TY 2023 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
right arrow

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023

Name of foundation
JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

Number and street (or P.O. box number if mail is not delivered to street address)111 N WASHINGTON STREET
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
GREEN BAY, WI54305

A Employer identification number

39-6719617

B Telephone number (see instructions)

(866) 888-5157

C If exemption application is pending, check here right arrow

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. right arrow

2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... right arrow

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... right arrow

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) right arrow

$6,999,581J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	147,889		147,008
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		67,990
b	Gross sales price for all assets on line 6a 1,527,026
7	Capital gain net income (from Part IV, line 2)...			67,990
8	Net short-term capital gain.........				0
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).......	List of Attached Documents: // Content	44,599	10,078
12	Total. Add lines 1 through 11........	260,478		225,076
13	Compensation of officers, directors, trustees, etc.	38,291		28,718		9,573
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........					0
b	Accounting fees (attach schedule).......	List of Attached Documents: // Content	870	0	0	870
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...	List of Attached Documents: // Content	4,468	4,468		0
19	Depreciation (attach schedule) and depletion...		0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......			0	0
22	Printing and publications..........			0	0
23	Other expenses (attach schedule).......	List of Attached Documents: // Content	67	67
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	43,696		33,253	0	10,443
25	Contributions, gifts, grants paid.......	307,500				307,500
26	Total expenses and disbursements. Add lines 24 and 25	351,196		33,253	0	317,943
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-90,718
b	Net investment income (if negative, enter -0-)			191,823
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2023)

Form 990-PF (2023)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	179,941	291,019	291,019
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts 0
	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
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	5,753,716	5,550,524	6,708,562
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	5,933,657	5,841,543	6,999,581
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	5,933,657	5,841,543
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	5,933,657	5,841,543
	30	Total liabilities and net assets/fund balances (see instructions).	5,933,657	5,841,543

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

5,933,657

Enter amount from Part I, line 27a .....................

-90,718

Other increases not included in line 2 (itemize) right arrow

List of Attached Documents:

// Content

2,067

Add lines 1, 2, and 3 ..........................

5,845,006

Decreases not included in line 2 (itemize) right arrow

List of Attached Documents:

// Content

3,463

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

5,841,543

Form 990-PF (2023)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	204.68 COLUMBIA INCOME OPPS INST		2021-12-07	2023-05-12
b	695.009 COLUMBIA INCOME OPPS INST		2021-12-07	2023-05-12
c	28725.403 COLUMBIA INCOME OPPS INST		2021-07-29	2023-05-12
d	1360.641 INVESCO OPPENHEIMER DEVELOPING MARKETS F		2021-09-23	2023-05-15
e	53. ABBOTT LABS		2021-07-29	2023-05-15
	241. ALPHABET INC CAP STK CL C		2015-04-13	2023-05-15
	159. ALPHABET INC CAP STK CL A		2015-04-13	2023-05-15
	20. ALPHABET INC CAP STK CL A		2021-07-29	2023-05-15
	7. AMAZON.COM INC		2021-07-29	2023-05-15
	37. CENCORA, INC.		2021-12-28	2023-05-15
	69. APPLE INC		2015-04-13	2023-05-15
	35. BRISTOL MYERS SQUIBB CO		2021-07-29	2023-05-15
	7. BRISTOL MYERS SQUIBB CO		2022-08-24	2023-05-15
	4. CHEVRON CORPORATION		2015-04-13	2023-05-15
	1. CHIPOTLE MEXICAN GRILL INC-CL A		2021-07-29	2023-05-15
	512. CITIGROUP INC		2016-04-07	2023-05-15
	107. CITIGROUP INC		2015-04-13	2023-05-15
	95. COCA COLA CO		2021-07-29	2023-05-15
	445.473 DFA INVT DIMENSIONS GROUP INC GLBL REAL		2021-07-29	2023-05-15
	122. META PLATFORMS INC CL A		2014-01-08	2023-05-15
	6. META PLATFORMS INC CL A		2014-04-11	2023-05-15
	7. META PLATFORMS INC CL A		2014-03-04	2023-05-15
	58. META PLATFORMS INC CL A		2014-11-21	2023-05-15
	24. META PLATFORMS INC CL A		2014-11-12	2023-05-15
	36. META PLATFORMS INC CL A		2014-11-05	2023-05-15
	87. META PLATFORMS INC CL A		2021-07-29	2023-05-15
	1755.15 GOLDMAN SACHS GQG PARTNERS INTL OPPORTUN		2022-08-17	2023-05-15
	289.857 GOLDMAN SACHS INTL SM CP R6		2021-07-29	2023-05-15
	1123. INTEL CORP		2021-07-29	2023-05-15
	185. INTEL CORP		2022-08-24	2023-05-15
	19. INTERCONTINENTAL EXCHANGE, INC		2015-04-13	2023-05-15
	1929.217 WCM FOCUSED EMRG MARKETS FD INST		2021-07-29	2023-05-15
	33. JPMORGAN CHASE & CO		2015-04-13	2023-05-15
	2333. JPMORGAN CHASE & CO ALERIAN MLP INDEX ETN		2021-07-29	2023-05-15
	1967.372 LAZARD FDS INC GBL INFRA INST		2021-07-29	2023-05-15
	11. MARSH & MCLENNAN COS INC		2021-07-29	2023-05-15
	16. MASTERCARD INC		2021-07-29	2023-05-15
	8. MCDONALDS CORP		2015-04-13	2023-05-15
	123. MICROSOFT CORP		2021-07-29	2023-05-15
	237. MONDELEZ INTL INC CL A		2021-07-29	2023-05-15
	11. NIKE INC		2015-04-13	2023-05-15
	177. NVIDIA CORP		2021-07-29	2023-05-15
	20. PALO ALTO NETWORKS INC		2021-07-29	2023-05-15
	46. ROCHE HOLDING AG ADR		2022-08-24	2023-05-15
	46. SALESFORCE, INC.		2015-04-13	2023-05-15
	90. ZIMMER BIOMET HOLDINGS, INC.		2021-07-29	2023-05-15
	180. ABBOTT LABS		2021-07-29	2023-05-23
	138. DEERE & CO		2021-07-29	2023-05-23
	5. DEERE & CO		2023-05-15	2023-05-23
	96. JPMORGAN CHASE & CO		2015-04-13	2023-05-23
	79. AT&T INC		2023-05-15	2023-07-27
	34. ABBOTT LABS		2021-07-29	2023-07-27
	3. ADOBE SYS INC		2021-07-29	2023-07-27
	32. ALPHABET INC CAP STK CL C		2022-05-26	2023-07-27
	23. ALPHABET INC CAP STK CL A		2015-04-13	2023-07-27
	36. AMAZON.COM INC		2021-07-29	2023-07-27
	14. AMERICAN TOWER CORP		2023-05-15	2023-07-27
	9. CENCORA, INC.		2021-12-28	2023-07-27
	14. ANALOG DEVICES INC		2021-07-29	2023-07-27
	47. APPLE INC		2015-04-13	2023-07-27
	35. BATH & BODY WORKS INC COM		2022-11-29	2023-07-27
	7. BIOGEN INC		2022-08-24	2023-07-27
	2. BLACKROCK, INC		2021-07-29	2023-07-27
	22. BLACKSTONE INC		2021-07-29	2023-07-27
	5. BOEING CO		2021-07-29	2023-07-27
	30. BRISTOL MYERS SQUIBB CO		2021-07-29	2023-07-27
	11. CDW CORP		2022-05-26	2023-07-27
	46. CVS HEALTH CORPORATION		2021-07-29	2023-07-27
	9. CHEVRON CORPORATION		2015-04-13	2023-07-27
	2. CHIPOTLE MEXICAN GRILL INC-CL A		2021-07-29	2023-07-27
	44. CISCO SYSTEMS INC		2022-08-24	2023-07-27
	31. COCA COLA CO		2021-07-29	2023-07-27
	47. COMCAST CORP CL A		2021-07-29	2023-07-27
	7. COSTCO WHOLESALE CORP		2015-04-13	2023-07-27
	61.343 DFA INVT DIMENSIONS GROUP INC GLBL REAL		2021-12-16	2023-07-27
	1.247 DFA INVT DIMENSIONS GROUP INC GLBL REAL		2021-12-16	2023-07-27
	6118.139 DFA INVT DIMENSIONS GROUP INC GLBL REAL		2021-07-29	2023-07-27
	10. DISNEY WALT CO		2023-05-15	2023-07-27
	16. DUPONT DE NEMOURS INC		2021-07-29	2023-07-27
	11. EOG RES INC		2021-07-29	2023-07-27
	21. EXXON MOBIL CORP		2015-04-13	2023-07-27
	8. META PLATFORMS INC CL A		2022-05-26	2023-07-27
	26. FREEPORT-MCMORAN INC		2022-05-26	2023-07-27
	10. GENERAL DYNAMICS CORP		2021-07-29	2023-07-27
