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

47-2405427
B Telephone number (see instructions)

(262) 728-5544
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,627,265J 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) 6,058,360
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 1,850 0  
12 Total. Add lines 1 through 11........ 6,060,210 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 10 0   10
b Accounting fees (attach schedule)....... Click to see attachment 6,995 0   6,995
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 19 0   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 1,712 0   1,712
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 8,736 0   8,717
25 Contributions, gifts, grants paid....... 2,713,111 2,713,111
26 Total expenses and disbursements. Add lines 24 and 25 2,721,847 0   2,721,828
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,338,363
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (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............. 1,267,434 4,515,746 4,515,746
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet111,519
Less: allowance for doubtful accounts bullet   24,465 111,519 111,519
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,291,899 4,627,265 4,627,265
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 1,291,899 4,627,265
29 Total net assets or fund balances (see instructions)..... 1,291,899 4,627,265
30 Total liabilities and net assets/fund balances (see instructions). 1,291,899 4,627,265
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
1,291,899
2
Enter amount from Part I, line 27a .....................
2
3,338,363
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,630,262
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,997
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,627,265
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.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
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 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
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 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletDAVID HAYES Telephone no.bullet (262) 728-5544

    Located atbullet1234 E GENEVA STDELAVANWI ZIP+4bullet53115
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 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
     
