Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo 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
CHURCH MUTUAL INSURANCE COMPANY
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)3000 SCHUSTER LANE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MERRILL, WI54452
A Employer identification number

47-4690250
B Telephone number (see instructions)

(715) 536-5577
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$497,559J 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) 250,000
2 Check right arrow.............
3 Interest on savings and temporary cash investments 27,815 27,815  
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).......      
12 Total. Add lines 1 through 11........ 277,815 27,815  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
3,975 0   3,975
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
35,381 0   35,381
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 1,441 0   1,441
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
2,700 0   2,700
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 43,497 0   43,497
25 Contributions, gifts, grants paid....... 640,375 643,475
26 Total expenses and disbursements. Add lines 24 and 25 683,872 0   686,972
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -406,057
b Net investment income (if negative, enter -0-) 27,815
c Adjusted net income (if negative, enter -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 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............. 106,220 177,490 177,490
2 Savings and temporary cash investments......... 797,396 320,069 320,069
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
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 right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 903,616 497,559 497,559
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 right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
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 right arrow
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 903,616 497,559
29 Total net assets or fund balances (see instructions)..... 903,616 497,559
30 Total liabilities and net assets/fund balances (see instructions). 903,616 497,559
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
903,616
2
Enter amount from Part I, line 27a .....................
2
-406,057
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
497,559
5
Decreases not included in line 2 (itemize) right arrow
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
497,559
Form 990-PF (2023)
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.)
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  
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 right arrow 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) 1 387
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........................... 3 387
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- ..... 5 387
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 107
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 750
d Backup withholding erroneously withheld .......... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 857
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.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 470
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow470 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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
Yes
 
If "Yes," attach the statement required by General Instruction T.Click to see list of attachments
List of Attached Documents:
// Content
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowWI
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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
 
No
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
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 addressright arrowN/A
14
The books are in care ofright arrowDWAYNE GANTZ Telephone no.right arrow (715) 536-5577

Located atright arrow3000 SCHUSTER LANEMERRILLWI ZIP+4right arrow54452
15
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
15
 
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)
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
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)
Yes
 
(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
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 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.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
ALAN S OGILVIE PRESIDENT
0.50 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
PAMELA W STAMPEN SENIOR VICE PRESIDENT
0.50 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
DWAYNE A GANTZ TREASURER
0.50 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
MICHAEL M SMITH BEG 1123 SECRETARY
0.50 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
CYNTHIA M BRANDT END 1123 SECRETARY
0.50 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
ANDREW J BLOECHL DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
ALEXANDRA OLES END 423 DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
JOHN R TRIBBLE DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
KEVIN D ROOT DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
LAURA E HUGGINS DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
LAURIE J THIEL END 1123 DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
NEAL W SMITH END 1123 DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
PAMELA J RUSHING DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
RICHARD V POIRIER DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
ROBERT M BUCKLEY END 1023 DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
SCOTT W STEELE END 1023 DIRECTOR
0.30 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
ELIZABETH L HANS FOUNDATION ADMINISTRATOR
2.00 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
HEATHER A RENZELMANN FOUNDATION ADMINISTRATOR
2.00 		0 0 0
3000 SCHUSTER LANE
MERRILL,WI54452
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...................right arrow 0
Form 990-PF (2023)
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 arrow0
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 arrow0
Form 990-PF (2023)
Form 990-PF (2023)
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
725,293
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
725,293
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
725,293
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
10,879
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
714,414
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
35,721
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
35,721
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
387
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
387
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
35,334
4
Recoveries of amounts treated as qualifying distributions................
4
3,100
5
Add lines 3 and 4............................
5
38,434
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
38,434
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
686,972
b
Program-related investments—total from Part VIII-B..................
1b
0
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
686,972
Form 990-PF (2023)
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 38,434
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 828,398
b From 2019...... 661,207
c From 2020...... 1,140,071
d From 2021...... 762,050
e From 2022...... 552,359
f Total of lines 3a through e ........ 3,944,085
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 686,972
a Applied to 2022, 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 2023 distributable amount..... 38,434
e Remaining amount distributed out of corpus 648,538
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 4,592,623
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 .......... 		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 2018 not
applied on line 5 or line 7 (see instructions) ... 		828,398
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		3,764,225
10 Analysis of line 9:
a Excess from 2019.... 661,207
b Excess from 2020.... 1,140,071
c Excess from 2021.... 762,050
d Excess from 2022.... 552,359
e Excess from 2023.... 648,538
Form 990-PF (2023)
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 or
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
         
