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
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
J J KELLER FOUNDATION INC
C/O ROBERT L KELLER
Number and street (or P.O. box number if mail is not delivered to street address)3003 BREEZEWOOD LANE PO BOX 368
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEENAH, WI549570368
A Employer identification number

39-1683437
B Telephone number (see instructions)

(920) 727-7263
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$92,782,593J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 19,270 19,270  
4 Dividends and interest from securities... 1,407,225 1,393,277  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,590,052
b Gross sales price for all assets on line 6a 13,982,875
7 Capital gain net income (from Part IV, line 2)... 3,590,052
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........ 5,016,547 5,002,599  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 166,877 1,669   165,208
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 6,013 3,948   2,064
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 154,985 154,240   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 55,164 317   10,848
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,170 0   1,170
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 24,030 43   23,923
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 408,239 160,217   203,213
25 Contributions, gifts, grants paid....... 3,665,270 3,665,270
26 Total expenses and disbursements. Add lines 24 and 25 4,073,509 160,217   3,868,483
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 943,038
b Net investment income (if negative, enter -0-) 4,842,382
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 4,473,059 6,573,141 6,573,141
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) 2,579,999 Click to see attachment2,288,795 2,367,464
b Investments—corporate stock (attach schedule)....... 7,367,581 Click to see attachment7,977,086 11,884,392
c Investments—corporate bonds (attach schedule)....... 3,904,450 Click to see attachment4,421,999 4,786,306
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 42,536,049 Click to see attachment40,544,759 67,171,290
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) 60,861,138 61,805,780 92,782,593
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) Click to see attachment7,769 Click to see attachment9,373
23 Total liabilities (add lines 17 through 22)......... 7,769 9,373
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 60,853,369 61,796,407
29 Total net assets or fund balances (see instructions)..... 60,853,369 61,796,407
30 Total liabilities and net assets/fund balances (see instructions). 60,861,138 61,805,780
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
60,853,369
2
Enter amount from Part I, line 27a .....................
2
943,038
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
61,796,407
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 29 .
6
61,796,407
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b CAPITAL GAINS DIVIDENDS P    
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 13,440,400   10,392,823 3,047,577
b 542,475     542,475
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       3,047,577
b       542,475
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 3,590,052
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
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 67,309
c All other domestic foundations enter 1.39% 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 67,309
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 67,309
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 62,968
b Exempt foreign organizations—tax withheld at source...... 6b 0
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 62,968
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 4,341
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 2021 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 the instructions
for the 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 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 addressbulletWWW.JJKELLERFOUNDATION.ORG
    14
    The books are in care ofbulletLORI SCHNEIDER Telephone no.bullet (920) 727-7316

