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 07-01-2018 , and ending 06-30-2019
Name of foundation
HARTWIG FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 733
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
APPLETON, WI549120733
A Employer identification number

39-1977500
B Telephone number (see instructions)

(920) 731-6631
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$11,399,162J 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) 309,282
2 Check bullet.............
3 Interest on savings and temporary cash investments 87,800 87,800  
4 Dividends and interest from securities... 57,507 57,507  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 45,979
b Gross sales price for all assets on line 6a 1,754,986
7 Capital gain net income (from Part IV, line 2)... 45,979
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........ 500,568 191,286  
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).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 46,540 46,540   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 6,033 6,033   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 52,573 52,573   0
25 Contributions, gifts, grants paid....... 550,000 550,000
26 Total expenses and disbursements. Add lines 24 and 25 602,573 52,573   550,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -102,005
b Net investment income (if negative, enter -0-) 138,713
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............. 170,818 158,520 158,520
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)....... 5,221,135 Click to see attachment4,985,368 7,682,506
c Investments—corporate bonds (attach schedule)....... 3,369,395 Click to see attachment3,515,455 3,558,136
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)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,761,348 8,659,343 11,399,162
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 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 8,761,348 8,659,343
30 Total net assets or fund balances (see instructions)..... 8,761,348 8,659,343
31 Total liabilities and net assets/fund balances (see instructions). 8,761,348 8,659,343
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
8,761,348
2
Enter amount from Part I, line 27a .....................
2
-102,005
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
8,659,343
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
8,659,343
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 35 SHS AMERISOURCEBERGEN CORP P 2014-09-17 2018-09-07
b 25 SHS ANDEAVOR P 2016-06-21 2018-10-04
c .671 SHS MARATHON PETROLEUM CORP P 2016-06-21 2018-10-04
d 25000 SHS AMERN HONDA P 2015-09-04 2018-10-10
e 25000 SHS CAT PWRNTS P 2013-03-25 2018-09-17
25000 SHS COMPASS BK P 2013-10-29 2018-10-23
20000 SHS GE CAP RETL P 2012-10-26 2018-08-03
25000 SHS FNMA NOTE P 2014-04-29 2018-11-27
25000 SHS NEWPORT FSB P 2012-11-26 2018-11-26
25000 SHS SALLIE MAE BK P 2013-10-29 2018-11-06
45 SHS MASTEC INC P 2017-11-22 2019-02-22
65 SHS METHODE ELECTRONICS CL A P 2017-08-15 2019-02-22
120 SHS MICHAELS COMPANIES INC P 2016-12-19 2019-02-22
30 SHS TENNECO INC A P 2017-05-23 2019-02-22
30 SHS THOR INDUSTRIES INC P 2018-05-30 2019-02-22
40 SHS TRINSEO S A P 2017-03-03 2019-02-22
25000 FRIST FEDL BK P 2013-03-25 2019-02-19
25000 SHS DEERE JOHN P 2013-08-28 2019-04-17
25000 SHS DU PONT E I P 2015-10-26 2019-04-22
25000 SHS BEAL BK SSB P 2013-11-26 2019-05-29
10 SHS BIOGEN INC P 2017-08-15 2019-06-04
55 SHS COGNIZANT TECH SLTNS A P 2016-12-19 2019-06-04
40 SHS MAGNA INTL INC CLASS A P 2015-03-06 2019-06-04
30 SHS STATE STREET CORP P 2018-06-06 2019-06-04
10 SHS 3M COMPANY P 2013-07-10 2019-06-04
20 SHS UNITED THERAPEUTICS CORP P 2016-06-21 2019-06-04
25000 SYNCHRONY BK P 2014-06-30 2019-06-27
295 SHS AES CORPORATION COMMON STOCK P 2018-08-23 2019-03-21
55 SHS CELGENE CORPORATION COMMON STOCK P 2018-09-28 2018-12-21
831.86 SHS FRANKLIN FLT RET DLY ACC-ADV P 2019-05-31 2019-06-28
405 SHS FREEPORT-MCMORAN COPPER & GOLD CLASS B COMMON STOCK P 2018-04-19 2018-09-28