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
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
DWAYNE GANTZ
3000 SCHUSTER LANE
MERRILL,WI54452
(715) 536-5577
bThe form in which applications should be submitted and information and materials they should include:
A COMPLETED APPLICATION SHOULD BE SUBMITTED ALONG WITH A BRIEF ORGANIZATIONAL HISTORY AND BRIEF DESCRIPTION OF PREVIOUS YEAR'S ACCOMPLISHMENTS; THE PURPOSE OF THE FUNDING REQUESTS; NAMES AND BRIEF DESCRIPTION OF ROLES OF PARTNERS ON THE PROJECT; PROJECT BUDGET; ORGANIZATION'S CURRENT BUDGET; AND IRS LETTER OF DETERMINATION.
cAny submission deadlines:
NONE
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
Form 990-PF (2023)
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)
aPaid during the year

ALIVE ON THE LAKESHORE

2100 N RIDGE RD
MEARS,MI49436 		  PC ONE IN CHRIST CONFERENCE: A NEW TRAINING CONFERENCE FOR LEADERS AND STAFF IN WEST MICHIGAN PARACHURCH MINISTRIES 500

AMERICAN RED CROSS-WICONSIN REGION

4860 SHEBOYGAN AV
MADISON,WI53705 		  PC RELIEF TO LAHAINA HI 2,500

AMERICAN RED CROSS-WICONSIN REGION

4860 SHEBOYGAN AV
MADISON,WI53705 		  PC RELIEF TO FLORIDA 2,500

ARCHDIOCESE OF MILWAUKEE

3501 SOUTH LAKE DRIVE
MILWAUKEE,WI53207 		  PC 11TH ANNUAL CATHOLIC SCHOOLS WALK 500

ASCENSION LUTHERAN CHURCH

2030 3RD ST
BROOKINGS,SD57006 		  PC FEEDING BROOKINGS 500

ASONE FELLOWSHIP INC

933 HILTON DRIVE
FAYETTEVILLE,NC28311 		  PC TO ASSIST IN PROMOTING THE ASONE PRAYERWALK AND UNITYFEST 400

ASPIRUS HEALTH FOUNDATION

425 PINE RIDGE BLVD
WAUSAU,WI54401 		  PC FESTIVAL OF TREES 500

AWARE AND ACTIVE CITIZENS OF MERRILL INC

1101 MILL ST
MERRILL,WI54452 		  PC EXPANSION OF THE STORY MAP WALKING TOUR 500

BALD KNOB CROSS OF PEACE

PO BOX 35
ALTO PASS,IL62905 		  PC BLESSING OF THE JEEPS 500

BANYAN COMMUNITY

2529 13TH AVE S
MINNEAPOLIS,MN55404 		  PC ANNUAL FUNDRAISING BANQUET TO RAISE FUNDS FOR STUDENT SCHOLARSHIPS. 500

BEAUTY GROVE PRIMITIVE BAPTIST CHURCH

66 RACE STREET
TRENTON,NJ08638 		  PC 40TH ANNIVERSARY AD 125

BETHLEHEM LUTHERAN CHURCH CORPORATION

25500 ROCKBRIDGE SCHOOL ST
RICHLAND CENTER,WI53581 		  PC BETHLEHEM LUTHERAN ACADEMY, RAISING MONIES TO SUPPORT EDUCATION, STEM, CHILDCARE, ETC 250

BIG BROTHERS BIG SISTERS OF NORTHCENTRAL WISCONSIN

227400 RIB MOUNTAIN DRIVE SUITE G
WAUSAU,WI54401 		  PC 2023 BOWL FOR KIDS SAKE: MONIES TO SUPPORT YOUTH MENTORING IN MERRILL 500