	58. GSK PLC SPONSORED ADR		2023-05-15	2023-07-27
	3. GRAINGER W W INC		2021-07-29	2023-07-27
	38. HALLIBURTON CO		2021-07-29	2023-07-27
	7. HOME DEPOT INC		2015-04-13	2023-07-27
	12. HONEYWELL INTL INC		2016-04-07	2023-07-27
	17. INTERCONTINENTAL EXCHANGE, INC		2015-04-13	2023-07-27
	16. INTERNATIONAL BUSINESS MACHS		2021-07-29	2023-07-27
	34. JPMORGAN CHASE & CO		2015-04-13	2023-07-27
	14. LAUDER ESTEE COS INC		2023-05-15	2023-07-27
	8. MARSH & MCLENNAN COS INC		2021-07-29	2023-07-27
	12. MASTERCARD INC		2021-07-29	2023-07-27
	6. MCDONALDS CORP		2015-04-13	2023-07-27
	29. MICROSOFT CORP		2021-07-29	2023-07-27
	40. MONDELEZ INTL INC CL A		2021-07-29	2023-07-27
	25. NEXTERA ENERGY INC		2023-05-15	2023-07-27
	29. NIKE INC		2022-08-24	2023-07-27
	9. NORFOLK SOUTHN CORP		2021-07-29	2023-07-27
	9. NVIDIA CORP		2021-07-29	2023-07-27
	13. ORACLE CORPORATION		2023-05-15	2023-07-27
	7. PALO ALTO NETWORKS INC		2021-07-29	2023-07-27
	21. PFIZER INC		2023-05-15	2023-07-27
	36. PFIZER INC		2022-08-24	2023-07-27
	11. PROCTER & GAMBLE CO		2023-05-15	2023-07-27
	46. ROCHE HOLDING AG ADR		2022-08-24	2023-07-27
	2710. SPDR BLOOMBERG HIGH YIELD BOND ETF		2023-05-12	2023-07-27
	11. SALESFORCE, INC.		2015-04-13	2023-07-27
	50. SCHLUMBERGER LTD		2021-07-29	2023-07-27
	19. SCHWAB CHARLES CORP		2023-05-15	2023-07-27
	21. TJX COS INC		2021-07-29	2023-07-27
	74. TRUIST FINL CORP		2021-07-29	2023-07-27
	311. VANGUARD TOTAL BOND MARKET ETF		2022-08-24	2023-07-27
	1927.426 VANGUARD SHORT-TERM INV GRADE FD ADM		2022-08-24	2023-07-27
	16. ZIMMER BIOMET HOLDINGS, INC.		2021-07-29	2023-07-27
	.3 VONTIER CORP		2015-04-13	2023-11-08
	115. ALPHABET INC CAP STK CL C		2022-05-26	2023-12-12
	41. ALPHABET INC CAP STK CL C		2022-08-24	2023-12-12
	130. BLACKSTONE INC		2021-07-29	2023-12-12
	140. PALO ALTO NETWORKS INC		2021-07-29	2023-12-12
	24. SALESFORCE, INC.		2015-04-13	2023-12-12
	59. SALESFORCE, INC.		2022-08-24	2023-12-12
	CAPITAL GAIN DIVIDENDS	P
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(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,715	1,942	-227
b	5,824	6,596	-772
c	240,719	286,392	-45,673
d	53,460	72,148	-18,688
e	5,816	6,414	-598
	28,242	6,508	21,734
	18,571	4,384	14,187
	2,336	2,719	-383
	779	1,257	-478
	6,375	4,898	1,477
	11,853	2,206	9,647
	2,376	2,393	-17
	475	509	-34
	629	428	201
	2,039	1,842	197
	23,559	20,538	3,021
	4,924	5,658	-734
	6,075	5,426	649
	4,361	5,831	-1,470
	29,163	7,055	22,108
	1,434	353	1,081
	1,673	481	1,192
	13,865	4,301	9,564
	5,737	1,784	3,953
	8,606	2,756	5,850
	20,797	31,128	-10,331
	31,400	30,838	562
	3,417	4,281	-864
	33,161	60,524	-27,363
	5,463	6,244	-781
	2,083	883	1,200
	24,540	39,163	-14,623
	4,450	2,053	2,397
	53,285	43,627	9,658
	30,120	32,167	-2,047
	1,990	1,617	373
	6,106	6,236	-130
	2,360	780	1,580
	37,979	35,290	2,689
	18,435	15,019	3,416
	1,316	549	767
	51,042	34,796	16,246
	3,858	2,680	1,178
	1,829	1,891	-62
	9,381	3,137	6,244
	12,326	14,277	-1,951
	19,081	21,783	-2,702
	49,392	49,771	-379
	1,790	1,857	-67
	13,154	5,974	7,180
	1,152	1,341	-189
	3,846	4,115	-269
	1,543	1,870	-327
	4,166	3,468	698
	2,986	634	2,352
	4,635	6,466	-1,831
	2,727	2,734	-7
	1,685	1,192	493
	2,735	2,334	401
	9,111	1,503	7,608
	1,273	1,401	-128
	1,850	1,414	436
	1,463	1,740	-277
	2,295	2,542	-247
	1,178	1,164	14
	1,826	2,051	-225
	2,075	1,833	242
	3,466	3,828	-362
	1,445	962	483
	3,790	3,685	105
	2,338	2,074	264
	1,935	1,770	165
	2,122	2,748	-626
	3,937	1,051	2,886
	617	794	-177
	13	16	-3
	61,487	80,086	-18,599
	855	923	-68
	1,246	1,206	40
	1,425	811	614
	2,219	1,797	422
	2,512	1,535	977
	1,129	999	130
	2,196	1,985	211
	2,085	2,135	-50
	2,172	1,384	788
	1,446	808	638
	2,306	806	1,500
	2,371	1,278	1,093
	1,954	790	1,164
	2,281	2,164	117
	5,321	2,116	3,205
	2,436	2,810	-374
	1,517	1,176	341
	4,751	4,677	74
	1,772	585	1,187
	9,633	8,320	1,313
	2,908	2,535	373
	1,838	1,935	-97
	3,127	3,234	-107
	2,127	2,311	-184
	4,176	1,769	2,407
	1,506	1,265	241
	1,711	938	773
	761	779	-18
	1,304	1,714	-410
	1,679	1,718	-39
	1,799	1,891	-92
	248,916	247,206	1,710
	2,499	750	1,749
	2,855	1,483	1,372
	1,252	980	272
	1,820	1,446	374
	2,400	4,111	-1,711
	22,395	23,302	-907
	19,255	19,467	-212
	2,248	2,538	-290
	10	13	-3
	15,361	12,462	2,899
	5,477	4,701	776
	14,691	14,926	-235
	42,801	18,758	24,043
	6,130	1,637	4,493
	15,070	10,662	4,408
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226
			2,226