91.63 GATEWAY FUND-Y P 2019-06-25 2019-06-28
280 SHS GOODYEAR TIRE AND RUBBER COMPANY COMMON STOCK P 2018-09-28 2019-05-21
445 SHS HOST MARRIOTT CORP NEW COMMON STOCK P 2018-06-27 2019-03-01
319.969 SHS TORTOISE MLP & PIPELINE-INST P 2018-11-28 2018-12-20
25000 MORGAN STANLEY MTN P 2017-12-29 2018-12-07
145 SHS NETAPP INC P 2018-09-28 2018-12-21
335 ON SEMICONDUCTOR CORP COMMON STOCK P 2018-04-06 2018-08-23
335 ON SEMICONDUCTOR CORP COMMON STOCK P 2018-04-06 2018-09-28
75 SHS PALO ALTO NETWORKS P 2018-04-19 2018-12-21
20 SHS RED HAT INC COMMON STOCK P 2017-11-16 2018-09-28
1060 REGIONS FINANCIAL CORP P 2018-04-19 2018-12-21
20 SHS S&P GLOBAL INC P 2018-04-06 2019-01-24
110 SCHLUMBERGER LTD COMMON STOCK P 2018-01-22 2018-07-25
60 SHS SCHLUMBERGER LTD COMMON STOCK P 2017-11-16 2018-08-23
80 SMUCKER J M CO COMMON STOCK NEW P 2017-12-21 2018-08-23
260 SUNTRUST BANKS INC COMMON STOCK P 2018-06-27 2019-03-01
115 SHS TEXTRON INC COMMON STOCK P 2019-01-24 2019-06-24
175 SHS MYLAN NV P 2018-09-28 2019-04-18
25000 SHS AT&T P 2014-11-17 2018-11-27
115 SHS ABBVIE INC P 2018-01-22 2018-05-21
50 SHS ALEXANDRIA REAL EST EQUITIES COMMON STOCK P 2017-10-19 2018-11-21
40 SHS ALLIANCE DATA SYSTEMS CORP COMMON STOCK P 2017-10-19 2019-03-21
200 SHS AMEREN CORPORATION COMMON STOCK P 2017-03-16 2018-10-24
110 AMEREN CORPORATION COMMON STOCK P 2016-05-20 2019-01-24
50 SHS AMEREN CORPORATION COMMON STOCK P 2016-05-20 2019-03-01
160 SHS AMERICAN ELECTRIC POWER CO INC COMMON STOCK P 2017-04-20 2018-07-25
70 SHS APPLE COMPUTER INC COMMON STOCK P 2017-01-19 2019-04-18
15 SHS BOEING COMPANY COMMON STOCK P 2015-07-16 2018-08-23
35 SHS BOEING COMPANY COMMON STOCK P 2015-07-16 2018-09-28
25 SHS BOEING COMPANY COMMON STOCK P 2015-05-21 2018-10-24
50 CIGNA CORPORATION COMMON STOCK P 2017-11-16 2018-11-21
40 SHS CIGNA CORP P 2017-09-21 2018-12-21
75000 CATEPILLAR FINL MTN P 2017-01-23 2018-11-13
170 CELGENE CORPORATION COMMON STOCK P 2017-06-13 2018-12-21
50000 CHEVRON CORP P 2015-08-07 2019-03-03
75000 SHS EMERSON ELECTRIC P 2015-10-29 2018-10-15
25 SHS EQUINOX INC REIT P 2017-04-20 2018-08-23
30 SHS ESSEX PROPERTY TRUST INC COMMON STOCK P 2017-03-16 2019-01-24
85 SHS F5 NETWORKS INC COMMON STOCK P 2017-01-19 2019-05-21
170 SHS FORTNET INC P 2018-01-22 2019-06-24
69.85168 SHS FRANKLIN FLT RET DLV ACC-ADV P 2013-06-13 2019-06-28
15546.74332 SHS FRANKLIN FLT RET DLV ACC-ADV P 2018-05-31 2019-06-28
6609.415 SHS GATEWAY FUND-Y P 2018-06-26 2019-06-28
8170.656 SHS OAKMARK INTERNATIONAL-INST P 2017-06-13 2018-12-11
25 SHS HOME DEPOT INC COMMON STOCK P 2017-01-19 2018-09-28
40 SHS HOME DEPOT INC COMMON STOCK P 2014-10-17 2019-04-18
63 SHS HUNTINGTON INGALLS INDUSTRIES P 2017-01-19 2018-12-21
85 SHS LEAR CORP P 2015-09-18 2018-07-25
8794.148 SHS TORTOISE MLP & PIPELINE-INST P 2017-11-28 2018-12-20
115 SHS OWNES CORNING INC P 2017-08-18 2018-08-23
235 SHS OWNES ILLINOIS INC NEW COMMON STOCK P 2017-10-19 2019-06-24
255 SHS PFIZER INC COMMON STOCK P 2018-02-26 2019-03-21
175 SHS PFIZER INC COMMON STOCK P 2018-02-26 2019-06-24
50000 SHS PRAXAIR INC P 2017-01-20 2018-10-04
20 SHS RED HAT INC COMON STOCK P 2017-04-20 2018-09-28
40 SHS RED HAT INC COMMON STOCK P 2017-04-20 2018-11-21
20 SHS S&P GLOBAL INC P 2017-09-21 2019-01-24
5 SHS S&P GLOBAL INC P 2017-09-21 2019-03-01
45 SHS S&P GLOBAL INC P 2017-09-21 2019-03-21
205 SHS STEEL DYNAMICS INC COMMON STOCK P 2017-01-19 2018-10-24
70 SHS UNITED RENTALS INC COMMON STOCK P 2016-09-27 2018-11-21
15 SHS BOEING CO P 2014-09-17 2019-01-30
145 SHS PILGRIMS PRIDE CORP NEW P 2015-06-19 2019-01-31
25000 SHS EMC CORP P 2015-01-29 2019-01-03
CAPITAL GAINS DIVIDENDS P    
(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 3,104   2,758 346
b 2,426   1,931 495
c 57   32 25
d 25,000   25,291 -291
e 25,000   25,963 -963
25,000   24,875 125
20,000   19,902 98
25,000   24,938 62
25,000   24,875 125
25,000   24,750 250
2,011   1,899 112
1,853   2,522 -669
1,629   2,624 -995
1,085   1,654 -569
2,090   2,921 -831
2,065   2,877 -812
25,000   24,725 275
