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 10-01-2021 , and ending 09-30-2022
Name of foundation
FRANK G & FRIEDA K BROTZ FAMILY
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)3518 LAKESHORE ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHEBOYGAN, WI53083
A Employer identification number

39-6060552
B Telephone number (see instructions)

(920) 458-2121
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$19,354,964J 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 9 9  
4 Dividends and interest from securities... 473,134 473,134  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 528,886
b Gross sales price for all assets on line 6a 1,481,315
7 Capital gain net income (from Part IV, line 2)... 528,886
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,002,029 1,002,029  
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 10,295 5,148   5,147
c Other professional fees (attach schedule).... Click to see attachment 30,180 30,180   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 4,365 2,183   2,182
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 44,840 37,511   7,329
25 Contributions, gifts, grants paid....... 1,434,225 1,434,225
26 Total expenses and disbursements. Add lines 24 and 25 1,479,065 37,511   1,441,554
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -477,036
b Net investment income (if negative, enter -0-) 964,518
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.............   13,058 13,058
2 Savings and temporary cash investments......... 397,099 100,444 100,444
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.......... 21,749 56,434 56,434
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule)....... 6,503,542 Click to see attachment6,054,495 5,256,513
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 9,791,502 Click to see attachment10,012,425 13,928,515
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) 16,713,892 16,236,856 19,354,964
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow 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 16,713,892 16,236,856
29 Total net assets or fund balances (see instructions)..... 16,713,892 16,236,856
30 Total liabilities and net assets/fund balances (see instructions). 16,713,892 16,236,856
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
16,713,892
2
Enter amount from Part I, line 27a .....................
2
-477,036
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
16,236,856
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
16,236,856
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 PUBLICLY TRADED SECURITES P    
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 1,230,145   952,429 277,716
b 251,170     251,170
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       277,716
b       251,170
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 2 528,886
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 13,407
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 13,407
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 28,400
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 28,400
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 14,993
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet14,993 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 ofbulletJESSE R BROTZ Telephone no.bullet (920) 458-2121

    Located atbullet3518 LAKESHORE ROADSHEBOYGANWI ZIP+4bullet53083
    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)
     