    Located atbulletPO BOX 368NEENAHWI ZIP+4bullet549570368
    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 2020, 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 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    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 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ROBERT L KELLER DIRECTOR/PRESIDENT
    1.00     		0 0 0
    3003 BREEZEWOOD LANE
    NEENAH,WI54957
    JAMES J KELLER DIRECTOR/VP/TREASURER
    1.00     		0 0 0
    3003 BREEZEWOOD LANE
    NEENAH,WI54957
    MARNE L KELLER-KRIKAVA DIRECTOR/SECY
    1.00     		0 0 0
    3003 BREEZEWOOD LANE
    NEENAH,WI54957
    BRIAN J KELLER DIRECTOR
    1.00     		0 0 0
    3003 BREEZEWOOD LANE
    NEENAH,WI54957
    HEIDI M DUSEK EXECUTIVE DIRECTOR
    40.00     		166,877 0 0
    3003 BREEZEWOOD LANE
    NEENAH,WI54957
    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 (2020)
    Form 990-PF (2020)
    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 THE FOUNDATION IS ORGANIZED AND OPERATED TO MAKE CASH DONATIONS TO QUALIFYING PUBLIC CHARITIES. THE FOUNDATION DOES NOT ENGAGE IN ANY OTHER DIRECT CHARITABLE ACTIVITIES. 0
    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 (2020)
    Form 990-PF (2020)
    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
    75,506,055
    b
    Average of monthly cash balances.......................
    1b
    6,195,413
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    81,701,468
    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
    81,701,468
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,225,522
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    80,475,946
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,023,797
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    4,023,797
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    67,309
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    67,309
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    3,956,488
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    3,956,488
    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
    3,956,488
    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
    3,868,483
    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
    3,868,483
    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
    3,868,483
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 3,956,488
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 320,971
    b From 2016...... 38,305
    c From 2017...... 99,774
    d From 2018......  
    e From 2019...... 367,264
    fTotal of lines 3a through e........ 826,314
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 3,868,483
    a Applied to 2019, 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 2020 distributable amount..... 3,868,483
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 88,005 88,005
    (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 5 738,309
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		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 2015 not
    applied on line 5 or line 7 (see instructions) ...     		232,966
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		505,343
    10 Analysis of line 9:
    a Excess from 2016.... 38,305
    b Excess from 2017.... 99,774
    c Excess from 2018....  
    d Excess from 2019.... 367,264
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, 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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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 (2020)
    Form 990-PF (2020)
    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
    ALZHEIMER'S ASSOCIATION
    225 N MICHIGAN AVE STE 1700
    CHICAGO,IL60601     		NONE PC GENERAL CHARITABLE 50
    AMERICAN CANCER SOCIETY
    PO BOX 902
    PEWAUKEE,WI53072     		NONE PC GENERAL CHARITABLE 50
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET
    ATLANTA,GA30303     		NONE PC GENERAL CHARITABLE 1,000
    AMERICAN HEART ASSOCIATION
    6500 TECHNOLOGY DR
    INDIANAPOLIS,IN46278     		NONE PC GENERAL CHARITABLE 150
    AMERICAN RED CROSS NE WI
    515 S WASHBURN STE 201