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			-227
b			-772
c			-45,673
d			-18,688
e			-598
			21,734
			14,187
			-383
			-478
			1,477
			9,647
			-17
			-34
			201
			197
			3,021
			-734
			649
			-1,470
			22,108
			1,081
			1,192
			9,564
			3,953
			5,850
			-10,331
			562
			-864
			-27,363
			-781
			1,200
			-14,623
			2,397
			9,658
			-2,047
			373
			-130
			1,580
			2,689
			3,416
			767
			16,246
			1,178
			-62
			6,244
			-1,951
			-2,702
			-379
			-67
			7,180
			-189
			-269
			-327
			698
			2,352
			-1,831
			-7
			493
			401
			7,608
			-128
			436
			-277
			-247
			14
			-225
			242
			-362
			483
			105
			264
			165
			-626
			2,886
			-177
			-3
			-18,599
			-68
			40
			614
			422
			977
			130
			211
			-50
			788
			638
			1,500
			1,093
			1,164
			117
			3,205
			-374
			341
			74
			1,187
			1,313
			373
			-97
			-107
			-184
			2,407
			241
			773
			-18
			-410
			-39
			-92
			1,710
			1,749
			1,372
			272
			374
			-1,711
			-907
			-212
			-290
			-3
			2,899
			776
			-235
			24,043
			4,493
			4,408

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	67,990
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 ...................		3

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 and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)	1	2,666
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	2,666
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	2,666
6	Credits/Payments:

a	2023 estimated tax payments and 2022 overpayment credited to 2023	6a	1,784
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

7	Total credits and payments. Add lines 6a through 6d..............		7	1,784
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.......		9	882
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2024 estimated tax0	Refunded	11	0

Form 990-PF (2023)

Page 4

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. right arrow

$ (2) On foundation managers. right arrow

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. right arrow

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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? ................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address right arrow

The books are in care of right arrow

Nicolet National Bank Telephone no. right arrow

(920) 430-1400

Located at right arrow

111 N WASHINGTON STGREEN BAYWI ZIP+4 right arrow

54301

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... right arrow

and enter the amount of tax-exempt interest received or accrued during the year ........ right arrow

16 At any time during calendar year 2023, 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 right arrow

Form 990-PF (2023)

Page 5

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

Yes

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here ........ right arrow

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 2023? .............