    No
    (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
     
     
    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
     
     
    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? .............................
    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
    STUART W BROTZ PRESIDENT & TREASURER, TRUSTEE
    5.00     		0 0 0
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    JESSE R BROTZ SECRETARY, TRUSTEE
    1.00     		0 0 0
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    ADAM T BROTZ VP, TRUSTEE
    1.00     		0 0 0
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    STUART W BROTZ II TRUSTEE
    1.00     		0 0 0
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    JEFFREY T MOHR TRUSTEE
    1.00     		0 0 0
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    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
    23,375,719
    b
    Average of monthly cash balances.......................
    1b
    97,468
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,473,187
    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
    23,473,187
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    352,098
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    23,121,089
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,156,054
    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
    1,156,054
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    13,407
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    13,407
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,142,647
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,142,647
    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
    1,142,647
    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 1,142,647
    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...... 671,534
    b From 2017...... 492,122
    c From 2018...... 888,366
    d From 2019...... 738,086
    e From 2020...... 102,806
    f Total of lines 3a through e ........ 2,892,914
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,441,554
    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..... 1,142,647
    e Remaining amount distributed out of corpus 298,907
    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 3,191,821
    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) ...     		671,534
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		2,520,287
    10 Analysis of line 9:
    a Excess from 2017.... 492,122
    b Excess from 2018.... 888,366
    c Excess from 2019.... 738,086
    d Excess from 2020.... 102,806
    e Excess from 2021.... 298,907
    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 e-mail address of the person to whom applications should be addressed:
    GRANTS COMMITTEE
    3518 LAKESHORE ROAD
    SHEBOYGAN,WI53083
    (920) 458-2121
    bThe form in which applications should be submitted and information and materials they should include:
    A WRITTEN LETTER GIVING DETAILS OF THE APPLICANT, ITS PURPOSE, ITS INTENDED USE OF ANY GRANT, EVIDENCE THAT SHOWS THE APPLICANT IS QUALIFIED UNDER SECTION 170(C) OF THE INTERNAL REVENUE CODE.
    cAny submission deadlines:
    NONE, THE GRANTS COMMITTEE OF THIS PRIVATE FOUNDATION MEETS PERIODICALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THIS PRIVATE FOUNDATION'S GRANTS ARE MADE TO PUBLIC SUPPORTED 170(C)INTERNAL REVENUE CODE QUALIFIED ORGANIZATIONS; PRIMARILY IN WISCONSIN. NO GRANTS TO INDIVIDUALS OR ORGANIZATIONS THAT REQUIRE "EXPENDITURE RESPONSIBILITY UNDER TREASURY REGULATIONS".
    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
    ABOVE & BEYOND CHILDREN'S MUSEUM
    902 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC CAPITAL PROJECT - MAKER ROOM 5,000
    ABOVE & BEYOND CHILDREN'S MUSEUM
    902 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC OPERARING EXPENSES 10,000