25,000   24,999 1
25,439   26,260 -821
25,000   23,900 1,100
2,268   2,885 -617
3,357   3,149 208
1,792   2,102 -310
1,726   2,981 -1,255
1,639   1,132 507
1,722   2,037 -315
25,000   24,825 175
5,378   4,157 1,221
3,511   4,932 -1,421
7,013   7,152 -139
5,644   7,942 -2,298
3,049   3,022 27
4,341   6,539 -2,198
8,666   9,433 -767
3,609   4,042 -433
25,000   25,000 0
8,388   12,514 -4,126
6,949   8,243 -1,294
6,135   7,148 -1,013
13,226   14,489 -1,263
2,739   2,525 214
13,729   20,727 -6,998
3,773   3,762 11
7,128   7,775 -647
3,865   3,693 172
8,326   9,923 -1,597
17,113   17,512 -399
5,947   6,010 -63
4,680   6,402 -1,722
25,000   25,000 0
9,297   11,929 -2,632
6,138   6,145 -7
6,834   8,660 -1,826
13,181   10,677 2,504
7,486   5,209 2,277
3,533   2,368 1,165
11,124   10,788 336
14,236   6,052 8,184
5,197   2,228 2,969
13,007   5,186 7,821
8,977   3,693 5,284
10,555   9,492 1,063
7,358   7,126 232
75,000   75,000 0
10,852   20,660 -9,808
50,000   50,000 0
75,000   75,000 0
10,737   10,148 589
7,869   6,971 898
12,031   10,439 1,592
12,901   7,664 5,237
589   641 0
131,059   138,992 -7,933
219,895   188,877 31,018
181,143   214,807 -33,664
5,188   2,940 2,248
8,248   3,604 4,644
11,589   7,145 4,444
14,609   9,550 5,059
99,198   113,106 -13,908
6,666   7,739 -1,073
3,944   5,952 -2,008
10,840   9,486 1,354
7,650   6,510 1,140
50,560   50,933 -373
2,739   1,754 985
6,929   3,509 3,420
3,773   3,109 664
1,011   777 234
9,385   6,975 2,410
8,244   5,978 2,266
8,026   3,621 4,405
5,817   1,922 3,895
2,913   3,373 -460
24,063   25,575 -1,512
42,123     42,123
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       346
b       495
c       25
d       -291
e       -963
      125
      98
      62
      125
      250
      112
      -669
      -995
      -569
      -831
      -812
      275
      1
      -821
      1,100
      -617
      208
      -310
      -1,255
      507
      -315
      175
      1,221
      -1,421
      -139
      -2,298
      27
      -2,198
      -767
      -433
      0
      -4,126
      -1,294
      -1,013
      -1,263
      214
      -6,998
      11
      -647
      172
      -1,597
      -399
      -63
      -1,722
      0
      -2,632
      -7
      -1,826
      2,504
      2,277
      1,165
      336
      8,184
      2,969
      7,821
      5,284
      1,063
      232
      0
      -9,808
      0
      0
      589
      898
      1,592
      5,237
      0
      -7,933
      31,018
      -33,664
      2,248
      4,644
      4,444
      5,059
      -13,908
      -1,073
      -2,008
      1,354
      1,140
      -373
      985
      3,420
      664
      234
      2,410
      2,266
      4,405
      3,895
      -460
      -1,512
      42,123
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 45,979
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 332,500 10,960,211 0.030337
2016 210,000 7,082,912 0.029649
2015 199,116 4,027,412 0.049440
2014 184,000 4,039,787 0.045547
2013 168,000 3,782,171 0.044419
2
Total of line 1, column (d) .....................
2
0.199392
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
0.039878
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
11,322,995
5
Multiply line 4 by line 3......................
5
451,538
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,387
7
Add lines 5 and 6........................
7
452,925
8
Enter qualifying distributions from Part XII, line 4,.............
8
550,000
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 1,387
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 1,387
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 1,387
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 1,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,500
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 56
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 57
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet57 RefundedBullet 11 0
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 ofbulletDENNIS G WOJAHN Telephone no.bullet (920) 362-0001