    OSHKOSH,WI54904     		NONE PC GENERAL CHARITABLE 30,000
    AMERICAN RED CROSS SOUTHEASTERN WI
    2600 W WISCONSIN AVENUE
    MILWAUKEE,WI53223     		NONE PC GENERAL CHARITABLE 1,000
    APPLETON COMMUNITY EVANG FREE CHURCH
    2490 W CAPITAL DR
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 5,000
    ASSOCIATION OF SMALL FOUNDATIONS
    1720 N STREET NW
    WASHINGTON,DC20036     		NONE PC GENERAL CHARITABLE 1,000
    BEAMING INC
    P O BOX 524
    NEENAH,WI54957     		NONE PC GENERAL CHARITABLE 1,000
    BEST YEAR YET FOUNDATION
    P O BOX 740223
    ARVADA,CO80006     		NONE PC GENERAL CHARITABLE 14,070
    BIG BROTHERSBIG SISTERS OF EAST CENTRAL WI
    1331 AMERICAN DRIVE
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 90,000
    BOYS & GIRLS BRIGADE
    109 W COLUMBIAN AVE
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 1,050
    BOYS & GIRLS CLUBS OF OSHKOSH
    501 E PARKWAY AVE
    OSHKOSH,WI54903     		NONE PC GENERAL CHARITABLE 45,000
    BOYS & GIRLS CLUBS OF THE FOX VALLEY
    160 S BADGER AVE
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 75,000
    BUILDING FOR KIDS
    100 W COLLEGE AVE
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 5,000
    CAMPUS CRUSADE FOR CHRIST
    P O BOX 628222
    ORLANDO,FL32862     		NONE PC GENERAL CHARITABLE 2,500
    CAP SERVICES INC
    2900 HOOVER ROAD
    STEVENS POINT,WI54481     		NONE PC GENERAL CHARITABLE 53,321
    CASA OF THE FOX CITIES
    1500 N CASALOMA DR STE 401
    APPLETON,WI54913     		NONE PC GENERAL CHARITABLE 16,000
    CATALPA HEALTH INC
    4635 W COLLEGE AVENUE
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 170,055
    CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION
    999 N 92ND STREET C760
    WAUWATOSA,WI53226     		NONE PC GENERAL CHARITABLE 10,000
    CHOOSEFI INTERNATIONAL FOUNDATION
    11357 NUCKOLS RD 1110
    GLEN ALLEN,VA23059     		NONE PC GENERAL CHARITABLE 500
    CHRIST THE ROCK COMMUNITY CHURCH
    W6254 HWY 10-114
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 1,000
    CHRISTINE ANN DOMESTIC ABUSE SERVICES INC
    P O BOX 99
    MENASHA,WI54957     		NONE PC GENERAL CHARITABLE 32,650
    COMMUNITY CLOTHES CLOSET INC
    1465B OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 25,000
    COMMUNITY FOR HOPE OF GREATER OSHKOSH
    2700 W 9 AVE STE 100
    OSHKOSH,WI54904     		NONE PC GENERAL CHARITABLE 15,000
    COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION
    4455 W LAWRENCE ST
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 406,362
    COTS INC
    1003 W COLLEGE AVE
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 75,000
    DAMASCUS ROAD PROJECT
    N1085 COUNTY ROAD HH
    ANTIGO,WI54409     		NONE PC GENERAL CHARITABLE 500
    DAY BY DAY WARMING SHELTER
    449 HIGH AVE
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 30,000
    DOWN SYNDROME ASSOCIATION OF WISCONSIN
    211 E FRANKLIN ST
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 1,000
    DOWN SYNDROME ASSOCIATION OF WISCONSIN
    11709 W CLEVELAND AVENUE STE 2
    WEST ALLIS,WI53227     		NONE PC GENERAL CHARITABLE 125
    DYSLEXIA READING CONNECTION
    2935 N BALLARD STE 1
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 3,000
    EMERGENCY ASSISTANCE FOUNDATION
    PO BOX 850001
    ORLANDO,FL32885     		NONE PC GENERAL CHARITABLE 45,000
    END 68 HOURS OF HUNGER
    PO BOX 261
    CORNISH,MA04020     		NONE PC GENERAL CHARITABLE 250
    ENVIRONMENTAL DEFENSE FUND
    257 PARK AVE S
    NEW YORK,NY10010     		NONE PC GENERAL CHARITABLE 100
    FAMILY SERVICES OF NE WISCONSIN
    P O BOX 22308
    GREEN BAY,WI54305     		NONE PC GENERAL CHARITABLE 15,500
    FEEDING AMERICA
    161 N CLARK STREET
    CHICAGO,IL60601     		NONE PC GENERAL CHARITABLE 300
    FEEDING AMERICA EASTERN WISCONSIN
    2911 W EVERGREEN
    APPLETON,WI54912     		NONE PC GENERAL CHARITABLE 81,250
    FINANCIAL INFORMATION & SERVICE CENTER INC
    1800 APPLETON ROAD
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 15,000
    FISHING FOR THE HEART
    N75W23193 N RIDGEVIEW CIRCLE
    SUSSEX,WI53089     		NONE PC GENERAL CHARITABLE 7,500
    FOREVER FAMILIES
    17940 FARMINGTON RD
    LIVONIA,MI48152     		NONE PC GENERAL CHARITABLE 250