BIG GREEN SCHOLARSHIP FOUNDATION

BIG GREEN SCHOLARSHIP FOUNDATION PO
BOX 1360
HUNTINGTON,WV25715 		  PC MATCHING EMPLOYEE GIFT 500

BOWLING GREEN STATE UNIVERSITY FOUNDATION

136 NORTH MERCER RD
BOWLING GREEN,OH43403 		  PC EMPLOYEE MATCHING GIFT - BRAD ROSSI 200

BOYS & GIRLS CLUB OF INDIANAPOLIS

615 N ALABAMA STE 400
INDIANAPOLIS,IN46204 		  PC YOUTH OF THE YEAR BLUE DOOR GALA 900

BOYS & GIRLS CLUB OF THE WAUSAU AREA

1710 N 2ND STREET
WAUSAU,WI54403 		  PC MERRILL AREA B&GC 2ND AND FINAL PAYMENT 50,000

BRIDGE STREET MISSION

115 W BRIDGE ST
WAUSAU,WI54401 		  PC DONATION TO HELP THEIR FOOD AND/OR HOUSING PROGRAM 500

CALVARY LUTHERAN CHURCH

N365 CAIN CREEK ROAD
MERRILL,WI54452 		  PC 3RD ANNUAL HALLOWEEN LUMINARY FEST RAISING MONEY FOR PATRIOT K9S OF WISCONSIN. 250

CAMP PHILLIP INC

W9944 BUTTERCUP AVE
WAUTOMA,WI54982 		  PC MAKE CAMP RUN 5K FUNDRAISER 250

CAMPHILL SOLTANE

224 NANTMEAL ROAD
GLENMOORE,PA19343 		  PC FUNDRAISER 250

CANYAN STATE ACADEMY

20061 E RITTENHOUSE RD
QUEEN CREEK,AZ85142 		  PC SPONSORSHIP OF RITE OF PASSAGE/CANYON STATE ACADEMY GOLF TOURNEY - FUNDS FROM THE TOURNAMENT SUPPORT CANYON STATE ACADEMY 500

CELBRATE RECOVERY FAIRDALE

9000 BROWN AUSTIN RD
FAIRDALE,KY40118 		  PC NIGHT OF HOPE FUNDRAISING CONCERT 250

CENTER FOR LEADERSHIP DEVELOPMENT

2425 DR MARTIN LUTHER KING JR
STREET
INDIANAPOLIS,IN46208 		  PC 43RD ANNUAL MINORITY ACHIEVERS AWARDS & SCHOLARSHIP GALA, REP IS REQUESTING FIVE TICKETS 500

CHAI LIFELINE

106 CLIFTON AVE
LAKEWOOD,NJ08701 		  PC BIKE4CHAI FUNDRAISING EVENT - SUPPORT CAMP SIMCHA - A CAMP FOR CHILDREN WITH CANCER 500

CHRIST CHILD SOCIETY INC

4033 WEST GOOD HOPE ROAD
MILWAUKEE,WI53209 		  PC SHOWER OF LOVE/75TH ANNIVERSARY CELEBRATION 500

COMMUNITY ALLIANCE OF THE FAR EAST SIDE (CAF)

8902 E 38TH ST
INDIANAPOLIS,IN46226 		  PC COMMUNITY AWARDS GALA, DM REQUESTING $1000 SPONSORSHIP, WILL USE 2 TICKETS. 900

COMMUNITY CENTER OF HOPE

607 13TH ST
MOSINEE,WI54455 		  PC FUNDRAISER FOR COMMUNITY CENTER FOOD PANTRY - PURCHASE FOOD FOR INCREASING NUMBER OF CLIENTS, AT INCREASED PRICES. 250

COMMUNITY CRY INC

625 N HINE AVE
WAUKESHA,WI53188 		  PC 2023 DEBUTANT COTILLIAN 500

COMMUNITY FOOD PANTRY OF MERRILL INC

503 S CENTER AVE STE 3
MERRILL,WI54452 		  PC ANNUAL DONATION TO FOOD PANTRIES 3,000

COMMUNITY LUTHERAN MINISTRY INC

942 JOSEPH AVE
ROCHESTER,NY14621 		  PC RAISING MONEY/ITEMS TO PROVIDE THE COMMUNITY WITH A THANKSGIVING DINNER. 250

CORE EL CENTRO

130 W BRUCE ST SUITE 300
MILWAUKEE,WI53204 		  PC MUJERES CON PODER DE TRANSFORMACION SOCIAL 250

CORNERSTONE UNITED METHODIST CHURCH

808 OFFNERE
PORTSMOUTH,OH45662 		  PC HOPEFEST FUNDRAISING TO OFFER SCHOOL SUPPLIES, SHOES, AND MORE TO KIDS GOING BACK TO SCHOOL. EXPECTING 1000 PEOPLE 500