    Located atbullet426 WOODFIELD DRIVEGREEN BAYWI ZIP+4bullet54313
    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
    CHRISTOPHER HARTWIG MEMBER, DIRECTOR, PRES/TRE
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    EVELYN HARTWIG MEMBER, DIRECTOR, SECRETAR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    JOSEPH BIELINSKI DIRECTOR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    DENNIS WOJAHN DIRECTOR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    GARY WYNVEEN DIRECTOR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    DANA HARTWIG DIRECTOR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    HANS HARTWIG DIRECTOR
    0.10     		0 0 0
    PO BOX 733
    APPLETON,WI549120733
    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
    10,944,535
    b
    Average of monthly cash balances.......................
    1b
    550,891
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,495,426
    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
    11,495,426
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    172,431
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    11,322,995
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    566,150
    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
    566,150
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    1,387
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,387
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    564,763
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    564,763
    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
    564,763
    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
    550,000
    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
    550,000
    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
    1,387
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    548,613
    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 7 564,763
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 543,877
    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......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 550,000
    a Applied to 2017, but not more than line 2a 543,877
    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..... 6,123
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		558,640
    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 ......     		0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    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).)
    CHRISTOPHER HARTWIG
    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
    ST FRANCIS XAVIER
    101 E NORTHLAND AVE
    APPLETON,WI54911     		NONE PC PROMOTE EDUCATION 62,000
    TROUT MUSEUM OF ART
    111 W COLLEGE AVE
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF PROMOTING THE VISUAL ARTS 5,000
    APPLETON MEDICAL CENTER FOUNDATION
    1818 N MEADE STREET
    APPLETON,WI54915     		NONE PC FUNDING OF THE HEALTHCARE NEEDS OF THE PEOPLE IN THE FOX VALLEY AREA 4,000
    BOY SCOUTS - BAY LAKES COUNCIL
    PO BOX 267
    APPLETON,WI54912     		NONE PC FURTHER PURPOSE OF YOUTH DEVELOPMENT 2,000
    BOYS AND GIRLS CLUB FOX VALLEY
    117 S LOCUST STREET
    APPLETON,WI54914     		NONE PC FURTHER PURPOSE OF YOUTH DEVELOPMENT 5,000
    CATALPA HEALTH
    444 N WESTHILL BLVD
    APPLETON,WI54914     		NONE PC FURTHER PURPOSE OF PROVIDING MENTAL HEALTH CARE TO CHILDREN AND TEENS 25,000
    COMMUNITY CLOTHES CLOSET
    1465-B OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC FURTHER PURPOSE OF PROVIDING CLOTHING TO FINANCIALLY CHALLENGED INDIVIDUALS 5,000
    COTS
    1003 W COLLEGE AVE
    APPLETON,WI54914     		NONE PC FURTHER PURPOSE OF OFFERING HOMELESS INDIVIDUALS SHELTER, FOOD AND TRAINING 30,000
    HOMELESS CONNECTIONS
    400 NORTH DIVISION STREET
    APPLETON,WI54911     		NONE PC FURTHER PURPOSE OF OFFERING HOMELESS INDIVIDUALS SHELTER, FOOD AND TRAINING 15,000
    FOX CITIES CHILDREN'S MUSEUM
    100 W COLLEGE AVE
    APPLETON,WI54911     		NONE PC FURTHER PURPOSE OF BUILDING IMAGINATION, CREATIVITY AND CONFIDENCE IN APPLETON'S YOUTH 10,000
    FOX VALLEY CATHOLIC BIBLE STUDY
    2331 LOURDES DRIVE
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF PROVIDING ESSENTIAL SERVICES TO THE POOR AND NEEDY 5,000
    FOX VALLEY COMMUNITY FOUNDATION - W
    PO BOX 563
    APPLETON,WI54912     		NONE PC FURTHER PURPOSE OF STRENGTHENING THE COMMUNITY OF THE FOX VALLEY 10,000
    FOX VALLEY COMMUNITY FOUNDATION-BET
    PO BOX 563
    APPLETON,WI54912     		NONE PC FURTHER PURPOSE OF STRENGTHENING THE COMMUNITY OF THE FOX VALLEY 5,000
    FOX VALLEY LITERACY COALITION
    103 E WASHINGTON STREET
    APPLETON,WI54911     		NONE PC PROMOTE EDUCATION 5,000
    FOX VALLEY SPECIAL OLYMPICS
    W5361 CTY KK STE D