    FOX CARES FOUNDATION
    3401 E CALUMET
    APPLETON,WI54915     		NONE PC GENERAL CHARITABLE 10,000
    FOX VALLEY CHRISTIAN FELLOWSHIP
    1200 W KIMBERLY AVE
    KIMBERLY,WI54136     		NONE PC GENERAL CHARITABLE 5,000
    FOX VALLEY LITERACY COUNCIL
    130 E FRANKLIN ST
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 35,000
    FOX VALLEY MEMORY PROJECT
    1800 APPLETON RD
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 8,500
    FREEDOM HOUSE MINISTRIES
    2997 ST ANTHONY DRIVE
    GREEM BAY,WI54311     		NONE PC GENERAL CHARITABLE 15,000
    FRIENDSHIP PLACE
    220 N COMMERCIAL
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 250
    FUTURE ANGLER FOUNDATION
    8410 CURVE RD
    FORESTVILLE,WI54213     		NONE PC GENERAL CHARITABLE 15,000
    GIRL SCOUTS OF THE NORTHWESTERN GREAT LAKES
    4693 N LYNNDALE DR
    APPLETON,WI54913     		NONE PC GENERAL CHARITABLE 10,000
    GREATER GREEN BAY COMMUNITY FOUNDATION
    310 W WALNUT ST STE 310
    GREEN BAY,WI54303     		NONE PC GENERAL CHARITABLE 287,963
    HABITAT FOR HUMANITY INTERNATIONAL
    921 MIDWAY ROAD
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 132,000
    HABITAT FOR HUMANITY OSHKOSH
    P O BOX 1021
    OSHKOSH,WI54903     		NONE PC GENERAL CHARITABLE 62,574
    HARBOR HOUSE DOMESTIC ABUSE PROGRAMS INC
    720 W 5TH ST
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 51,124
    HOLYLAND FOOD PANTRY
    N10362 ST PAULS ROAD
    MALONE,WI53049     		NONE PC GENERAL CHARITABLE 100
    HOUSE OF HOPE
    1660 CHRISTIANA ST
    GREEN BAY,WI54303     		NONE PC GENERAL CHARITABLE 39,700
    JERICHO ROAD MINISTRIES
    400 N SAWYER ST
    OSHKOSH,WI54902     		NONE PC GENERAL CHARITABLE 500
    JUVENILE DIABETES RESEARCH FOUNDATION
    1800 APPLETON ROAD STE 2
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 1,000
    JUVENILE DIABETES RESEARCH FOUNDATION
    200 VESEY STREET 28TH FLOOR
    NEW YORK,NY10281     		NONE PC GENERAL CHARITABLE 50
    KENYA WORKS
    P O BOX 1572
    APPLETON,WI54912     		NONE PC GENERAL CHARITABLE 2,500
    KINGDOM WORKERS
    N19 W24075 RIVERWOOD DR STE 200
    WAUKESHA,WI53188     		NONE PC GENERAL CHARITABLE 1,700
    LEAVEN
    1475 OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 65,000
    LEUKEMIA & LYMPHOMA SOCIETY
    6737 W WASHINGTON ST 2100
    MILWAUKEE,WI53214     		NONE PC GENERAL CHARITABLE 2,000
    LEUKEMIA & LYMPHOMA SOCIETY
    3 INTERNATIONAL DR STE 200
    RYE BROOK,NY10573     		NONE PC GENERAL CHARITABLE 250
    LIFE PROMOTIONS
    3000 N POINTER ROAD
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 500
    LIFE TOOLS FOUNDATION
    105 OAKRIDGE CT
    COMBINED LOCKS,WI54113     		NONE PC GENERAL CHARITABLE 3,000
    LOAVES AND FISHES OF THE FOX VALLEY
    PO BOX 1562
    APPLETON,WI54912     		NONE PC GENERAL CHARITABLE 15,000
    LOCAL INITIATIVES SUPPORT CORPORATION
    28 LIBERTY STREET
    NEW YORK,NY10005     		NONE PC GENERAL CHARITABLE 10,000
    MARQUETTE UNIVERSITY
    PO BOX 1881
    MILWAUKEE,WI53201     		NONE PC GENERAL CHARITABLE 20,000
    MIDWEST ATHLETES AGAINST CHILDHOOD CANCER
    10000 W INNOVATION DRIVE STE 135
    MILWAUKEE,WI53226     		NONE PC GENERAL CHARITABLE 175
    MIRACLE FOUNDATION
    1506 W 6TH ST
    AUSTIN,TX78703     		NONE PC GENERAL CHARITABLE 25,000
    MISSION OF HOPE HOUSE OF WISCONSIN
    520 N SHAWANO ST
    NEW LONDON,WI54961     		NONE PC GENERAL CHARITABLE 15,000
    MOORING PROGRAMS INCORPORATED
    1010 STROHMEYER DRIVE
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 70,000
    NAMI FOX VALLEY
    516 W 6TH ST
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 52,100
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 THIRD AVE
    NEW YORK,NY10017     		NONE PC GENERAL CHARITABLE 50
    NATURAL RESOURCES DEFENSE COUNCIL
    40 W 20TH ST
    NEW YORK,NY10011     		NONE PC GENERAL CHARITABLE 100
    NATURE CONSERVANCY
    4245 N FAIRFAX DR
    ARLINGTON,VA22203     		NONE PC GENERAL CHARITABLE 100
    NEENAH ANIMAL SHELTER
    951 COUNTY G
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 925
    NEENAH HISTORICAL SOCIETY
    343 SMITH ST
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 50