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)):

At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d

and 6e) for tax year(s) beginning before 2023?....................

If "Yes," list the years right arrow

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

If "Yes," did it have excess business holdings in 2023 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 2023.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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 2023? ..

Form 990-PF (2023)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check ......... right arrow

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .........................

Part 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-)
NICOLET NATIONAL BANK	TRUSTEE 1	38,291
111 N WASHINGTON ST GREEN BAY,WI54301	TRUSTEE 1	38,291
MICHAEL NELSON	CO-TRUSTEE 1	0
138 S CLAY ST DE PERE,WI54115	CO-TRUSTEE 1	0

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...................				0

Form 990-PF (2023)

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............. right arrow

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......................... right arrow

Form 990-PF (2023)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

6,243,130

Average of monthly cash balances.......................

363,844

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

6,606,974

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

6,606,974

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

99,105

Net value of noncharitable-use assets. Subtract line 4 from line 3. ............

6,507,869

Minimum investment return. Enter 5% (0.05) of line 5................

325,393

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.)

Minimum investment return from Part IX, line 6..................

325,393

Tax on investment income for 2022 from Part V, line 5.......

2,666

Income tax for 2022. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

2,666

Distributable amount before adjustments. Subtract line 2c from line 1............

322,727

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

322,727

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

322,727

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

317,943

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......

317,943

Form 990-PF (2023)

Page 9

Part XII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2022	(c) 2022	(d) 2023
1 Distributable amount for 2023 from Part X, line 7					322,727
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......				307,434
b Total for prior years:20 , 20, 20			0
3 Excess distributions carryover, if any, to 2022:
a From 2018......	0
b From 2019......	0
c From 2020......	0
d From 2021......	0
e From 2022......	0
f Total of lines 3a through e ........		0
4Qualifying distributions for 2023 from Part
XI, line 4: $ 317,943
a Applied to 2022, but not more than line 2a				307,434
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 2023 distributable amount.....					10,509
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2023.		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		0
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 2022. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2023. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2024 ..........					312,218
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 2018 not applied on line 5 or line 7 (see instructions) ...		0
9 Excess distributions carryover to 2024. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2019....	0
b Excess from 2020....	0
c Excess from 2021....	0
d Excess from 2022....	0
e Excess from 2023....	0

Form 990-PF (2023)

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 2023, enter the date of the ruling ...... right arrow

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part IX for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2023	(b) 2022	(c) 2021	(d) 2020	(e) Total