    ABOVE & BEYOND CHILDREN'S MUSEUM
    902 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC CAPITAL PROJECT 10,000
    ARCHDIOCESE OF MILW-CATHOLIC STEWARDSHIP
    3501 S LAKE DRIVE PO BOX 070912
    MILWAUKEE,WI53207     		NONE PC 2021 CATHOLIC STEWARDSHIP APPEAL 25,000
    AVIATION HERITAGE CENTER OF WISCONSIN
    N6191 RESOURCE DRIVE
    SHEBOYGAN FALLS,WI53085     		NONE PC EDUCATION PROGRAMS 10,000
    BIG BROTHERS & BIG SISTERS
    632 N 8TH STREET UNIT 2
    SHEBOYGAN,WI53081     		NONE PC DEVELOPMENT PROGRAMS 25,000
    BIG BROTHERS & BIG SISTERS
    632 N 8TH STREET UNIT 2
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 10,000
    BOOKWORM GARDENS
    1415 CAMPUS DRIVE
    SHEBOYGAN,WI53081     		NONE PC NAUTILUS DESIGN - NEW EXPLORATION GARDEN 30,000
    BOYS & GIRLS CLUB OF SHEBOYGAN COUNTY
    107 CEDAR STREET
    SHEBOYGAN FALLS,WI53085     		NONE PC CONTINUED SUPPORT (2021 AND 2022) 20,000
    CAMP EVERGREEN
    712 RIVERFRONT DRIVE SUITE 301
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 5,000
    CATHOLIC CHARITIES OF SHEBOYGAN (ARCHDIODESE OF MKE)
    3501 S LAKE DRIVE PO BOX 070912
    MILWAUKEE,WI53207     		NONE PC SUPPORT BEHAVIORAL HEALTH COUNSELING & OUTREACH/CASE MANAGEMENT IN SHEBOYGAN COUNTY 25,000
    CATHOLIC RELIEF SERVICES
    PO BOX 17090
    BALTIMORE,MD212970303     		NONE PC UKARAINE CONFLICT - HUMANITARIAN CRISIS 25,000
    CHILDREN'S HOSPITAL FOUNDATION
    MS 3050 PO BOX 1997
    MILWAUKEE,WI532019770     		NONE PC MILWAUKEE CAMPUS IMPROVEMENT 100,000
    COMMUNITY RECREATION DEPARTMENT - SASD
    3330 STAHL ROAD
    SHEBOYGAN,WI53081     		NONE PC 2022 SUMMER AND FALL PROGRAMS 500
    DOGS2DOGTAGS INC
    PO BOX 262
    SHEBOYGAN FALLS,WI53085     		NONE PC CAPITAL CAMPAIGN - NEW BUILDING/PROPERTY 50,000
    ECONOMICS WISCONSIN
    7635 BLUEMOUND ROAD SUITE 106
    MILWAUKEE,WI53213     		NONE PC OPERATING EXPENSES 5,000
    EDGEWOOD COLLEGE
    1000 EDGEWOOD COLLEGE DRIVE
    MADISON,WI537111997     		NONE PC SCHOLARSHIP - 2021-2022 ACADEMIC YEAR 10,000
    FAMILY RESOURCE CENTER
    1500 DOUGLAS DRIVE SUITE B
    PLYMOUTH,WI53073     		NONE GOV CONTINUED SUPPORT 5,000
    FOUNDATION FOR RELIGIOUS RETIREMENT
    3221 S LAKE DRIVE
    ST FRANCIS,WI532353799     		NONE PC CONTINUED SUPPORT 1,000
    FRIENDS OF THE BROUGHTON SHEBOYGAN MARSH
    PO BOX 301
    ELKHART LAKE,WI53020     		NONE PC EDUCATIONAL SIGNAGED (1 SIGN) 3,000
    GIRL SCOUTS OF AMERICA CORP - MANITOU GIRL SCOUT COUNCIL
    5212 WINDWARD COURT
    SHEBOYGAN,WI53081     		NONE PC ROOF REPAIR 30,000
    GOOD NEWS JAIL & PRISON MINISTRY
    2923 SOUTH 31ST STREET
    SHEBOYGAN,WI53081     		NONE PC 2022 FUNDRAISER 10,000
    GREAT LAKES SPACEPORT EDUCATION FOUNDATION INC
    PO BOX 684
    SHEBOYGAN,WI530820684     		NONE PC 2022 ROCKETS FOR SCHOOLS EVENT ($10,000) AND ONE-TIME GRANT FOR THE EVENT'S 25TH ANNIVERSARY ($5,000) 15,000
    GREAT MARRIAGES FOR SHEBOYGAN COUNTY
    612 CENTER AVENUE
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 10,000
    HABITAT FOR HUMANITY LAKESIDE
    PO BOX 973
    SHEBOYGAN,WI530820973     		NONE PC HOUSING PROGRAMS OR PROFESSIONAL DEVELOPMENT 10,000
    HMONG MUTUAL ASSISTANCE ASSOC OF SHEBOYGAN INC
    2304 SUPERIOR AVENUE
    SHEBOYGAN,WI53081     		NONE PC 35TH ANNUAL SUMMER FESTIVAL - SHEBOYGAN 500
    JOHN MICHAEL KOHLER ARTS CENTER INC
    608 NEW YORK AVENUE
    SHEBOYGAN,WI53081     		NONE PC MEMORY OF RUTH KOHLER 50,000
    JUNIOR ACHIEVEMENT
    1441 N TAYLOR DRIVE
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 2,000
    K2 ADVENTURES FOUNDATION
    14354 N FRANK LLOYD WRIGHT BLVD
    SUITE 4
    SCOTTSDALE,AZ85260     		NONE PC WHP PROJECT 10,000
    KOHLER SCHOOL DISTRICT FOUNDATION INC
    333 UPPER ROAD
    KOHLER,WI53044     		NONE PC 14TH ANNUAL FALL FOLLIES 10,000