    NEENAH WRESTLING BOOSTER CLUB
    1275 TULLAR RD
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 100
    NORTHEASTERN WISCONSIN SPORTS ADVANCEMENT
    2512 N DIVISION ST
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 3,000
    OLD GLORY HONOR FLIGHT
    4650 W SPENCER STREET
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 50
    OSHKOSH AREA COMMUNITY FOUNDATION
    230 OHIO STREET
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 152,791
    OSHKOSH AREA COMMUNITY PANTRY
    2551 JACKSON ST
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 71,000
    OSHKOSH AREA HUMANE SOCIETY
    1925 SHELTER CT
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 50
    PAN - MASSACHUSETTS CHALLENGE TRUST
    77 4TH AVE
    NEEDHAM,MA02494     		NONE PC GENERAL CHARITABLE 325
    PARTNERSHIP COMMUNITY HEALTH CENTER
    1814 N APPLETON RD
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 2,000
    PILLARS
    605 E HANCOCK ST
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 221,000
    PREGNANCY HELPLINE OF MADISON
    PO BOX 5261
    MADISON,WI53705     		NONE PC GENERAL CHARITABLE 50
    RAWHIDE
    E7475 RAWHIDE RD
    NEW LONDON,WI54961     		NONE PC GENERAL CHARITABLE 55,840
    REACH COUNSELING SERVICES
    1370 S COMMERCIAL ST
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 35,000
    REBUILDING TOGETHER
    925 W NORTHLAND AVE
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 55,000
    SACOPEE RESCUE
    PO BOX 367
    PARSONSFIELD,ME04047     		NONE PC GENERAL CHARITABLE 200
    SAMARITAN COUNSELING CENTER OF THE FOX VALLEY
    1478 KENWOOD DR
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 116,603
    SAMARITAN'S PURSE
    801 BAMBOO ROAD
    BOONE,NC28607     		NONE PC GENERAL CHARITABLE 250
    SEXUAL ASSAULT CENTER - FOX CITIES
    35 PARK PLACE STE 100
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 3,000
    SILVER LAKE PRESERVATION ASSOCIATION
    P O BOX 22308
    LAONA,WI54541     		NONE PC GENERAL CHARITABLE 100
    SOAR FOX CITIES
    375 WINNEBAGO AVE
    MENASHA,WI54911     		NONE PC GENERAL CHARITABLE 14,000
    SOLVE MECFS INITIATIVE
    350 N GLENDALE AVENUE
    GLENDALE,CA91206     		NONE PC GENERAL CHARITABLE 125
    ST JOHN'S EVANGELIST HOMELESS SHELTER
    PO BOX 1743
    GREEN BAY,WI54305     		NONE PC GENERAL CHARITABLE 20,103
    ST JOSEPH FOOD PROGRAM
    1465 OPPORTUNITY WAY
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 50,325
    ST VINCENT DE PAUL COUNCIL OF NEENAH-MENASHA
    884 S COMMERCIAL ST
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 25,000
    ST VINCENT DE PAUL SOCIETY OF APPLETON
    1924 W COLLEGE AVE
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 25,000
    TAYLOR KENNEDY FOLK SCHOLARSHIP FOUNDATION
    9599 APACHE AVENUE
    FREMONT,WI54940     		NONE PC GENERAL CHARITABLE 2,500
    THE FAMILY RADIO NETWORK
    1909 W 2ND ST
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 160
    THE LIFEFLIGHT FOUNDATION
    13 MAIN STREET
    CAMDEN,ME04843     		NONE PC GENERAL CHARITABLE 200
    THE MINDFULNESS CENTER
    16301 JOUSTING TERRACE
    ROCKVILLE,MD20855     		NONE PC GENERAL CHARITABLE 1,000
    THE SALVATION ARMY
    417 ALGOMA BLVD
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 10,000
    THE SALVATION ARMY
    130 E NORTH STREET
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 37,915
    TITAN ALUMNI FOUNDATION
    842 ALGOMA BLVD
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 15,000
    TRI-COUNTY COMMUNITY DENTAL CLINIC
    9 TRI-PARK WAY
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 113,550
    TRUST YOUTH & CHILD LEADERSHIP
    509 W 12 ST APT 611
    NEW YORK,NY10027     		NONE PC GENERAL CHARITABLE 30,000
    UNBOUND
    1 ELMWOOD AVENUE
    KANSAS CITY,KS66103     		NONE PC GENERAL CHARITABLE 432
    UNITED WAY FOX CITIES
    1455 MIDWAY ROAD
    MENASHA,WI54952     		NONE PC GENERAL CHARITABLE 23,607
    US 2 BEHAVIORAL HEALTH
    5750 W RANDE MARKET DRIVE
    APPLETON,WI54913     		NONE PC GENERAL CHARITABLE 1,000
    US BIATHLON ASSOCIATION
    49 PINELAND CENTER
    NEW GLOUCESTER,ME04260     		NONE PC GENERAL CHARITABLE 12,000
    UW OSHKOSH FOUNDATION
    625 PEARL AVE