     
    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
    GREGG KUNES PRESIDENT, DIRECTOR
    1.00     		0 0 0
    1234 E GENEVA ST
    DELAVAN,WI53115
    DEBORAH KUNES VICE PRESIDENT, DIRECTOR
    1.00     		0 0 0
    1234 E GENEVA ST
    DELAVAN,WI53115
    SCOTT CHRISTIAN DIRECTOR
    1.00     		0 0 0
    1624 HOBBS DR STE 1
    DELAVAN,WI53115
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (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
    0
    b
    Average of monthly cash balances.......................
    1b
    2,644,863
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,644,863
    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
    2,644,863
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    39,673
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,605,190
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    130,260
    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
    130,260
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    130,260
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    1,850
    5
    Add lines 3 and 4............................
    5
    132,110
    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
    132,110
    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 7 132,110
    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......  
    b From 2017...... 502,141
    c From 2018...... 1,077,103
    d From 2019...... 810,561
    e From 2020...... 1,112,910
    f Total of lines 3a through e ........ 3,502,715
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 2,721,828
    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..... 132,110
    e Remaining amount distributed out of corpus 2,589,718
    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 6,092,433
    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) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		6,092,433
    10 Analysis of line 9:
    a Excess from 2017.... 502,141
    b Excess from 2018.... 1,077,103
    c Excess from 2019.... 810,561
    d Excess from 2020.... 1,112,910
    e Excess from 2021.... 2,589,718
    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
    ADAMS COUNTY SUICIDE PREVENTION COALITION
    2026 HAMPSHIRE
    QUINCY,IL62301     		NONE PC SUPPORT FOR COMMUNITY PROGRAM FOCUSING ON SUICIDE PROVENTION 1,000
    ADRIAN RAYO
    201 N 7TH ST
    DELAVAN,WI53115     		NONE I SUPPORT FOR INDIVIDUAL'S RELIGIOUS WORK 6,000
    AGAPE HOUSE
    215 S MAIN ST
    WALWORTH,WI53184     		NONE PC MINISTRY PROGRAMS INCLUDING CONSULTING SERVICE, MENTORSHIPS, AND EDUCATIONAL PROGRAMMING 14,500
    AMBASSADOR COMPANY
    PO BOX 639590
    CINCINNATI,OH452636590     		NONE NC SUPPORT PROGRAM FOR CHARACTER EDUCATION IN LOCAL SCHOOLS 2,500
    AMEN ADVENTURES
    20512 CHURCH RD
    UNION GROVE,WI53182     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 1,500
    AMERICAN LEGION POST 24
    735 HENRY STREET
    LAKE GENEVA,WI53147     		NONE PC SUPPORT LOCAL ORGANIZATION OF LOCAL VETERANS 1,000
    AMERICAN PATRIOT MUSIC PROGRAM
    2800 BROADWAY STREET
    QUINCY,IL62301     		NONE PC SUPPORT ORGANIZATION THAT PROMOTES THERAPEUTIC SUPPORT TO VETERANS AND FIRST RESPONDERS 700
    ANCHOR COVENANT CHURCH
    1229 PARK ROW
    LAKE GENEVA,WI53147     		NONE PC RELIGIOUS SUPPORT AND AUTO WORK 913
    ANTIOCH AMERICAN LEGION AUXILIARY
    285 CHESTNUT STREET
    ANTIOCH,IL60002     		NONE PC SUPPORT LOCAL ORGANIZATION EVENT BENENEFITING LOCAL VETERANS 500
    ANTIOCH LION'S CLUB
    PO BOX 324
    ANTIOCH,IL60002     		NONE PC SUPPORT FOR LOCAL ORGANIZATION FOCUSED ON GIVING BACK AND COMMUNITY EVENTS 6,713
    AURORA HEALTH CARE FOUNDATION
    252 MCHENRY ST
    BURLINGTON,WI53105     		NONE PC SUPPORT PROGRAMS THAT PROVIDE AFFORDABLE HEALTH CARE TO INDIVIDUALS IN NEED 500
    AUTISM HERO PROJECT
    2612 POND VIEW DRIVE
    ALGONQUIN,IL60102     		NONE PC SUPPORT FOR ORGANIZATION'S GOLF OUTING 1,000
    AWANA
    15877 COLLECTION CENTER DRIVE
    CHICAGO,IL60693     		NONE PC SUPPORT ORGANIZATION THAT FOCUSES ON RELIGIOUS EDUCATION TO LOCAL YOUTH 10,000
    BADGER HIGH SCHOOL
    220 SOUTH STREET
    LAKE GENEVA,WI53147     		NONE PC EDUCATIONAL SUPPORT 5,000
    BELIEVE IN THE CHILDREN
    220 1ST AVE PO BOX 494
    FORRESTON,IL610300494     		NONE PC SUPPORT FOR ORGANIZATION BENFITING AT RISK YOURTH 550
    BIG FOOT BALL AND GLOVE INC
    PO BOX 127
    WALWORTH,WI53184     		NONE PC SUPPORT LOCAL ORGANIZATION FUNDING YOURTH SPORTS 1,500
    BIKERS AGAINST CHILD ABUSE
    PO BOX 8705
    MADISON,WI53708     		NONE PC SUPPORT ORGANIZATION FOCUSED ON PROTECTING YOUTH 1,000
    BILL KAISER MINISTRIES
    249 BROOKDALE DR
    MIDLOTHIAN,TX76065     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 3,000
    BLAZING TREES
    PO BOX 210614
