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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
KATHLEEN & FRANK THOMETZ CHARITABLE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)8135 NORTH RANGE LINE ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RIVER HILLS, WI53217
A Employer identification number

39-1966766
B Telephone number (see instructions)

(262) 241-1923
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$1,295,363J 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      
4 Dividends and interest from securities... 14,946 14,946  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 21,581
b Gross sales price for all assets on line 6a 54,897
7 Capital gain net income (from Part IV, line 2)... 21,581
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)....... Click to see attachment 26,244 26,244  
12 Total. Add lines 1 through 11........ 62,771 62,771  
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)....... Click to see attachment 2,350 1,175   1,175
c Other professional fees (attach schedule).... Click to see attachment 2,848 2,848   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 37 37   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 100 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,335 4,060   1,175
25 Contributions, gifts, grants paid....... 72,080 72,080
26 Total expenses and disbursements. Add lines 24 and 25 77,415 4,060   73,255
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -14,644
b Net investment income (if negative, enter -0-) 58,711
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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......... 36,193 3,488 3,488
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)....... 42,448 Click to see attachment42,447 714,884
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 564,450 Click to see attachment571,207 576,991
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) 643,091 617,142 1,295,363
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 attachment53,193 Click to see attachment51,600
23 Total liabilities (add lines 17 through 22)......... 53,193 51,600
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 589,898 565,542
29 Total net assets or fund balances (see instructions)..... 589,898 565,542
30 Total liabilities and net assets/fund balances (see instructions). 643,091 617,142
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
589,898
2
Enter amount from Part I, line 27a .....................
2
-14,644
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
287
4
Add lines 1, 2, and 3 ..........................
4
575,541
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
9,999
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
565,542
Form 990-PF (2021)
Form 990-PF (2021)
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 MORGAN STANLEY - 8097 P 2019-01-01 2021-12-31
b MORGAN STANLEY - 8097 P 2021-01-01 2021-12-31
c CAPITAL GAINS DIVIDENDS P    
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 25,230   13,026 12,204
b 20,770   20,290 480
c 8,897     8,897
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       12,204
b       480
c       8,897
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 21,581
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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........................... 3 816
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- ..... 5 816
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,300
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 1,300
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 484
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet484 RefundedBullet 11 0
Part VI-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 XIV..................................
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 ofbulletFRANK AND KATHLEEN THOMETZ Telephone no.bullet (262) 241-1923

    Located atbullet8135 NORTH RANGE LINE ROADRIVER HILLSWI ZIP+4bullet53217
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
    Yes
     