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 37,500
    VALLEY PACKAGING INC
    110 N KENSINGTON DR
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 22,500
    VALLEY VNA
    1535 LYON DR
    NEENAH,WI54956     		NONE PC GENERAL CHARITABLE 100,000
    VIDA
    526 W WISCONSIN AVENUE
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 4,000
    VOLUNTEER OPTOMETRIC SERVICES TO HUMANITY
    3424 MORMON COULEE ROAD
    LACROSSE,WI54601     		NONE PC GENERAL CHARITABLE 2,500
    WINCHESTER AREA HISTORICAL SOCIETY
    PO BOX 84
    LARSEN,WI54947     		NONE PC GENERAL CHARITABLE 50
    WINNEBAGO COUNTY LITERACY COUNCIL
    106 WASHINGTON AVE
    OSHKOSH,WI54901     		NONE PC GENERAL CHARITABLE 25,000
    WINNECONNE COMMUNITY SCHOOL DISTRICT
    233 S 3RD AVENUE
    WINNECONNE,WI54986     		NONE PC GENERAL CHARITABLE 47,500
    WINNECONNE YOUTH DIAMOND CLUB
    PO BOX 92
    WINNECONNE,WI54986     		NONE PC GENERAL CHARITABLE 50,000
    WISCONSIBS
    211 E FRANKLIN STREET
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 2,500
    WISCONSIN RIGHT TO LIFE EDUCATION FUND
    5317 N 118TH COURT
    MILWAUKEE,WI53225     		NONE PC GENERAL CHARITABLE 5,000
    WISCONSIN VETERANS VILLAGE
    PO BOX 785
    APPLETON,WI54912     		NONE PC GENERAL CHARITABLE 5,000
    WOMEN'S FUND FOR THE FOX VALLEY REGION
    4455 W LAWRENCE ST
    APPLETON,WI54914     		NONE PC GENERAL CHARITABLE 10,000
    WORD OF HOPE MINISTRIES
    2677 N 40TH ST
    MILWAUKEE,WI53210     		NONE PC GENERAL CHARITABLE 5,000
    WORLD CENTRAL KITCHEN
    1342 FLORIDA AVE NW
    WASHINGTON,DC20009     		NONE PC GENERAL CHARITABLE 200
    YMCA - FOX CITIES
    218 E LAWRENCE
    APPLETON,WI54911     		NONE PC GENERAL CHARITABLE 16,500
    Total .................................bullet 3a 3,665,270
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 19,270  
    4 Dividends and interest from securities....     14 1,407,225  
    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 3,590,052  
    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 5,016,547 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    5,016,547
    (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 (2020)
    Form 990-PF (2020)
    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 instructions.
    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 (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ABBVIE 4.25 111428 97,447 119,891
    APPLE INC 1.65 051130 135,117 139,039
    AT&T 4.25 030127 94,858 111,124
    BANK AMERICA 3.248 102127 126,499 145,482
    BANK NOVA SCOTIA 2.70 080326 126,496 137,819
    BANK OF NEW YORK 3.55 092321 100,430 102,117
    BB&T CORP 3.70 060525 121,991 124,371
    BECTON DICKINSON 3.125 110821 65,033 66,441
    COMCAST 3.95 101525 113,413 126,377
    CUMMINS 3.65 100123 90,088 97,519
    DISNEY WALT 1.85 073026 104,766 115,537
    DR HORTON 5.75 081523 84,852 89,761
    ENTERPRISE PROD 4.15 101628 103,275 113,020
    EXXON MOBIL 2.726 030123 95,294 99,537
    FIFTH THIRD BANCORP 2.55 050527 103,820 108,832
    GILEAD SCIENCES 4.50 040121 80,666 80,000
    GOLDMAN SACHS 3.85 012627 121,539 142,650
    HONEYWELL 4.25 030121 100,879 100,620
    JPMORGAN CHASE 3.20 061526 127,859 145,387
    KEURIG DR PEPPER 3.2 050130 80,228 90,578
    KIMBERLY CLARK 3.1 032630 135,557 143,947
    KINDER MORGAN 4.30 060125 101,560 105,548
    LAM RESEARCH 4.00 031529 109,615 119,960
    LOWES COS 3.65 040529 104,569 105,027
    MARKLE CORP 3.50 110127 102,785 112,841
    ORACLE CORP 2.40 091523 95,309 99,892
    PACKAGING CORP 4.50 110123 99,198 104,764
    PEPSICO 2.75 043025 98,533 108,850
    PFIZER INC 2.20 121521 126,624 127,429
    PNC FUNDING CORP 3.30 030822 124,622 129,109
    PRICELINE GROUP 3.55 031528 95,934 115,178
    ROPER IND 3.80 121526 97,523 115,532
    ROYAL BANK OF CANADA 2.25 110124 117,773 122,338
    SCHLUMBERGER 3.65 120123 95,502 103,136
    SHELL INTL 1.875 051021 124,814 125,712
    SOUTHERN CO 3.25 070126 100,344 117,787
    STATE STREET CORP 2.40 012430 123,256 125,668
    TARGET CORP 2.65 091530 129,522 140,429
    TORONTO DOMINION BANK 3.5 071923 124,495 135,272
    US BANCORP 2.375 072226 114,910 135,324
    WELLS FARGO 3.75 012424 125,004 136,461