    NASHVILLE,TN37221     		NONE PC RELIGIOUS SUPPORT 17,250
    BLUFFVIEW CENTER OF HOPE
    3154 RIDGEWAY AVE 106
    MADISON,WI53704     		NONE PC RELIGIOUS SUPPORT 1,000
    BOY SCOUTS OF AMERICA - GLACIER'S EDGE COUNCIL
    PO BOX 14135
    MADISON,WI537080135     		NONE PC SUPPORT FOR YOUTH PROGRAMS THAT PROMOTE CHARACTER DEVELOPMENT AND LEADERSHIP SKILLS 4,000
    BOY SCOUTS OF AMERICA
    2820 MCFARLAND DR
    ROCKFORD,IL61107     		NONE PC SUPPORT FOR YOUTH PROGRAMS THAT PROMOTE CHARACTER DEVELOPMENT AND LEADERSHIP SKILLS 2,000
    BOYS AND GIRLS BLUB OF GREATER LACROSSE
    PO BOX 91
    LA CROSSE,WI54602     		NONE PC SUPPORT FOR YOUTH PROGRAMS THAT PROMOTE CHARACTER DEVELOPMENT AND LEADERSHIP SKILLS 1,000
    BOYS AND GIRLS CLUB OF KENOSHA
    5711 77TH STREET
    KENOSHA,WI53142     		NONE PC SUPPORT FOR YOUTH PROGRAMS THAT PROMOTE CHARACTER DEVELOPMENT AND LEADERSHIP SKILLS 100
    BOYS AND GIRLS CLUB OF WALWORTH CO
    414 BELOIT ST
    DELAVAN,WI53115     		NONE PC SUPPORT FOR AFTER SCHOOL PROGRAMS THAT PROMOTE RESPONSIBILITY AND CHARACTER DEVELOPMENT 1,300
    BRIGGS ROAD EVANGELICAL FREE CHURCH
    PO BOX 959
    ELKHORN,WI53121     		NONE PC RELIGIOUS SUPPORT AND AUTO WORK 2,000
    CALVARY COMMUNITY CHURCH
    PO BOX 1200
    WILLIAMS BAY,WI53191     		NONE PC RELIGIOUS SUPPORT 5,047
    CHAPEL ON THE HILL
    N2440 ARA GLEN DR
    LAKE GENEVA,WI53147     		NONE PC RELIGIOUS SUPPORT 3,100
    CHRIST CHURCH DELAVAN
    PO BOX 528
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 100
    CHRISTIAN LIFE CHURCH
    965 E RACINE ST
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 88,640
    CHRISTMAS CLEARINGHOUSE
    PO BOX 53
    WOODSTOCK,IL60098     		NONE PC SUPPORT LOCAL EVENT VENEFITING LOCAL LOW INCOME FAMILIES 500
    CINCO DE MAYO
    PO BOX 116
    DELAVAN,WI53115     		NONE NC SUPPORT LOCAL FESTIVAL 500
    CITY OF DELAVAN
    PO BOX 465
    DELAVAN,WI53115     		NONE NC FUND BULLET PROOF VEST FOR DELAVAN POLICE DEPARTMENT 13,533
    COMMUNITY CHURCH
    N6717 STEBLOW DR
    FOND DU LAC,WI54937     		NONE PC RELIGIOUS SUPPORT 1,000
    COMMUNITY CONNECTIONS FREE CLINIC
    101 E FOUNTAIN STREET PO BOX 184
    DODGEVILLE,WI53533     		NONE PC RELIGIOUS SUPPORT 500
    COMMUNITY EVANGELICAL FREE CHURCH
    6522 COUNTY RD U
    SHULLSGURG,WI53586     		NONE PC RELIGIOUS SUPPORT 9,400
    COMMUNITY FOUNDATION
    4531 MAINE STREET SUITE A
    QUINCY,IL62305     		NONE PC SUPPORT LOCAL ORGANIZATION SERVING SERVING WEST CENTRAL ILLINOIS & NORTHEAST MISSOURI 1,500
    COMMUNITY NATHIONAL BANK
    311 NORTH MAIN ST
    MONMOUTH,IL61462     		NONE NC COMMUNITY SCHOOL SUPPLIES DRIVE 500
    COMPUTER SKILLS AND TRAINING CENTER INC
    308 EAST 21ST AVE
    GARY,IN46407     		NONE PC SUPPORT LOCAL ORGANIZATION THAT FOCUSES ON EDUCATING YOUTH AND ELDERLY 114,926
    COMUNIDAD CRISTIANA CALVARIO CHURCH
    11 NORTH FIRST ST
    DARIEN,WI53114     		NONE PC RELIGIOUS SUPPORT 900
    CONVERGE
    PO BOX 772802
    DETROIT,MI48277     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 4,400
    COVENANT HARBOR
    1724 W MAIN ST
    LAKE GENEVA,WI53147     		NONE PC SUPPORT FOR CAMPING PROGRAMS TO PROMOTE CHRISTIAN LIVING AND FELLOWSHIP 5,000
    CREEK ROAD COMMUNITY CHURCH
    W7778 CREEK RD
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 3,200
    CRU
    100 LAKE HART DR 2400
    ORLANDO,FL32832     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 6,000
    DANIEL KING MEMORIAL FUND INC
    PO BOX 289
    FONTANA,WI53125     		NONE PC SUPPORT FOR CANCER RESEARCH 500
    DARIEN COMMUNITY CLUB
    9023 E WYMAN DR
    CLINTON,WI53525     		NONE PC SUPPORT ORGANIZATION BENEFITING LOCAL COMMUNITY 300
    DELAVAN CHRISTIAN SCHOOL
    848 OAK STREET
    DELAVAN,WI53115     		NONE PC EDUCATIONAL SUPPORT 425
    DELAVAN DARIEN SCHOOL DISTRICT FOUNDATION
    PO BOX 582
    DELAVAN,WI53115     		NONE PC EDUCATIONAL SUPPORT 55,474
    DELAVAN FIRE DEPT
    811 ANN ST
    DELAVAN,WI53115     		NONE NC SUPPORT FOR THE DELAVAN COMMUNITY FIRE DEPARTMENT 100
    DELAVAN HIGH SCHOOL
    150 CUMMINGS ST
    DELAVAN,WI53115     		NONE PC EDUCATIONAL SUPPORT 2,112
    DELAVAN LIONS CLUB
    PO BOX 543
    DELAVAN,WI53115     		NONE PC SUPPORT FOR LOCAL ORGANIZATION FOCUSED ON GIVING BACK AND COMMUNITY EVENTS 150
    DELAVAN PARKS AND RECREATION DEPT
    123 S SECOND ST
    DELAVAN,WI53115     		NONE NC SUPPORT FOR LOCAL ORGANIZATION DEDICATED TO BENEFITING LOCAL COMMUNITY 75
    EAGLE RIDGE SCHOOL
    2002 EAGLE RIDGE DR
    SILVIS,IL61282     		NONE PC EDUCATIONAL SUPPORT 2,241
    EAST TROY GRIDIRON CLUB
    PO BOX 617
    EAST TROY,WI53120     		NONE NC EDUCATIONAL SUPPORT 500
    EL AYUDANTE MISSIONS USA INC
    PO BOX 154
    RODEO,CA94572     		NONE PC RELIGIOUS SUPPORT 2,200
    ELIM CHRISTIAN SERVICES
    13020 S CENTRAL AVE
    CRESTWOOD,IL60418     		NONE PC RELIGIOUS SUPPORT 2,500