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
    No
    c
    .........bullet
    d
    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? .................
    5d
    Yes
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    FRANK THOMETZ PRESIDENT & TREASURER
    1.00     		0 0 0
    8135 N RANGE LINE ROAD
    RIVER HILLS,WI53217
    KATHLEEN THOMETZ VICE PRESIDENT & SECRETARY
    1.00     		0 0 0
    8135 N RANGE LINE ROAD
    RIVER HILLS,WI53217
    MICHAEL D THOMETZ DIRECTOR
    0.25     		0 0 0
    8135 N RANGE LINE ROAD
    RIVER HILLS,WI53217
    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 (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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 VIII-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 VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    1,241,371
    b
    Average of monthly cash balances.......................
    1b
    28,996
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,270,367
    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
    1,270,367
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    19,056
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,251,311
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    62,566
    Part X
    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 IX, line 6..................
    1
    62,566
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    816
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    816
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    61,750
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    61,750
    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 XII, line 1 ...
    7
    61,750
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 61,750
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 14,053
    b From 2017...... 16,444
    c From 2018...... 35,945
    d From 2019...... 19,804
    e From 2020...... 9,513
    f Total of lines 3a through e ........ 95,759
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 73,255
    a Applied to 2020, 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 2021 distributable amount..... 61,750
    e Remaining amount distributed out of corpus 11,505
    5 Excess distributions carryover applied to 2021. 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 5 107,264
    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 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		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 2016 not
    applied on line 5 or line 7 (see instructions) ...     		14,053
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		93,211
    10 Analysis of line 9:
    a Excess from 2017.... 16,444
    b Excess from 2018.... 35,945
    c Excess from 2019.... 19,804
    d Excess from 2020.... 9,513
    e Excess from 2021.... 11,505
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    BOYS & GIRLS CLUB
    1558 N 6TH STREET
    MILWAUKEE,WI53212     		  PC FOR BENEFIT OF THE COMMUNITY 2,000
    MILWAUKEE BALLET
    128 N JACKSON STREET
    MILWAUKEE,WI53202     		  PC SUPPORT OF THE FINE ARTS 5,000
    MILWAUKEE RESCUE MISSION
    830 NORTH 19TH STREET
    MILWAUKEE,WI53233     		  PC SUPPORT OF FURNISHING NEEDS TO THE LESS FORTUNATE 1,500
    MILWAUKEE SYMPHONY ORCHESTRA
    212 W WISCONSIN AVENUE
    MILWAUKEE,WI53203     		  PC SUPPORT OF THE FINE ARTS 5,000
    MILWAUKEE ART MUSEUM
    700 N ART MUSEUM DRIVE
    MILWAUKEE,WI53202     		  PC HELP SUPPORT THE COST OF THE ART EXHIBITS 6,000
    RIVER HILLS FOUNDATION
    7650 N PHEASANT LN
    MILWAUKEE,WI53217     		  PC SUPPORT TO IMPROVE THE QUALITY OF LIFE AND BEAUTIFICATION OF THE COMMUNITY 2,000
    ST GREGORY
    1214 W WELLS STREET
    MILWAUKEE,WI53233     		  PC SUPPORT OF RELIGIOUS ORGANIZATION 2,500
    ST GERTRUDE COVENANT
    465 KEUTERVILLE ROAD
    COTTONWOOD,ID83522     		  PC SUPPORT OF RELIGIOUS ORGANIZATION 500
    LUMEN CHRISTI PARISH
    2750 W MEQUON ROAD
    MEQUON,WI53092     		  PC SUPPORT OF RELIGIOUS ORGANIZATION 3,000
    MARQUETTE UNIVERSITY - HAGGERTY MUSEUM OF ART
    1234 W TORY HILL STREET
    MILWAUKEE,WI53233     		  PC FRIENDS FUND CONTRIBUTION 3,000
    NOTRE DAME MIDDLE SCHOOL