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCEL ENTERTAINMENT 54,600 52,520
    ACUITY BRANDS 115,003 124,723
    AIR LEASE CORP 112,084 156,358
    AMERICAN EAGLE 218,503 251,076
    AMERICAN WOODMARK 157,462 180,192
    AMERIS BANCORP 27,302 36,167
    AVIENT CORPORATION 52,662 65,898
    AXALTA COATING SYS 47,178 79,940
    BIODELIVERY SCIENCES 81,351 110,788
    BOINGO WIRELESS 48,873 90,007
    BOOTBARN HOLDINGS 41,100 60,661
    BRIGHTVIEW HOLDINGS 45,975 48,384
    BUCKLE INC 49,319 66,138
    BWX TECHNOLOGIES 132,304 147,083
    CAESARS ENT INC 66,542 124,996
    CHARLES RIVER LABS INTL 42,211 90,449
    CIRRUS LOGIC INC 28,030 41,593
    COHU INC 13,093 40,089
    COLFAX CORP 113,567 190,053
    COMMERCE BANCSHARES 62,682 90,338
    COPA HOLDINGS 99,048 122,255
    COVENANT LOGISTICS GRP 71,409 62,794
    CRISPR THERAPEUTICS 13,472 32,153
    CURALEAF FOLDINGS INC 48,757 66,455
    CVSL INC WTS 1 1
    DARLING INGREDIANTS 46,302 106,074
    DIGITAL TURBINE 9,432 275,956
    DMC GLOBAL INC 31,357 47,575
    DRAFTKINGS INC 34,389 148,945
    DYNATRACE INC 77,306 137,945
    EAGLE MATERIALS 48,438 52,195
    EHEALTH INC 82,593 73,011
    EMERALD HOLDINGS 36,566 38,487
    ENERPAC TOOL GROUP 66,652 78,457
    ESSENT GROUP LTD 144,025 184,896
    EXTENDED STAY AMERICA 87,538 65,905
    FALTHOM HOLDINGS INC 43,862 156,558
    FERROGLOBE 27,673 26,565
    FIRSTCASH INC 169,331 161,092
    FULLER H B CO 123,169 130,738
    G-III APPAREL GROUP 85,797 111,341
    GATES INDUSTRIAL 60,527 66,990
    GILDAN ACTIVEWEAR 223,597 250,409
    GLACIER BANCORP 156,492 179,899
    GORMAN RUPP CO 32,273 35,371
    GREEN THIMB IND 75,840 139,528
    HANESBRANDS 71,614 75,816
    HELEN OF TROY LTD 79,276 173,308
    HEXCEL CORP 78,820 57,703
    HILLROM HOLDINGS 122,349 138,138
    HORIZON PHARMA PLC 94,452 368,895
    IAA INC 107,710 165,049
    INTEGREA LIFESCI HLDGS 171,453 196,708
    KADANT INC 43,387 69,080
    KAISER ALUM CORP 72,510 90,296
    KALEYRA INC 31,548 66,752
    KNIGHT SWIFT HOLDINGS 58,022 63,566
    LIVENT CORP 61,412 173,177
    LOVESAC COMPANY 90,381 206,703
    LUMENTUM HOLDINGS 66,046 149,974
    MAGNACHIP SEMICONDUCTOR 65,896 81,904
    MALIBU BOATS INC 28,778 77,426
    MAXLINEAR INC 43,920 62,823
    MEGALITH FINL ACQ CORP 92,661 97,213
    MKS INSTRUMENTS 45,319 69,207
    NATIONAL WEST LIFE GROUP 105,122 74,112
    NEOGENOMICS INC 30,855 130,293
    NVS GLOBAL INC 26,119 51,207
    ONTO INNOVATION INC 74,098 116,973
    PAYCOM SOFTWARE 2,908 46,582
    PENN NATL GAMING 42,347 157,712
    PGT INNOVATIONS 121,083 185,908
    PILGRIMS PRIDE CORP 63,285 61,458
    PLEXUS CORP 55,580 72,735
    RELIANCE STL & ALUM CO 99,145 140,108
    RENEWABLE ENERGY GRP 53,825 67,846
    RINGCENTRAL INC 10,018 326,672
    ROTH CH ACQUISITION I 77,800 125,491
    ROTH CH ACQUISITION I WT 0 25,674
    ROTH CH ACQUISITION II CO 116,960 121,638
    RUSH ENTERPRISES INC 83,325 124,260
    RUSH STREET INTERACTIVE 48,165 96,754
    SCHWEITZER MAUDIT INTL 169,100 182,553
    SEACOAST BKG CORP 36,873 62,758
    SELECTIVE INS GROUP 75,302 87,744
    SEMTECH CORP 63,326 131,492
    SKECHERS USA INC 129,218 147,965
    SM ENERGY CORP 44,619 49,627
    STEELCASE INC 91,260 89,701
    STONERIDGE INC 61,550 97,945
    SYNEOS HEALTH INC 160,333 243,769
    TANDEM DIABETES CARE 32,862 63,627
    TCF FINL CORP 130,944 162,925
    TILLYS INC 88,511 104,113
    TRISTATE CAP HOLDINGS 96,171 123,035
    TRITERRAS INC 29,385 27,046
    UMPQUA HOLDINGS CORP 175,958 158,516
    UNIVERSAL DISPLAY 20,070 46,190
    UPLAND SOFTWARE 143,046 194,390
    VAREX IMAGING 127,089 68,888
    VELODYNE LIDAR INC 31,931 35,576
    VONNAGE HOLDINGS 91,396 120,085
    WINNEBAGO INDUSTRIES 123,756 222,977
    WNS HOLDINGS 38,524 98,276
    WOODWARD INC 88,150 144,621
    WORLD FUEL SERVICES 48,242 61,977
    YRC WORLDWIDE INC 37,594 50,387

