Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 16,369 | 22,445 | 41,918 | 18,281 | 60,158 | 159,171 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 61,701 | 71,421 | 83,979 | 94,108 | 95,418 | 406,627 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 78,070 | 93,866 | 125,897 | 112,389 | 155,576 | 565,798 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 565,798 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 78,070 | 93,866 | 125,897 | 112,389 | 155,576 | 565,798 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,285 | 30,036 | 6,893 | 6,071 | 8,781 | 57,066 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5,285 | 30,036 | 6,893 | 6,071 | 8,781 | 57,066 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 500 | 500 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 83,355 | 123,902 | 132,790 | 118,960 | 164,357 | 623,364 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 1,380. DESCRIPTION: DIVIDEND INCOME. AMOUNT: 5,033. DESCRIPTION: OTHER INVESTMENT INCOME. AMOUNT: 83. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 6,496. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: TRI FOR SCHOOLS. GRANTEE ADDRESS: 937 JENNA DRIVE VERONA, WI 53593. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR EVENT SPONSORSHIP. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: WAUNAKEE FOOD FOR KIDZ. GRANTEE ADDRESS: PO BOX 143 WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: WAUNAKEE FOOD FOR KIDS. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: VILLAGE OF WAUNAKEE. GRANTEE ADDRESS: 500 W MAIN STREET WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR COMMUNITY EVENTS AND SPLASH PAD & AMBIENT LIGHTING PROJECTS. AMOUNT GIVEN: 71,064. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: FELICIA'S DONATION CLOSET. GRANTEE ADDRESS: 7398 HARMONY POND RD DANE, WI 53529. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR SERVICES SUPPORT. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: WAUNAKEE FOOD PANTRY. GRANTEE ADDRESS: 710 SOUTH ST WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: AMERICAN RED CROSS. GRANTEE ADDRESS: 4860 SHEBOYGAN AVE MADISON, WI 53705. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR WILDFIRES RELIEF. AMOUNT GIVEN: 4,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: WAUNAKEE NEIGHBORHOOD CONNECTION. GRANTEE ADDRESS: 208 S CENTURY AVE WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: MOVIN' OUT, INC.. GRANTEE ADDRESS: 902 ROYSTER OAKS DR #105 MADISON, WI 53714. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CREATE WAUNAKEE. GRANTEE ADDRESS: PO BOX 159 WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: SHELTERBOX USA. GRANTEE ADDRESS: 101 INNOVATION PLACE SANTA BARBARA, CA 93108. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: ROTARY INTERNATIONAL. GRANTEE ADDRESS: PO BOX 159 WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 5,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: FRIENDS OF SCHUMACHER FARM INC. GRANTEE ADDRESS: 5682 HWY 19 WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: FUNDS FOR CAMPAIGN. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: VARIOUS NONPROFIT CLUBS & GROUPS. GRANTEE ADDRESS: VARIOUS WAUNAKEE, WI 53597. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 12,250. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 106,814. |
| FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 5,543. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 40. DESCRIPTION: INSURANCE. AMOUNT: 701. DESCRIPTION: LICENSE & REGISTRATION. AMOUNT: 294. DESCRIPTION: PROFESSIONAL SERVICES FEES. AMOUNT: 2,082. DESCRIPTION: OTHER BUSINESS EXPENSES. AMOUNT: 156. TOTAL TO FORM 990-EZ, LINE 16: 3,273. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED GAIN/(LOSSES) FROM INVESTMENT ACCOUNTS. AMOUNT: 12,134. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: STIFEL INVESTMENT ACCOUNT. BEG. OF YEAR AMOUNT: 175,873. END OF YEAR AMOUNT: 196,238. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 500. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 194. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 13,697. END OF YEAR AMOUNT: 8,154. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 950. END OF YEAR AMOUNT: 0. |
| Software ID: | |
| Software Version: |