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF PROVIDING YEAR ROUND SPORTS TRAINING FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES 10,000
    FOX VALLEY SYMPHONY
    111 W COLLEGE AVE
    APPLETON,WI54911     		NONE PC FURTHER PURPOSE OF PROMOTING MUSIC APPRECIATION 10,000
    FOX VALLEY LUTHERAN
    5300 N MEADE ST
    APPLETON,WI54913     		NONE PC BUILDING MAINTENANCE FUND 25,000
    GORDON BUBOLZ NATURE PRESERVE
    4815 N LYNNDALE DRIVE
    APPLETON,WI54913     		NONE PC FURTHER PURPOSE TO PRESERVE WISCONSIN NATURAL AREAS FOR RECREATION 5,000
    HARBOR HOUSE
    720 W 5TH STREET
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF OFFERING CRISIS COUNSELING FOR DOMESTIC VIOLENCE 20,000
    HEARTHSTONE
    625 W PROSPECT AVE
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF PRESERVING HISTORIC HOME USING EARLY EDISON SYSTEM FOR LIGHTING 9,000
    LEAVEN
    1475 OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC FURTHER PURPOSE OF PROVIDING EMERGENCY ASSISTANCE TO THE NEEDY 10,000
    NAMI - FOX VALLEY
    516 W 6TH ST
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE TO SUPPORT THOSE AFFECTED BY MENTAL ILLNESS. 25,000
    OUTAGAMIE COUNTY HISTORICAL SOCIETY
    330 W COLLEGE AVE
    APPLETON,WI54911     		NONE PC FURTHER PURPOSE TO PRESERVE THE HISTORY OF THE FOX VALLEY 20,000
    PAPER INDUSTRY INTERNATIONAL HALL OF FAME
    425 W WATER STREET
    APPLETON,WI54911     		NONE PC FURTHER PURPOSE TO CELEBRATE ALL THINGS PAPER. 10,000
    SALVATION ARMY - FOX CITIES
    130 E NORTH ST
    APPLETON,WI54912     		NONE PC FURTHER PURPOSE OF HELPING INDIVIDUALS IN THE COMMUNITY 3,000
    SISTERS OF ST FRANCIS OF THE HOLY C
    3110 NICOLET DR
    GREEN BAY,WI54311     		NONE PC PROVIDE ASSISTANCE TO THE COMMUNITY OF APPLETON 6,000
    ST ELIZABETH HOSPITAL COMMUNITY FOU
    1506 S ONEIDA ST
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF OFFERING COMMUNITY HEALTH CARE 40,000
    ST JOSEPH FOOD PROGRAM INC
    1465A OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC TO HELP FUND DISTRIBUTON OF FRESH FOOD AND NON-PERISHABLE ITEMS 10,000
    ST MARY CENTRAL HIGH SCHOOL
    1050 ZEPHYR DR
    NEENAH,WI54956     		NONE PC PROMOTE EDUCATION 6,000
    ST PAUL ELDER SERVICES - PROVIDENCE
    316 E FOURTEENTH ST
    KAUKAUNA,WI54130     		NONE PC FURTHER PURPOSE OF PROVIDING FACILITIES FOR AGING INDIVIDUALS 15,000
    THOMPSON COMMUNITY CENTER
    820 W COLLEGE AVENUE
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF ENHANCING QUALITY OF LIFE OF AGING ADULTS 15,000
    YARC OF OUTAGAMIE COUNTY
    1419 HOLLAND ROAD
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE TO PROVIDE SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 5,000
    YMCA OF THE FOX CITIES - STRONG KID
    218 E LAWERENCE ST
    APPLETON,WI54915     		NONE PC FURTHER PURPOSE OF YOUTH DEVELOPMENT 10,000
    BIG BROTHERS BIG SISTERS
    3301 N BALLARD RD C
    APPLETON,WI54911     		NONE PC PROVIDE CHILDREN WITH STRONG AND ENDURING, RELATIONSHIPS THAT CHANGE THEIR LIVES FOR THE BETTER 15,000
    MOUNT TABOR CENTER
    522 SECOND STREET
    MENASHA,WI54915     		NONE PC FURTHER PURPOSE OF RETREAT IN CREATING SPIRITUAL EXPERIENCES FOR YOUTH AND ADULTS 5,000
    SPIERINGS CANCER FOUNDATION
    700 HARVET TRAIL
    APPLETON,WI54913     		NONE PC FURTHER PURPOSE OF PROVIDING FINANCIAL SUPPORT, ENHANCE MEDICAL CARE, AND FUND CANCER RESEARCH IN THE FOX CITIES AND WISCONSIN 10,000
    PREVENT SUICIDE FOX CITIES
    211 E FRANKLIN ST SUITE F
    APPLETON,WI54911     		NONE PC DECREASE SUICIDE AND ITS TOLL ON SURVIVORS BY PROMOTING MENTAL HEALTH 3,000
    FOX CITIES PERFORMING ARTS CENTER
    400 W COLLEGE AVE
    APPLETON,WI54911     		NONE PC SERVE AS A GATHERING PLACE FOR THE COMMUNITY TO ENGAGE IN EDUCATIONAL OPPORTUNITIES AND ENHANCE THE UNDERSTANDING OF LIFE THROUGH THE CREATION AND PRESENTATION OF THE ARTS. 10,000
    LITTLE CHUTE WINDMILL ASSOCIATION
    130 W MAIN STREET
    LITTLE CHUTE,WI54140     		NONE PC MAINTAIN AND OPERATE AN AUTHENTIC DUTCH WINDMILL FOR HISTORICAL AND EDUCATIONAL PURPOSES FOR ALL AGES 15,000
    FRIENDS OF THE APPLETON FIRE DEPARTMENT FOUNDATION
    700 N DREW STREET
    APPLETON,WI54911     		NONE PC DIRECT MISSION OF IMPROVING THE SAFETY AND THE QUALITY OF LIFE OF THE CITIZENS AND THOSE WHO LIVE, WORK AND PLAY IN OUR COMMUNITY. 50,000
    Total .................................bullet 3a 550,000
    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 ...........     		    14 87,800  
    4 Dividends and interest from securities....     14 57,507  
    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 45,979  
    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).. 0 191,286 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    191,286
    (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
    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
    HARTWIG FAMILY FOUNDATION INC
     