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    US Government Securities - End of Year Book Value:

    1,477,556
    US Government Securities - End of Year Fair Market Value:

    1,544,675
    State & Local Government Securities - End of Year Book Value:


    811,239
    State & Local Government Securities - End of Year Fair Market Value:


    822,789


    TY 2020 InvestmentsOtherSchedule2
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BLACKROCK STRAT INC OPP PORT AT COST 2,139,847 2,304,819
    BMO PYRFORD INTL STOCK AT COST 3,849,147 4,300,721
    DFA EMERGING MKTS CORE EQ FD AT COST 1,179,717 1,521,378
    DFA INTL SMALL CAP VALUE AT COST 2,221,272 2,265,746
    FIDELITY 500 INDEX FD AT COST 1,585,263 2,124,040
    FRONTIER MKT SELECT FD LP AT COST 770,564 993,861
    GREENLIGHT MASTERS OFFSHORE I LTD AT COST 1,000,000 1,769,622
    ISHARES NASDAQ BIOTECH AT COST 55,681 83,168
    MORGAN STANLEY INST FD AT COST 1,058,621 1,239,899
    PIMCO MOD DURATION FD AT COST 9,414,628 9,894,328
    PLUSCIOS OFFSHORE FUND SPC AT COST 1,000,000 1,415,706
    VANGUARD INFL PROTECTED SEC FD AT COST 1,568,728 1,745,297
    VANGUARD INST INDEX FD AT COST 7,713,275 20,796,602
    VANGUARD MID CAP INDEX FD AT COST 3,213,420 9,475,907
    WCM FOCUSED INTL GRW FD AT COST 2,363,572 4,623,983
    WCM INTL SM CAP GROWTH AT COST 1,411,024 2,616,213

    TY 2020 LegalFeesSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL FEES 6,013 3,948   2,064


    TY 2020 OtherExpensesSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 524 0   524
    COMPUTER EXPENSE 12,000 0   12,000
    INSURANCE 2,827 0   2,827
    MISCELLANEOUS -1,729 0   -1,793
    PAYROLL FEES 3,690 37   3,653
    SUBSCRIPTIONS 6,118 0   6,118
    TELEPHONE 600 6   594


    TY 2020 OtherLiabilitiesSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Description Beginning of Year - Book Value End of Year - Book Value
    WITHHELD PAYROLL TAXES 7,769 9,373


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES BMO FINANCIAL 104,985 104,240   0
    INVESTMENT ADVISOR FEES 50,000 50,000   0


    TY 2020 TaxesSchedule
    Name:
    J J KELLER FOUNDATION INC
     
    C/O ROBERT L KELLER
    EIN:
    39-1683437
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 10,957 110   10,848
    FEDERAL EXCISE TAX 44,000 0   0
    FOREIGN TAX 207 207   0