    LAKE COUNTRY ACADEMY
    4101 TECHNOLOGY PARKWAY
    SHEBOYGAN,WI53083     		NONE PC REMODELING 25,000
    LAKELAND UNIVERSITY
    W3718 SOUTH DRIVE
    PLYMOUTH,WI53073     		NONE PC SCHOLARS PROGRAM 60,000
    LAKESHORE CHORALE
    PO BOX 36
    SHEBOYGAN FALLS,WI530850036     		NONE PC NEW MUSIC AND YOUTH SCHOLARSHIPS 2,500
    LAKESHORE TECHNICAL COLLEGE
    1290 NORTH AVENUE
    CLEVELAND,WI53015     		NONE PC CAMPAIGN FOR HEALTH CARE FOR EXCELLENCE 100,000
    LAKESHORE TECHNICAL COLLEGE
    1290 NORTH AVENUE
    CLEVELAND,WI53015     		NONE PC SCHOLARSHIP PROGRAM 10,000
    LEMONS OF LOVE
    433 EAST GOLF ROAD
    DES PLAINES,IL60016     		NONE PC CANCER PATIENT SERVICES - SHEBOYGAN COUNTY 3,000
    LIGHTHOUSE RECOVERY COMMUNITY CENTER
    1014 N 6TH STREET
    SHEBOYGAN,WI53081     		NONE PC INTERNATIONAL OVERDOSE AWARENESS DAY EVENT AUGUST 27, 2022 1,500
    LOVE INC
    807 FOREST AVENUE
    SHEBOYGAN FALLS,WI53085     		NONE PC CONTINUED SUPPORT 12,500
    LOVE INC
    807 FOREST AVENUE
    SHEBOYGAN FALLS,WI53085     		NONE PC CONTINUED SUPPORT 12,500
    MAKING SPIRITS BRIGHT
    PO BOX 441
    SHEBOYGAN,WI530820441     		NONE PC 2022 MAKING SPIRITS BRIGHT EVENT 5,000
    MEDICAL COLLEGE OF WISCONSIN INC
    8701 WATERTOWN PLANK ROAD PO BOX
    26509
    MILWAUKEE,WI532260509     		NONE PC ANNUAL FUND FOR EXCELLENCE 50,000
    MILWAUKEE COLLEGE PREP
    1228 W LLOYD STREET
    MILWAUKEE,WI53205     		NONE PC TAKE A STAND EVENT 2022 5,000
    MILWAUKEE COLLEGE PREP
    1228 W LLOYD STREET
    MILWAUKEE,WI53205     		NONE PC CONTINUED SUPPORT 10,000
    MILWAUKEE SCHOOL OF ENGINEERING
    1025 NORTH BROADWAY STREET
    MILWAUKEE,WI532023109     		NONE PC GENERAL OPERATING 10,000
    NEW HOPE PREGNANCY CENTER OF SHEBOYGAN INC
    1018 S TAYLOR DRIVE
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 10,000
    NOURISH FARMS INC
    100 ALFRED MILEY AVENUE
    SHEBOYGAN FALLS,WI53085     		NONE PC CAPITAL CAMPAIGN 50,000
    OPTIMIST INTERNATIONAL FOUNDATION (SASDSHEB COMMUNITY REC DEPT)
    PO BOX 1231
    SHEBOYGAN,WI530821231     		NONE PC BACK TO SCHOOL BASICS 2022 1,200
    RAWHIDE INC
    E7475 RAWHIDE ROAD
    NEW LONDON,WI549619052     		NONE PC CONTINUED SUPPORT 10,000
    REINS INC
    PO BOX 68
    SHEBOYGAN FALLS,WI530850068     		NONE PC SPONSOR THREE HORSES - 2022 SEASON 6,525
    ROGERS BEHAVIORAL HEALTH FOUNDATION
    1108 S WILDWOOD AVENUE
    SHEBOYGAN,WI53081     		NONE PC ADDICTION RECOVERY SUPPORT SERVICES - SHEBOYGAN 50,000
    SAILING EDUCAITON ASSOCIATION OF SHEBOYGAN (SEAS)
    1837 SUPERIOR AVENUE
    SHEBOYGAN,WI53081     		NONE PC LIGHTING YOUTH WORLDS 2022 2,000
    SAILING EDUCAITON ASSOCIATION OF SHEBOYGAN (SEAS)
    1837 SUPERIOR AVENUE
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 25,000
    SAINT FRANCIS DE SALES SEMINARY
    3257 SOUTH LAKE DRIVE
    ST FRANCIS,WI53235     		NONE PC CONTINUED SUPPORT 10,000
    ST JUDE CHILDREN'S HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN381051942     		NONE PC CONTINUED SUPPORT 2,000
    SAINT NORBERT COLLEGE
    100 GRANT STREET
    DE PERE,WI54115     		NONE PC SAINT NORBERT FUND 10,000
    SALVATION ARMY
    710 PENNSYLVANIA AVENUE PO BOX 1207
    SHEBOYGAN,WI530821207     		NONE PC CONTINUED SUPPORT 10,000
    SAMARITAN'S HAND INC
    1714 NORTH 8TH STREET SUITE 4
    SHEBOYGAN,WI53081     		NONE PC ADA COMPLIANT BATHROOM, AND ELECTRICAL AND COSMETIC EXPENSES FOR NEW TRANSITIONAL FACILITY 12,500
    SHARON S RICHARDSON COMMUNITY HOSPICE
    W2850 STATE ROAD 28
    SHEBOYGAN FALLS,WI53085     		NONE PC 2022 SPONSORSHIP 25,000
    SHEBOYGAN AREA LUTHERAN HIGH SCHOOL
    3323 UNIVERSITY DRIVE
    SHEBOYGAN,WI53081     		NONE PC PREPARING FOR THE FUTURE CAMPAIGN 150,000
    SHEBOYGAN COUNTY FOOD BANK
    3115 NORTH 21ST STREET SUITE 1