    ELKHORN AREA SCHOOL DISTRIC
    3 N JACKSON STREET
    ELKHORN,WI53121     		NONE PC EDUCATIONAL SUPPORT 156
    EMANUEL UNITED METHODIST CHURCH
    740 E COLLEGE AVE
    APPLETON,WI54911     		NONE PC RELIGIOUS SUPPORT 1,250
    ENVIRONMENTAL EDUCATION FOUNDATION
    PO BOX 244
    FONTANA,WI53125     		NONE PC FUND SCHOLARSHIP AND ACADEMIC RESEARCH 1,000
    ETERNAL WORD
    PO BOX 3136
    MUNSTER,IN46321     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 168,000
    EVEREST ACADEMY
    11550 BELL RD
    LEMONT,IL60439     		NONE PC EDUCATIONAL SUPPORT 2,500
    FAITH BAPTIST CHURCH
    1500 CREEK RD
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 3,400
    FAITH CHRISTIAN SCHOOL
    PO BOX 1230
    WILLIAMS BAY,WI53191     		NONE PC EDUCATIONAL SUPPORT 60,800
    FAITH TEMPLE OF CHRIST
    7601 WHITCOMB ST
    MERRILLVILLE,IN46410     		NONE PC RELIGIOUS SUPPORT 3,297
    FAMILY24 INC
    230 DARWIN ST
    LAKE GENEVA,WI53147     		NONE PC SUPPORT MISSION TRIP TO HOGAR DE VIDA 2,000
    FCA WESTERN ILLINOIS
    4818 DEER RIDGE RD
    QUINCY,IL62305     		NONE PC SUPPORT FOR CHRISTIAN ATHLETES 1,900
    FEED MY STARVING CHILDREN
    742 E PARK AVE
    LIBERTYVILLE,IL60048     		NONE PC SUPPORT TO PROVIDE FOOD FOR STARVING CHILDREN 1,000
    FIRST BAPTIST CHURCH
    212 S MAIN ST
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 2,000
    FRANKLIN NEWS FOUNDATION
    20 N CLARK ST SUITE 3300
    CHICAGO,IL60602     		NONE PC SUPPORT FOR OGANIZATION FOCUSED ON SUSTAINABLE PUBLIC JOURNALISM 5,000
    FRIENDS OF LAKELAND SCHOOL
    PO BOX 1361
    LAKE GENEVA,WI53190     		NONE PC EDUCATIONAL SUPPORT 500
    GAFFEY HOSPICE FOUNDATION
    3408 RIVER RD 4159
    STERLING,IL61081     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL ELDERLY AND STRUGGLING INDIVIDUALS 200
    GATEWAY TECHNICAL COLLEGE FOUNDATION
    3520 30TH AVE
    KENOSHA,WI53144     		NONE PC EDUCATIONAL SUPPORT 39,500
    GENEVA LAKE WOMEN'S ASSOCIATION
    PO BOX 671
    LAKE GENEVA,WI53147     		NONE PC SUPPORT FOR ORGANIZATION'S EVENT 3,000
    GENEVA LAKES YMCA ENDOWMENT CORP
    203 S WELL ST
    LAKE GENEVA,WI53147     		NONE PC SUPPORT OF ORGANIZATION BENEFITING LOCAL COMMUNITY 7,500
    GLOBAL MESSENGER SERVICE
    PO BOX 551
    FENTON,MO63026     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 27,500
    GOD TOUCH MILWAUKEE
    1501 WEST LINCOLN AVE
    MILWAUKEE,WI53215     		NONE PC PROVIDES SUPPORT, ENCOURAGEMENT, AND CHRISTIAN MENTORSHIP TO THE MILWAUKEE AREA 3,200
    GOLDEN HOUSE
    1120 UNIVERSITY AVE
    GREEN BAY,WI54302     		NONE PC SUPPORT LOCAL DEMESTIC ABUSE PROGRAM 1,000
    GOOD NEWS KENYA
    503 WALWORTH ST
    LAKE GENEVA,WI53147     		NONE PC RELIGIOUS SUPPORT 1,000
    GOSPEL MINISTRIES
    GMIPO BOX 113
    WARRENTON,MO63383     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 93,500
    GRACE EVANGELICAL FREE CHURCH
    500 S MAIN STREET
    WALWORTH,WI53184     		NONE PC RELIGIOUS SUPPORT 21,000
    GROW MINISTRIES
    101 N EAST ST
    CAMBRIDGE,IL61238     		NONE PC RELIGIOUS SUPPORT 32,500
    HARVEST POINT CHURCH
    209 S 4TH ST
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 2,701
    HAZELDEN BETTY FORD FOUNDATION
    PO BOX 116
    CENTER CITY,MN55012     		NONE PC SUPPORT FOUNDATION HELPING WITH SUBSTANT ABUSE AND MENTAL HEALTH CONDITIONS 5,904
    HELLO HAPPINESS CREATIVITY CENTER
    1504 NEW JERSEY AVE
    SHEBOYGAN,WI53081     		NONE PC FUND INSTALLATION OF HANDICAP RAMP 5,000
    HERITAGE CHRISTIAN SCHOOLS
    3500 S GLEN PARK ROAD
    NEW BERLIN,WI53151     		NONE PC EDUCATIONAL SUPPORT 100
    HISPANIC CHURCH IGLESIA
    1500 CREEK ROAD
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 1,035
    HISTORIC DOWNTOWN SHARON
    PO BOX 460
    SHARON,WI53585     		NONE PC PROVIDE SUPPORT TO THE HISTORICAL SOCIETY'S PROGRAMING 100
    I LIKE GIVING
    5550 TECH CENTER DRIVESUITE 303
    COLORADO SPRINGS,CO80919     		NONE PC SUPPORT FOR ORGANIZATION FOCUSED ON GIVING BACK ACROSS THE UNITED STATES 25,000
    IMPACT FOUNDATION
    PO BOX 25277
    OVERLAND PARK,KS662255277     		NONE PC RELIGIOUS SUPPORT 200,000
    IMPACT MINISTRIES
    PO BOX 102
    LONSDALE,MN55046     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 41,500
    INSPIRATION MINISTRIES
    N 2270 WI-67
    WALWORTH,WI53184     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 32,007
    INTERCEPTION FOUNDATION
    W1815 COUNTY HWY B
    GENOA CITY,WI53128     		NONE PC SUPPORT FOR ORGANIZATION FUNDING AFTERSCHOOL ACTIVITIES FOR YOUNG MEN 19,000
    JDRF
    1800 APPLETON ROAD SUITE 2
    MENASHA,WI54952     		NONE PC SUPPORT FOR ONE WALK EVENT 3,000
    JEFF GALLAHER
    25380 MAINE STREET
    DURHAM,MO63438     		NONE I SUPPORT FOR INDIVIDUAL'S RELIGIOUS WORK 500
    JERUSALEM PRAYER TEAM INTERNATIONAL