    1425 S 26TH STREET
    MILWAUKEE,WI53204     		  PC SCHOLARSHIP FUND 3,500
    ST MONICA PARISH
    5681 N SANTA MONICA BLVD
    WHITEFISH BAY,WI53217     		  PC SUPPORT OF RELIGIOUS ORGANIZATION 2,500
    ST AUGUSTINE PREP ACADEMY
    2607 S 5TH STREET
    MILWAUKEE,WI53207     		  PC SUPPORT OF EDUCATION 3,000
    FROEDTERT FOUNDATION
    9200 W WISCONSIN AVENUE
    MILWAUKEE,WI53226     		  PC SUPPORT OF MEDICAL RESEARCH AND CARE 2,500
    BROOKFIELD ACADEMY - SULLIVAN SCHOLARSHIP
    3462 N BROOKFIELD RD
    BROOKFIELD,WI53045     		  PC TO HELP FUND A SCHOLARSHIP 1,400
    MILWAUKEE COLLEGE PREP
    1228 W LLYOD STREET
    MILWAUKEE,WI53205     		  PC SUPPORT OF EDUCATION 3,000
    RIVER REVITALIZATION FOUNDATION
    2134 N RIVERBOAT RD
    MILWAUKEE,WI53212     		  PC SUPPORT OF RIVER CLEAN UP 1,500
    SCHOOL SISTERS OF NOTRE DAME
    13105 WATERTOWN PLANK ROAD
    ELM GROVE,WI53122     		  PC SUPPORT OF RELIGIOUS ORGANIZATION 500
    NOTRE DAME CLUB OF MILWAUKEE
    408 E DAPHNE RD
    FOX POINT,WI53217     		  PC SUPPORT FOR UNIVERSITY 100
    ST JOSEPH'S CATHOLIC CHURCH
    12130 W CENTER ST
    WAUWATOSA,WI53222     		  PC SUPPORT FOR RELIGIOUS ORGANIZATION 100
    MILWAUKEE CC SCHOLARS FOUNDATION
    8000 N RANGE LINE RD
    RIVER HILLS,WI53217     		  PC SUPPORT OF EDUCATION 1,000
    RIVER HILLS POLICE ASSOCIATION
    7650 N PHEASANT LN
    RIVER HILLS,WI53217     		  PC SUPPORT OF THE COMMUNITY POLICE FORCE 500
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVE
    CHICAGO,IL60603     		  PC SUPPORT FOR ART EDUCATION 105
    CITY FORWARD COLLECTIVE
    111 W PLEASANT ST 101
    MILWAUKEE,WI53212     		  PC SUPPORT FOR ENDING EDUCATIONAL INEQUITY 2,000
    MILWAUKEE TENNIS EDUCATORS FOUNDATION
    3000 N SHERMAN BLVD
    MILWAUKEE,WI53210     		  PC SUPPORT FOR TENNIS AND YOUTH DEVELOPMENT PROGRAMS TO HELP STUDENTS REACH THEIR GREATEST POTENTIAL 1,500
    CHARLES KUBLY FOUNDATION
    1341 W MEQUON ROAD
    MEQUON,WI53092     		  PC SUPPORT FOR PEOPLE WHO SUFFER FROM DEPRESSION 1,000
    DOMINICAN HIGH SCHOOL
    120 E SILVER SPRING DR
    WHITEFISH BAY,WI53217     		  PC SUPPORT FOR EDUCATION 1,000
    JUNIOR LEAGUE OF MILWAUKEE
    1060 EAST JUNEAU AVENUE
    MILWAUKEE,WI53020     		  PC SUPPORTING AN ORGANIZATION WHICH IDENTIFY COMMUNITY NEEDS, BUILD COALITIONS AND DEVELOP PROGRAMS TO SERVE THE NEEDS 300
    KIWANIS CLUB OF MILWAUKEE
    750 N LINCOLN MEMORIAL DRIVE
    MILWAUKEE,WI53202     		  PC TO SUPPORT "ONE COMMUNITY AT A TIME" 125
    HEILIGER HUEGEL FOUNDATION
    5482 WI-167
    HUBERTUS,WI53033     		  PC TO SUPPORT OUTDOOR EDUCATION 2,000
    CONGREGATION EMANU - EL B'NE JESHURUN
    2020 W BROWN DEER RD
    RIVER HILLS,WI53217     		  PC TO SUPPORT A RELIGIOUS ORGANIZATION 150
    ST IGNATIUS COLLEGE PREP
    1076 ROOSEVELT RD
    CHICAGO,IL60608     		  PC TO SUPPORT AN EDUCATIONAL INSTITUTION 1,000
    COMMUNITY FOUNDATION OF GREENVILLE
    630 E WASHINGTON ST
    GREENVILLE,SC29601     		  PC TO SUPPORT THE COMMUNITY OF GREENVILLE, SC 150
    ST MARGUERITE D'YOUVILLE PARISH
    11 STATE ST
    NORTHUMBERLAND,NH03582     		  PC TO SUPPORT A LOCAL PARISH 150
    ST JOHN'S ON THE LAKE
    1840 N PROSPECT AVE
    MILWAUKEE,WI53202     		  PC TO SUPPORT A SENIOR LIVING COMMUNITY 2,000
    ORDER OF MALTA
    1011 FIRST AVENUE ROOM 1350
    NEW YORK,NY10022     		  PC TO SUPPORT SERVICE TO POOR AND SICK 250
    PLANNED PARENTHOOD
    302 N JACKSON STREET
    MILWAUKEE,WI53202     		  PC TO SUPPORT A REPRODUCTIVE HEALTH CLINIC 500
    MARQUETTE UNIVERSITY
    1324 WEST WISCONSIN AVE
    MILWAUKEE,WI53233     		  PC TO SUPPORT EDUCATION 9,000
    NOTRE DAME UNIVERSITY
    1100 GRACE HALL
    NOTRE DAME,IN46556     		  PC TO SUPPORT EDUCATION 500
    ST JUDE THE APOSTLE CHURCH
    734 GLENVIEW AVE
    WAUWATOSA,WI53213     		  PC TO SUPPORT A RELIGIOUS ORGANIZATION 250
    Total .................................bullet 3a 72,080
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    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 21,581  
    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 62,771 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    62,771
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,350 1,175   1,175