    SHEBOYGAN,WI53083     		NONE PC CONTINUED SUPPORT 20,000
    SHEBOYGAN COUNTY HALFWAY HOUSE INC
    503 ONTARIO AVENUE
    SHEBOYGAN,WI53081     		NONE PC OPERATING COSTS - POTTER'S PLACE 10,000
    SHEBOYGAN COUNTY HISTORICAL RESEARCH CENTER
    518 WATER STREET
    SHEBOYGAN FALLS,WI53085     		NONE PC CONTINUED SUPPORT 10,000
    SHEBOYGAN COUNTY HUMANE SOCIETY
    3107 NORTH 20TH STREET
    SHEBOYGAN,WI53083     		NONE PC MEMORY OF RALPH R. BROTZ 25,000
    SHEBOYGAN COUNTY INTERFAITH ORGANIZATION
    1251 GEELE AVENUE
    SHEBOYGAN,WI53083     		NONE PC OPERATING EXPENSES 10,000
    SHEBOYGAN COUNTY VETERANS MEMORIAL
    PO BOX 953
    SHEBOYGAN,WI53082     		NONE PC BUILDOUT - SHEBOYGAN VETERANS MUSEUM 10,000
    SHEBOYGAN COUNTY YMCA
    812 BROUGHTON DRIVE
    SHEBOYGAN,WI53081     		NONE PC GYMNASIUM RENOVATION 2022 25,000
    SHEBOYGAN COUNTY YMCA
    812 BROUGHTON DRIVE
    SHEBOYGAN,WI53081     		NONE PC 2021 PARTNER WITH YOUGH 10,000
    SHEBOYGAN FOOD PANTRY
    1946 N 15TH STREET
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 5,000
    SHEBOYGAN SYMPHONY ORCHESTRA
    830 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 40,000
    SHEBOYGAN SYMPHONY ORCHESTRA
    830 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC 100TH ANNIVERSARY 25,000
    SHEBOYGAN THEATRE COMPANY
    607 S WATER STREET
    SHEBOYGAN,WI53081     		NONE PC 2022-2023 SHOW SEASON 2,500
    SHEBOYGAN YOUTH SAILING CLUB INC
    619 BROUGHTON DRIVE PO BOX 471
    SHEBOYGAN,WI530820471     		NONE PC CONTINUED SUPPORT 25,000
    UW-SHEBOYGAN FOUNDATION INC
    ONE UNIVERSITY DRIVE
    SHEBOYGAN,WI530824789     		NONE PC STEM CONFERENCE - NOVEMBER 5, 2022 1,000
    WISCONSIN EQUAL JUSTICE FUND INC
    PO BOX 46103
    MADISON,WI53744     		NONE PC 2021 ANNUAL CAMPAIGN 10,000
    WISCONSIN MARITIME MUSEUM INC
    75 MARITIME DRIVE
    MANITOWOC,WI542206823     		NONE PC MEMORY OF RALPH R. BROTZ 2,500
    Total .................................bullet 3a 1,434,225
    bApproved for future payment
    A MILLION DREAMZ
    415 EUCLID AVENUE
    SHEBOYGAN,WI53083     		NONE PC ANNUAL PLEDGE CONTINUED SUPPORT 200,000
    BOOKWORM GARDENS
    1415 CAMPUS DRIVE
    SHEBOYGAN,WI53081     		NONE PC NAUTILUS DESIGN - NEW EXPLORATION GARDEN 90,000
    DOGS2DOGTAGS INC
    PO BOX 262
    SHEBOYGAN FALLS,WI53085     		NONE PC CAPITAL CAMPAIGN - NEW BUILDING/PROPERTY 150,000
    GREAT MARRIAGES FOR SHEBOYGAN COUNTY
    612 CENTER AVENUE
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 40,000
    JOHN MICHAEL KOHLER ARTS CENTER INC
    608 NEW YORK AVENUE
    SHEBOYGAN,WI53081     		NONE PC MEMORY OF RUTH KOHLER 200,000
    LAKESHORE TECHNICAL COLLEGE
    1290 NORTH AVENUE
    CLEVELAND,WI53015     		NONE PC CAMPAIGN FOR HEALTH CARE FOR EXCELLENCE 400,000
    ROGERS BEHAVIORAL HEALTH FOUNDATION
    1108 S WILDWOOD AVENUE
    SHEBOYGAN,WI53081     		NONE PC ADDICTION RECOVERY SUPPORT SERVICES - SHEBOYGAN 100,000
    SHEBOYGAN COUNTY FOOD BANK
    3115 NORTH 21ST STREET SUITE 1
    SHEBOYGAN,WI53083     		NONE PC CONTINUED SUPPORT 40,000
    SHEBOYGAN COUNTY YMCA
    812 BROUGHTON DRIVE
    SHEBOYGAN,WI53081     		NONE PC GYMNASIUM RENOVATION 2022 25,000
    SHEBOYGAN SYMPHONY ORCHESTRA
    830 NORTH 8TH STREET
    SHEBOYGAN,WI53081     		NONE PC CONTINUED SUPPORT 160,000
    Total .................................bullet 3b 1,405,000
    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 ...........     		    14 9  
    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 ............     		    18 528,886  
    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 1,002,029 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,002,029
    (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
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    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