    PO BOX 30000
    PHOENIZ,AZ850460009     		NONE PC RELIGIOUS SUPPORT 1,000
    JEWS FOR JESUS
    60 HAIGHT STREET
    SAN FRANCISCO,CA94102     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 1,700
    JOURNEY CHURCH OF THE ASSEMBLIES OF GOD INC
    10700 75TH ST
    KENOSHA,WI53142     		NONE PC RELIGIOUS SUPPORT 500
    KEEFE FOUNDATION
    PO BOX 460
    LAKE GENEVA,WI53147     		NONE PC FUNDRAISER SUPPORTING LOCAL NONPROFITS IN THE LAKE GENEVA AREA 5,000
    KIDS SPOT CHEER
    9461 N 2ND ST
    ROSCOE,IL61073     		NONE NC EDUCATIONAL SUPPORT 500
    KNOXVILLE CENTRAL HIGH SCHOOL ATHLETICS FOUNDATION
    5321 JACKSONBORO PIKE
    KNOXVILLE,TN37918     		NONE PC SUPPORT FOR ORGANIZATION FUNDING AFTERSCHOOL ACTIVITIES FOR YOUNG WOMEN 150
    LAKE GENEVA FOOD PANTRY
    715 WISCONSIN ST
    LAKE GENEVA,WI53147     		NONE PC DONATION OF FUNDS TO HELP 1,000
    LAKE GENEVA JAYCEES
    672 W MAIN ST
    LAKE GENEVA,WI53147     		NONE PC SUPPORT FOR ORGANIZATION FOCUSED ON BENEFITING WALWORTH COUNTY 2,000
    LAKE GENEVA YOUTH CAMP
    W2655 SOUTH ST
    LAKE GENEVA,WI53147     		NONE PC SUPPORT FOR CAMPING PROGRAMS TO PROMOTE CHRISTIAN LIVING AND FELLOWSHIP 102,000
    LAKE LAWN RESORT
    2400 EAST GENEVA ST
    DELAVAN,WI53115     		NONE NC SUPPORT FOR VARIOUS CHARITABLE EVENTS 14,149
    LAKELAND COMMUNITY CHURCH
    N3181 HWY 67
    LAKE GENEVA,WI53147     		NONE PC RELIGIOUS SUPPORT 515,015
    LAKES CHURCH
    5873 KENDRA RD
    FRUITPORT,MI49415     		NONE PC RELIGIOUS SUPPORT 36,000
    LIBERTY CHRISTIAN CHURCH
    PO BOX 90
    LIBERTY,IL62347     		NONE PC RELIGIOUS SUPPORT 15,710
    LIGHTHOUSE FULL GOSPEL CHURCH
    W5502 WI-67
    WALWORTH,WI53184     		NONE PC RELIGIOUS SUPPORT 120,708
    LIVGRACEFULLY INC
    W4720 PINE CT
    ELKHORN,WI53121     		NONE PC EDUCATIONAL SUPPORT 500
    LIVING HOPE INTERNATIONAL
    PO BOX 116
    WEST BEND,WI530950116     		NONE PC SUPPORT PROGRAM THAT HELPS CHILDREN IN NEED 1,000
    LONNIE JARVIS MINISTRIES
    PO BOX 10624
    MERRILLVILLE,IN46411     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 24,500
    MABAS
    PO BOX 233
    CAMP DOUGLAS,WI54618     		NONE PC SUPPORT PROGRAMS THAT PROTECT LOCAL COMMUNITY 1,000
    MAYO CLINIC
    200 1ST ST SW
    ROCHESTER,MN55905     		NONE PC SUPPORT FOR MEDICAL RESEARCH AND TREATMENT 120,000
    MCGMO
    W3985 COUNTY RD NN
    ELKHORN,WI53121     		NONE PC SUPPORT FOR ORGANIZATION'S GOLF OUTING 600
    MISSIO DEI FELLOWSHIP
    5214 47TH AVE
    KENOSHA,WI53144     		NONE NC RELIGIOUS SUPPORT 5,000
    MONMOUTH MASONIC LODGE #37
    200 S E ST
    MONMOUTH,IL61462     		NONE PC SUPPORT FOR LOCAL ORGANIZATION FOCUSED ON GIVING BACK AND COMMUNITY EVENTS 250
    MT ZION CHRISTIAN CHURCH
    2330 STATE RD 120
    LAKE GENEVA,WI53147     		NONE PC RELIGIOUS SUPPORT 10,527
    NATIONAL STEARMAN FOUNDATION
    PO BOX 1937
    GALESBURG,IL61402     		NONE PC SUPPORT THE PRESERVATION OF THE HISTORY OF AIRCRAFTS 100
    NEW BEGINNINGS APFV INC
    20 N CHURCH ST
    ELKHORN,WI53121     		NONE PC RELIGIOUS SUPPORT 1,500
    NEW DAY WOMEN'S CLINIC
    PO BOX 373
    DELAVAN,WI53115     		NONE PC PREGNANCY MEDICAL CENTER PROVIDING SUPPORT AND EDUCATION 1,500
    NEW LIFE LUTHERAN CHURCH
    1100 N LYFORD RD
    ROCKFORD,IL61107     		NONE PC RELIGIOUS SUPPORT 2,000
    NEWCAP
    1201 MAIN ST
    OCONTO,WI54153     		NONE PC SUPPORT FOR EVENT TO RAISE AWARNESS AGAINST DOMESTIC VIOLANCE 1,000
    OAKRIDGE BAPTIST CHURCH
    235 OAKRIDGE WEST DR
    ST PETERS,MO63376     		NONE PC RELIGIOUS SUPPORT 150
    ONE MILLION MONARCHS
    PO BOX 756
    CARY,IL60013     		NONE PC SUPPORT FOR ORGANIZATION FOCUSED ON THE DEVELOPMENT AND EDUCATION OF YOUTH 1,000
    OOSTBURG CHRISTIAN SCHOOL
    101 SOUTH 7TH ST
    OOSTBURG,WI53070     		NONE PC EDUCATIONAL SUPPORT 3,600
    OPEN ARMS FREE CLINIC
    PO BOX 678
    ELKHORN,WI53121     		NONE PC PROVIDE MEDICAL SUPPORT FOR LOW-INCOME AND UNINSURED RESIDENTS 5,100
    OUR REDEEMER LUTHERAN CHURCH
    416 W GENEVA STREET
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 2,000
    OUT OF THE ASHES
    10317 NW 135TH ST
    HIALEAH,FL33013     		NONE PC RELIGIOUS SUPPORT 30,000
    PASTOR BILL MYERS
    514 WOODLAWN DR
    WILLIAMS BAY,WI53191     		NONE I SUPPORT FOR INDIVIDUAL'S RELIGIOUS WORK 15,447
    PHANTOM RANCH BIBLE CAMP
    W309 S10910 CR-1
    MUKWONAGO,WI53149     		NONE PC SUPPORT FOR CAMPING PROGRAMS TO PROMOTE CHRISTIAN LIVING AND FELLOWSHIP 5,500
    PINK HEALS SAUK VALLEY
    403 W 2ND ST
    ROCK FALLS,IL61071     		NONE PC SUPPORT ORGANIZATION THAT HELPS THE LOCAL COMMUNITY IN NEED 250
    PLATTEVILLE HIGH SCHOOL SCHOLARSHIP FUND
    PO BOX 460
    PLATTEVILLE,WI53818     		NONE PC EDUCATIONAL SUPPORT 1,250
    PROJECT HOPE
    PO BOX 5029
    HAGERSTOWN,MD217415029     		NONE PC SUPPORT FOR ORGANIZATION FOCUSED ON FIGHTING COVID-19 20,000