    Employer identification number

    39-1977500
    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
    HARTWIG FAMILY FOUNDATION INC
          		Employer identification number
    39-1977500
    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
    CHRISTOPHER HARTWIG  
    1430 POTATO POINT ROAD
     
    APPLETON, WI54911

    		$ 309,282


    (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.)
    (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.)
    (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
    HARTWIG FAMILY FOUNDATION INC
          		Employer identification number

    39-1977500
    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
    HARTWIG FAMILY FOUNDATION INC
          		Employer identification number

    39-1977500
    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 InvestmentsCorpBondsSchedule
    Name:
    HARTWIG FAMILY FOUNDATION INC
    EIN:
    39-1977500
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 3,515,455 3,558,136

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    HARTWIG FAMILY FOUNDATION INC
    EIN:
    39-1977500
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCKS 4,985,368 7,682,506

    TY 2018 OtherProfessionalFeesSchedule
    Name:
    HARTWIG FAMILY FOUNDATION INC
    EIN:
    39-1977500
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 46,540 46,540   0


    TY 2018 SubstantialContributorsSch
    Name:
    HARTWIG FAMILY FOUNDATION INC
    EIN:
    39-1977500
    Name Address
    CHRISTOPER HARTWIG PO BOX 733
    APPLETON,WI54912


    TY 2018 TaxesSchedule
    Name:
    HARTWIG FAMILY FOUNDATION INC
    EIN:
    39-1977500
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 4,259 4,259   0
    FOREIGN TAXES PAID 1,774 1,774   0