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    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    FRANK G & FRIEDA K BROTZ FAMILY
     
    FOUNDATION INC
    EIN:
    39-6060552
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL FEES 10,295 5,148   5,147

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    FRANK G & FRIEDA K BROTZ FAMILY
     
    FOUNDATION INC
    EIN:
    39-6060552
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VAN- INTERMEDIATE-TERM INV GRADE ADMIRAL 970,969 799,667
    VAN - SHORT-TERM INV GRADE ADMIRAL 1,330,482 1,225,658
    VAN - TOTAL BOND MARKET INDEX FUND ADMIRAL 2,333,737 2,016,561
    VAN - TOTAL INTERNATIONAL BOND INDEX FUND ADM 1,419,307 1,214,627

    TY 2021 InvestmentsOtherSchedule2
    Name:
    FRANK G & FRIEDA K BROTZ FAMILY
     
    FOUNDATION INC
    EIN:
    39-6060552
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    VAN - REIT INDEX FUND ADMIRAL AT COST 681,357 721,763
    VAN - TOTAL STOCK MARKET INDEX FUND AT COST 4,662,234 8,200,411
    VAN - INTERNATIONAL GROWTH FUND ADMIRAL AT COST 893,886 1,034,381
    VAN - INTERNATIONAL VALUE FUND AT COST 1,280,335 1,353,011
    VAN- TOTAL INTERNATIONAL STOCK INDEX ADMIRAL AT COST 2,494,613 2,618,949

    TY 2021 OtherProfessionalFeesSchedule
    Name:
    FRANK G & FRIEDA K BROTZ FAMILY
     
    FOUNDATION INC
    EIN:
    39-6060552
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BROKERAGE FEES 30,180 30,180   0