    QUINCY FAMILY YMCA
    3101 MAIN STREET
    QUINCY,IL62301     		NONE PC SUPPORT OF ORGANIZATION BENEFITING LOCAL COMMUNITY 1,300
    RAWHIDE YOUTH SERVICES
    E7475 RAWHIDE ROAD
    NEW LONDON,WI549619052     		NONE PC SUPPORT FOR ORGANIZATION FOCUSED ON THE DEVELOPMENT AND EDUCATION OF YOUTH 1,000
    RED CROSS BLOOD DRIVE
    17892 YAGER RD
    MORRISON,IL61270     		NONE PC SUPPORT FOR ORGANIZATION TO FUND LOCAL NEED 80
    REEK SCHOOL CLUB
    W4094 SOUTH LAKE SHORE DRIVE
    LAKE GENEVA,WI53147     		NONE PC EDUCATIONAL SUPPORT 250
    REFUGE MINISTRIES INC
    PO BOX 4741
    EL PASO,TX79914     		NONE PC RELIGIOUS SUPPORT 1,500
    RELAY FOR LIFE SAUK VALLEY
    PO BOX 22478
    OKLAHOMA CITY,OK73123     		NONE PC SUPPORT OF ORGANIZATION BENEFITING LOCAL COMMUNITY 1,000
    REMEDIES RENEWING LIVES
    220 EASTON PARKWAY
    ROCKFORD,IL61108     		NONE PC SUPPORT LOCAL DEMESTIC ABUSE PROGRAM 400
    RIVER RIDGE CHURCH
    7664 WILMOT RD
    SPRING GROVE,IL60081     		NONE PC RELIGIOUS SUPPORT 250
    ROLLING HILLS PROGRESS CENTER
    PO BOX 85
    LANARK,IL61046     		NONE PC SUPPORT FOR PROGRAM HELPING INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 100
    SAFE FAMILIES
    PO BOX 213
    ELKHORN,WI53121     		NONE PC PROVIDE FAMILY SUPPORT DURING TIMES OF CRISIS 25,000
    SAMARITANS PURSE
    PO BOX 3000
    BOONE,NC28607     		NONE PC SUPPORT FOR RELIGIOUS MINISTRY AND OUTREACH 14,000
    SANTA CAUSE
    PPO BOX 519
    WILLIAMS BAY,WI53191     		NONE PC PROVIDE SUPPORT TO EXISTING CHARITIES IN THE WALWORTH COUNTY, WI AREA 5,000
    SAVANNA CHILDREN'S FUND
    PO BOX 212
    SAVANNA,IL61074     		NONE NC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL YOUTH IN NEED 500
    SAVANNA FIRE DEPARTMENT
    101 MAIN STREET
    SAVANNA,IL60174     		NONE NC SUPPORT ORGANIZATION DEDICATED TO LOCAL SAFETY 100
    SCOTT PORTER
    806 EAST LYNN BLVD
    STERLING,IL61081     		NONE I SUPPORT FOR INDIVIDUAL'S RELIGIOUS WORK 4,500
    SEEDS OF HOPE
    W4818 POTTER ROAD
    ELKHORN,WI53121     		NONE PC SUPPORT FOR ADULTS WITH DEVELOPMENTAL AND OTHER DISABILITIES 26,474
    SENIOR CARE VOLUNTEER NETWORK
    42 EAST ST STE C
    CRYSTAL LAKE,IL60014     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL ELDERLY AND STRUGGLING INDIVIDUALS 200
    SHARON S RICHARDSON COMMUNITY HOSPICE
    W2850 WI-28
    SHEBOYGAN FALLS,WI53085     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL ELDERLY AND STRUGGLING INDIVIDUALS 2,000
    SILVER BIRCH RANCH
    N6120 SAWYER LAKE RD
    WHITE LAKE,WI544919779     		NONE PC SUPPORT FOR CAMPING PROGRAMS TO PROMOTE CHRISTIAN LIVING AND FELLOWSHIP 50,000
    SINNISSIPPI CENTER
    325 ILLINOIS ROUTE 2
    DIXON,IL61021     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL STRUGGLING INDIVIDUALS 250
    SMASHSMARD
    6 EXMOOR LANE
    LINCOLNSHIER,IL60069     		NONE PC SUPPORT FOR LOCAL CHARITY 1,060
    SMILES INC
    N2666 COUNTY ROAD K
    DARIEN,WI53114     		NONE PC PROVIDES THERAPEUTIC SUPPORT FOR INDIVIDUALS WITH SPECIAL NEEDS 1,000
    SONLIFE
    PO BOX 1562
    WHEATON,IL60187     		NONE PC SUPPORT FOR FUSION MISSION 1,000
    SOUTHERN LAKE EVANGELICAL FREE CHURCH
    N6686 HWY 12
    ELKHORN,WI53121     		NONE PC RELIGIOUS SUPPORT 2,085
    SPECIAL OLYMPICS OF ILLINOIS
    605 E WILLOW ST
    NORMAL,IL61761     		NONE PC SUPPORT FOR PROGRAM HELPING INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 2,200
    SPIRE NETWORK
    PO BOX 3063
    MONUMENT,CO80132     		NONE PC RELIGIOUS SUPPORT 25,000
    ST ANDREW'S PARISH
    115 S SEVENTH ST
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 1,706
    ST EDWARD
    N2926 ST ROAD 47
    APPLETON,WI54913     		NONE PC RELIGIOUS SUPPORT 700
    ST JOHN'S LUTHEREN CHURCH
    104 SOUTH BROAD ST
    ELKHORN,WI53121     		NONE PC RELIGIOUS SUPPORT 4,499
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    4722 N SHERIDAN RD
    PEORIA,IL61614     		NONE PC SUPPORT FOR MEDICAL RESEARCH 1,000
    STOUGHTON AREA RESOURCE TEAM INC (START)
    1520 VERNON ST
    STOUGHTON,WI53589     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS STRUGGLING INDIVIDUALS 2,000
    SWEET ABILITIES LLC
    S46W25147 BLACK OAK CT E
    WAUKESHA,WI53189     		NONE NC SUPPORT FOR ORGANIZATION THAT EMPOWERES INDIVIDUALS WITH DEVELOPMENTAL DISABILITEIES 1,000
    TEAM TRIUMPH
    1406 S JACKSON ST
    GREEN BAY,WI54301     		NONE PC SUPPORT FOR PROGRAM HELPING INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 2,400
    TEENY TEARS
    6965 UNION PARK CENTER SUITS 280
    COTTONWOOD HEIGHTS,UT84047     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS FAMILES OF PREMIE OR MICROPREEMIE CHILDREN 1,000
    THE ABIGAIL ADAMS INSTITUTE
    14 ARROW ST SUITE 610
    CAMBRIDGE,MA02138     		NONE PC EDUCATIONAL SUPPORT 25,000
