0 0


    TY 2018 OtherExpensesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 12,414 0   9,564
    OTHER EXPENSES 9,721 0   3,921
    INSURANCE 2,151 2,151   0
    UTILITIES 92 92   0


    TY 2018 SubstantialContributorsSch
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Name Address
    KUNES COUNTRY FORD LINCOLN 1234 E GENEVA STREET
    DELAVAN,WI53115


    TY 2018 TaxesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WISCONSIN TRANSFER TAX 692 0   0
    PROPERTY TAXES 5,256 5,256   0