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 right arrow

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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 (2023)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
FREEDOM HOUSE 2997 ST ANTHONY DR GREEN BAY,WI54311	NONE	PC	PROGRAM SUPPORT	10,000
ECUMENICAL PARTNERSHIP FOR HOUSING PO BOX 524 GREEN BAY,WI54305	NONE	PC	PROGRAM SUPPORT	10,000
SYBLE HOPP SCHOOL 755 SCHEURING RD DE PERE,WI54115	NONE	PC	PROGRAM SUPPORT	10,000
BAIRD CREEK PRESERVATION FOUNDATION PO BOX 824 GREEN BAY,WI54305	NONE	PC	PROGRAM SUPPORT	10,000
BROWN COUNTY CIVIC MUSIC ASSOCIATION PO BOX 5243 DE PERE,WI54115	NONE	PC	PROGRAM SUPPORT	10,000
GREEN BAY ACTION SPORTS ORGANIZATION 2351 HOLMGREN WAY GREEN BAY,WI54304	NONE	PC	PROGRAM SUPPORT	5,000
GREEN BAY SAIL & PADDLE 101 BAY BEACH ROAD GREEN BAY,WI54302	NONE	PC	PROGRAM SUPPORT	10,000
BIG BROTHERS BIG SISTERS OF NORTHEASTERN WISCONSIN 1345 W MASON ST 210 GREEN BAY,WI54303	NONE	PC	PROGRAM SUPPORT	10,000
BOYS & GIRLS CLUB OF GREEN BAY 1451 UNIVERSITY AVE GREEN BAY,WI54301	NONE	PC	PROGRAM SUPPORT	10,000
AWAKEN INC 1654 MORROW ST GREEN BAY,WI54302	NONE	PC	PROGRAM SUPPORT	20,000
HSHS ST VINCENT HOSPITAL PO BOX 11706 GREEN BAY,WI54307	NONE	PC	PROGRAM SUPPORT	40,000
Family Services of Northeastern Wisconsin Inc PO BOX 22308 Green Bay,WI543052308	NONE	PC	PROGRAM SUPPORT	10,000
Cerebral Palsy Inc 2801 S WEBSTER AVE Green Bay,WI54301	NONE	PC	PROGRAM SUPPORT	10,000
ASPIRO INC 1673 DOUSMAN ST GREEN BAY,WI54303	NONE	PC	PROGRAM SUPPORT	10,000
EINSTEIN PROJECT 2019 TECHNOLOGY DR GREEN BAY,WI54311	NONE	PC	PROGRAM SUPPORT	10,000
Pauls Pantry Inc 1513 LEO FRIGO WAY Green Bay,WI54302	NONE	PC	PROGRAM SUPPORT	10,000
NEW COMMUNITY SHELTER TERRI REFSGUARD 301 MATHER STREET GREEN BAY,WI54303	NONE	PC	PROGRAM SUPPORT	10,000
CASA ALBA MELANIE 314 S MADISON ST GREEN BAY,WI54301	NONE	PC	PROGRAM SUPPORT	10,000
YWCA 230 S MADISON ST GREEN BAY,WI54301	NONE	PC	PROGRAM SUPPORT	15,000
ENCOMPASS PO BOX 1627 GREEN BAY,WI54305	NONE	PC	PROGRAM SUPPORT	10,000
CUP O JOY MINISTRIES 525 N TAYLOR ST GREEN BAY,WI54303	NONE	PC	PROGRAM SUPPORT	10,000
HABITAT FOR HUMANITY 1967 ALLOUEZ AVE GREEN BAY,WI54302	NONE	PC	PROGRAM SUPPORT	25,000
ANGEL FUND FOR CHILDREN WITH CANCER 320 N BROADWAY GREEN BAY,WI54303	NONE	PC	PROGRAM SUPPORT	10,000
LAUNDRY LOVE 130 E WALNUT ST 406 GREEN BAY,WI54301	NONE	PC	PROGRAM SUPPORT	2,500
ORAL HEALTH PARTNERSHIP 1245 MAIN ST GREEN BAY,WI54302	NONE	PC	PROGRAM SUPPORT	10,000
NEVILLE PUBLIC MUSEUM FOUNDATION INC PO BOX 325 GREEN BAY,WI543050325	NONE	PC	PROGRAM SUPPORT	10,000
Total ................................. 3a				307,500

bApproved for future payment

Total ................................. 3b

Form 990-PF (2023)

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	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....			14	147,889
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............			18	67,990
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aINC FROM JP ALERIA			1	10,078
bFEDERAL TAX REFUND			1	34,521
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..				260,478

13Total. Add line 12, columns (b), (d), and (e)..................

260,478

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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 (2023)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2023)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2023 AccountingFeesSchedule

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC	870			870

- TIN:

TY 2023 OtherDecreasesSchedule

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Description	Amount
RETURN OF CAPITAL ADJUSTMENT	222
2023 TRANSACTION POSTED IN 2024	3,238
ROUNDING	3

- TIN:

TY 2023 OtherExpensesSchedule

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
OTHER EXPENSE (NON-DEDUCTIBLE	67	67		0

- TIN:

TY 2023 OtherIncomeSchedule2

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
OTHER REVENUE	34,521	0
JPMORGAN CHASE & CO ALERIAN MLP INDEX ET	10,078	10,078

- TIN:

TY 2023 OtherIncreasesSchedule

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Description	Amount
2022 TRANSACTION POSTED IN 2023	2,067

- TIN:

TY 2023 TaxesSchedule

Name:

JOSEPH & SARAH VAN DRISSE CHARITABLE TRUST

EIN:

39-6719617

Category	Amount	Net Investment Income
FOREIGN TAXES	536	536
FOREIGN TAXES ON QUALIFIED FOR	3,364	3,364
FOREIGN TAXES ON NONQUALIFIED	568	568