    THE AFFORDABLE TRANSPORTATION PROGRAM
    PO BOX 784
    STOUGHTON,WI53589     		NONE NC PROVIDE APPORDABLE TRANSORTATION FOR INDIVIDUALS IN THE STOUGHTON, WI AREA 500
    THE AMERICAN LEGION POST 328
    3888 OLD HAMNER ROAD
    NORCO,CA92860     		NONE PC SUPPORT LOCAL ORGANIZATION OF LOCAL VETERANS 50
    THE CROSSING OF MANITOWOC COUNTY
    205 N 8TH STREET
    MANITOWOC,WI54220     		NONE PC RELIGIOUS SUPPORT 1,000
    THE EDGE CHURCH
    7870 BROADWAY
    MERRILLVILLE,IN46411     		NONE PC RELIGIOUS SUPPORT 574
    THE GREAT RIVER OUTREACH
    PO BOX 361
    SAVANNA,IL61074     		NONE PC SUPPORT FOR ORGANIZATION THAT WORKS TOWARD FEEDING LOCAL INDIVIDUALS IN NEED 2,500
    THE RIVER OF LIFE CHURCH
    337 S 8TH STREET
    DELAVAN,WI53115     		NONE PC RELIGIOUS SUPPORT 1,178
    THE SALVATION ARMY COMMUNITY CENTER - SHEBOYGAN
    710 PENNSYLVANIA AVE
    SHEBOYGAN,WI53081     		NONE PC PROVIDES FOOD, SHELTER, AND CLOTHING TO LOCAL COMMUNITY 2,000
    THE SALVATION ARMY OF QUINCY
    425 BROADWAY ST
    QUINCY,IL62301     		NONE PC PROVIDES FOOD, SHELTER, AND CLOTHING TO LOCAL COMMUNITY 1,000
    THE SALVATION ARMY
    PO BOX 1606
    JANESVILLE,WI535471606     		NONE PC PROVIDES FOOD, SHELTER, AND CLOTHING TO LOCAL COMMUNITY 1,500
    THE TIME IS NOW TO HELP
    PO BOX 1
    LAKE GENEVA,WI53147     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL ELDERLY AND STRUGGLING YOUTH 5,000
    THE WOODSON CENTER
    1625 K STREET NW SUITE 410
    WASHINGTON,DC20006     		NONE PC SUPPORT PROGRAMS FOR LOW-INCOME NEIGHBORHOODS 126,791
    TIMBER-LEE
    N8705 SCOUT RD
    EAST TROY,WI53120     		NONE PC SUPPORT FOR CAMPING PROGRAMS TO PROMOTE CHRISTIAN LIVING AND FELLOWSHIP 300
    TREE HOUSE CHILD AND FAMILY CENTER
    W4063 COUNTY RD NN
    ELKHORN,WI53121     		NONE PC SUPPORT LOCAL CHILD ABUSE PROGRAM 500
    TRINITY CHURCH
    W775 GERANIUM ROAD
    GENOA CITY,WI53128     		NONE PC RELIGIOUS SUPPORT 1,058
    TURNING POINT
    4940 EAST BEVERLY ROAD
    PHOENIX,AZ85044     		NONE PC SUPPORT FOR PROGRAM THAT AIMS TO EDUCATE THE YOUTH AND ASSIST IN THEIR DEVELOPMENT 5,000
    TWIN OAKS SHELTER
    W9665 US-14
    DARIEN,WI53114     		NONE PC SUPPORT THE HOUSING OF LOCAL INDIVIDUALS IN NEED 500
    UNITED FOR WAUKESHA COMMUNITY FUND
    2727 N GRANDVIEW BLVD SUITE 301
    WAUKESHA,WI53188     		NONE PC SUPPORT FOR LOCAL TRAGEDY VICTIMS 200
    UNITED WAY OF ADAMS COUNTY
    936 BROADWAY
    QUINCY,IL62301     		NONE PC SUPPORT FOR VARIOUS PROGRAMS PROMOTING EDUCATION, HEALTH, AND FINANCIAL STABILITY 1,000
    VENESSA FIELDS
    219 MOTTERN ST UNIT 21-4
    FORT HUACHUCA,AZ85613     		NONE I SUPPOR FOR INDIVIDUAL IN NEED 2,500
    VERDA DIERZEN EARLY LEARNING CENTER
    2045 N SEMINARY AVE
    WOODSTOCK,IL60098     		NONE PC EDUCATIONAL SUPPORT 399
    WALWORTH COUNTY DEPUTY SHERIFFS ASSOCIATION
    PO BOX 171
    ELKHORN,WI53121     		NONE PC SUPPORT LOCAL SHERIFF DEPARTMENT 600
    WARREN COUNTY YMCA
    201 W BROADWAY PO BOX 377
    MONMOUTH,IL61462     		NONE PC SUPPORT OF ORGANIZATION BENEFITING LOCAL COMMUNITY 1,000
    WATDA FOUNDATION
    150 E GILMAN STREET STE A100
    MADISON,WI537039811     		NONE PC SUPPORT FOR PROGRAMS THAT ADVOCATE FOR MOTOR VEHICLE DEALERS AND CONSUMERS 25,000
    WI MAKE-A-WISH
    11020 WEST PLANK CT
    WAUWATOSA,WI53226     		NONE PC SUPPORT FOR PROGRAM THAT SUPPORTS INDIVIDUALS WITH MAJOR MEDICAL CONDITIONS 1,000
    WILLIAMS BAY ATHLETIC BOOSTER CLUB
    PO BOX 1410
    WILLIAMS BAY,WI33191     		NONE PC EDUCATIONAL SUPPORT 700
    WILLIAMS BAY WOMEN'S CIVIC LEAGUE
    PO BOX 374
    WILLIAMS BAY,WI53191     		NONE PC SUPPORT FOR ORGANIZATION THAT BENEFITS LOCAL COMMUNITY 100
    WORDPARTNERS
    12575 RIDGELAND AVE
    PALOS HEIGHTS,IL60463     		NONE PC RELIGIOUS SUPPORT 10,000
    YERKES FUTURE FOUNDATION INC
    PO BOX 346
    WILLIAMS BAY,WI53191     		NONE PC SUPPORT FOR LOCAL HISTORICAL FOUNDATION THAT PRESERVES LOCAL LANDMARK 2,002
    YOUNG AMERICA'S FOUNDATION
    11480 COMMERCE PARK DRIVE 6TH FLOOR
    RESTON,VA201911556     		NONE PC SUPPORT FOR YOUTH PROGRAMS THAT PROMOTE CHARACTER DEVELOPMENT AND LEADERSHIP SKILLS 10,000
    YOUNG LIFE
    436 S 6TH ST 202
    QUINCY,IL62301     		NONE PC PROVIDES CHRISTIAN MINISTRY SUPPORT FOR STUDENTS 4,000
    Total .................................bullet 3a 2,713,111
    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 ...........     		    14    
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......     30    
    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 ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRECOVERY OF GRANTS     		    01 1,850  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 1,850 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,850
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    KUNES FAMILY FOUNDATION
     