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

    TY 2021 ExpenditureResponsibilityStmt
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    MICHAEL JOHN JACOBUS FAMILY FOUNDATION
          		833 E MICHIGAN STREET
    MILWAUKEE,WI53202     		2020-09-04 150 TO FUND ORGANIZATIONS WHICH SUPPORT THE ARTS, HUMAN SERVICES, AND NATURE ORGANIZATIONS 150 NONE   2022-02-01 THE $150 DONATION WAS GIVEN TO THE UNITED WAY TO FURTHER THEIR MISSION IN PROVIDING ASSISTANCE TO INDIVIDUALS

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BERKSHIRE HATHAWAY CL - B NEW 11,480 67,275
    BOEING CO 10,991 29,594
    DISCOVER FINANCIAL SERVICES 2,818 76,270
    MORGAN STANLEY 9,835 343,560
    DISCOVER FINANCIAL SERVICES 7,323 198,185

    TY 2021 InvestmentsOtherSchedule2
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    KRANESHARES CSI CHINA INTERNET AT COST 10,585 5,692
    ARTISAN DEVELOPING WORLD ADV AT COST 17,092 27,416
    HARDING LOEVNER INTL EQUITY INST AT COST 1,273 1,799
    MATTHEWS ASIAN JAPAN INV AT COST 1,621 1,575
    MSIF GROWTH I AT COST 30,583 33,700
    OAKMARK INTERNATIONAL ADVISOR AT COST 42,342 38,406
    T ROWE PRICE BLUE CHIP GR AT COST 5,509 10,283
    THORNBURG INTL GROWTH I AT COST 1,332 1,476
    NORTH HAVEN CREDIT PARTNERS III AT COST 85,678 80,628
    NORTH HAVEN CREDIT PARTNERS II OFFSHORE AT COST 126,209 124,652
    BRIDGE OFFICE FUND INTERNATIONAL A AT COST 248,983 251,364

    TY 2021 OtherDecreasesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Description Amount
    TIMING DIFFERENCE IN SALES ON 1099 9,999


    TY 2021 OtherExpensesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DEPT. OF FINANCIAL INSTITUTIONS 100 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    NORTH HAVEN CREDIT PARTNERS II 10,185 10,185 0
    BRIDGE INVESTMENT GROUP 11,506 11,506 0
    NORTH HAVEN CREDIT PARTNERS III 4,553 4,553 0


    TY 2021 OtherIncreasesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Description Amount
    PRIOR PERIOD ADJUSTMENTS 287


    TY 2021 OtherLiabilitiesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Description Beginning of Year - Book Value End of Year - Book Value
    OUTSTANDING CHECKS 53,193 51,600


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 2,848 2,848   0


    TY 2021 TaxesSchedule
    Name:
    KATHLEEN & FRANK THOMETZ CHARITABLE
     
    FOUNDATION
    EIN:
    39-1966766
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 37 37   0