    Employer identification number

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






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    IGNITION DEALER SERVICES INC
     
    1501 E WISCONSIN ST SUITE 2
     
    DELAVAN, WI53115

    		$ 5,400


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    KUNES COUNTRY ANTIOCH
     
    104 ROUTE 173
     
    ANTIOCH, IL60002

    		$ 219,860


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    KUNES COUNTRY BELVIDERE
     
    1615 N STATE STREET
     
    BELVIDERE, IL61008

    		$ 964,694


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    KUNES COUNTRY BELVIDERE GM
     
    1855 NORTH STATE PO BOX 560
     
    BELVIDERE, IL61008

    		$ 342,086


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    KUNES COUNTRY EAST MOLINE
     
    1900 AVENUE OF THE CITIES
     
    EAST MOLINE, IL61244

    		$ 295,871


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    KUNES COUNTRY ELKHORN C
     
    1300 HIGHWAY 67 SOUTH
     
    ELKHORN, WI53121

    		$ 21,629


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
    KUNES COUNTRY FREEDOM RV
     
    825 ADDISON RD
     
    SLINGER, WI53086

    		$ 14,101


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    KUNES COUNTRY GALESBURG
     
    2763 N SEMINARY ST
     
    GALESBURG, IL61401

    		$ 195,110


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    KUNES COUNTRY HONDA
     
    221 N 36TH STREET
     
    QUINCY, IL62301

    		$ 536,011


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    KUNES COUNTRY HYUNDAI
     
    207 N 36TH STREET
     
    QUINCY, IL62301

    		$ 370,544


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    KUNES COUNTRY MACOMB
     
    3200 E JACKSON ST
     
    MACOMB, IL61455

    		$ 519,352


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
    KC MANAGEMENT
     
    1234 E GENEVA ST
     
    DELAVAN, WI53115

    		$ 97,866


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    13
    ROBERT GARDNER
    W12676 HWY 188
     
    LODI, WI53555

    		$ 6,067


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
    KUNES COUNTRY MONMOUTH
     
    1121 N 6TH STREET
     
    MONMOUTH, IL61462

    		$ 88,312


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    15
    KUNES COUNTRY MORRISON
     
    627 LINCOLNWAY EAST
     
    MORRISON, IL61270

    		$ 130,595


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    16
    KUNES COUNTRY MT CARROLL
     
    764 W COMMERCIAL ST
     
    MOUNT CARROLL, IL61053

    		$ 325,768


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    17
    KUNES COUNTRY OREGON
     
    601 GALE STREET
     
    OREGON, IL61061

    		$ 206,503


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    18
    KUNES COUNTRY RV & TRUCK CENTER
     
    9 DEERE ROAD
     
    ELKHORN, WI53121

    		$ 26,894


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number
    47-2405427
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    19
    KUNES COUNTRY STERLING C-B
     
    3200 E LINCOLNWAY
     
    STERLING, IL61081

    		$ 261,117


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    20
    KUNES COUNTRY STERLING FORD
     
    2811 LOCUST STREET
     
    STERLING, IL61081

    		$ 526,692


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    21
    KUNES COUNTRY USED CARS
     
    2502 LOCUST STREET
     
    STERLING, IL61081

    		$ 5,694


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    22
    KUNES COUNTRY WOODSTOCK
     
    1790 SOUTH EASTWOOD DRIVE
     
    WOODSTOCK, IL60098

    		$ 806,919


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    23
    KUNES COUNTRY FORD LINCOLN OF DELAVAN
     
    1234 E GENEVA ST
     
    DELAVAN, WI53115

    		$ 7,500


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    24
    SANDRA J WOLF
    21155 RAINTREE CT
     
    FRANKFORT, IL60423

    		$ 5,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number

    47-2405427
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    KUNES FAMILY FOUNDATION
          		Employer identification number

    47-2405427
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 6,995 0   6,995

    TY 2021 LegalFeesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 10 0   10


    TY 2021 OtherDecreasesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Description Amount
    TIMING DIFFERENCE 2,997


    TY 2021 OtherExpensesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE SUPPLIES AND SOFTWARE 1,702 0   1,702
    AGENT CHANGE FEE 10 0   10


    TY 2021 OtherIncomeSchedule2
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RECOVERY OF GRANTS 1,850   1,850


    TY 2021 SubstantialContributorsSch
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Name Address
    IGNITION DEALER SERVICES INC
          		1501 E WISCONSIN ST SUITE 2
    DELAVAN,WI53115
    KUNES COUNTRY EAST MOLINE
          		1900 AVENUE OF THE CITIES
    EAST MOLINE,IL61244
    KUNES COUNTRY GALESBURG
          		2763 N SEMINARY ST
    GALESBURG,IL61401
    KUNES COUNTRY MANAGEMENT
          		1234 E GENEVA ST
    DELAVAN,WI53115
    ROBERT GARDNER W12676 HWY 188
    LODI,WI53555
    KUNES COUNTRY MONMOUTH
          		1121 N 6TH ST
    MONMOUTH,IL61462
    KUNES COUNTRY MORRISON
          		627 LINCOLNWAY EAST
    MORRISON,IL61270
    KUNES COUNTRY USED CARS
          		2502 LOCUST STREET
    STERLING,IL61081
    SANDRA J WOLF 21155 RAINTREE CT
    FRANKFORT,IL60423


    TY 2021 TaxesSchedule
    Name:
    KUNES FAMILY FOUNDATION
    EIN:
    47-2405427
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 19 0   0