CORNERSTONE UNIVERSITY

1001 E BELTLINE AVE NE
GRAND RAPIDS,MI49525 		  PC MATCHING GIFT - LAYNE KREH 250

CUP O JOY

525 N TAYLOR ST
GREEN BAY,WI54303 		  PC FUNDRAISING CONCERT FOR CUP O JOY 250

DISCOVERY WORLD LTD

500 N HARBOR DR
MILWAUKEE,WI53202 		  PC FUNDRAISING FOR THEIR SUMMER SCIENCE CAMP 400

DUKE UNIVERISTY

DUKE DIVINITY SCHOOL BOX 90581
DURHAM,NC27708 		  PC DUKE DIVINITY SCHOOL BLACK PASTORAL LEADERSHIP ARCHIVE 10,000

EAST SAINT PAUL UNITED METHODIST CHURCH

502 KAYTON AVENUE
SAN ANTONIO,TX78210 		  PC 98TH CHURCH ANNIVERSARY 125

EASTBROOK ACADEMY INC

5373 N GREEN BAY ROAD
MILWAUKEE,WI53209 		  PC REQUESTING MONIES FOR RESTORE THE JOY. POST-PANDEMIC PROGRAMMING. 750

EASTER SEAL SOCIETY OF WISCONSIN

8001 EXCELSIOR DR SUITE 200
MADISON,WI53717 		  PC GOLF FORE FARM FUNDRAISING 500

EMPD BLUE HEARTS INC

PO BOX 204
MOSINEE,WI54455 		  PC 5TH ANNUAL FIRST RESPONDER FAMILY NIGHT, REQUESTING SPONSORSHIP 250

ETHIOPIAN COMMUNITY DEVELOPMENT COUNCIL INC

SUITE 212 300 NORTH 3RD STREET
WAUSAU,WI54403 		  PC ECDC MULTICULTURAL COMMUNITY CENTER WAUSAU. FIRST ANNIVERSARY COMMUNITY APPRECIATION EVENT 500

EVERFAITHFUL MISSIONARY BAPTIST CHURCH

314 SAND BAR FERRY ROAD
AUGUSTA,GA30901 		  PC 54TH CHURCH ANNIVERSARY 100

FAMILY PROMISE OF HENDRICKS COUNTY

238 NORTH VINE ST
PLAINFIELD,IN46168 		  PC THRIVE 365 CAMPAIGN 500

FAMILY PROMISE OF HENDRICKS COUNTY

4837 NE COUCH ST
PORTLAND,OR97213 		  PC HELP US MOVE IN! AUCTION 500

FAMILY PROMISE OF METRO EAST

4837 NE COUCH ST
PORTLAND,OR97213 		  PC HELP US MOVE IN! AUCTION 500

FAMILY PROMISE OF TUALATIN VALLEY

20425 SW STAFFORD RD
TUALATIN,OR97062 		  PC EAT, DRINK AND BE GIVING FUNDRAISER 500

FEEDING AMERICA

161 N CLARK ST STE 700
CHICAGO,IL60601 		  PC GENERAL FUNDRAISING 250

FEEDING AMERICA EASTERN WISCONSIN INC

1700 W FOND DU LAC AVENUE
MILWAUKEE,WI53205 		  PC ANNUAL DONATION TO LOCAL FOODBANKS 3,000

FELLOWSHIP OPEN INC

201 N MAIN ST SUITE 201
THIENSVILLE,WI53092 		  PC FELLOWSHIP OPEN 21,000

FIRST CHURCH OF CHRIST-BRADFORD

10 CHURCH STREET
BRADFORD,MA01835 		  PC FUNDRAISING CONCERT TO OFF-SET EXTERIOR PAINTING & CARPENTRY EXPENSES & DONATION TO SCHOOL. 250

FIRST CHURCH OF GOD

3016 COLLINGWOOD
TOLEDO,OH43610 		  PC CELEBRATING RETIREMENT OF THEIR BISHOP AFTER 62 YEARS OF MINISTRY 300

FIRST FAITH MISSIONARY BAPTIST CHURCH

2701 LONESOME RD
ALBANY,GA31721 		  PC 34 YEARS OF MINISTRY 250

FOOD BANK OF THE ROCKIES

10700 E 45TH AVE
DENVER,CO80239 		  PC ANNUAL DONATION TO FOOD PANTRIES 3,000

FRIEDENS COMMUNITY MINISTRIES INC

1220 W VLIET AVE
MILWAUKEE,WI53205 		  PC EMPTY BOWLS FUNDRAISER TO HELP SUPPORT THE FOOD PROGRAMS 500

GIGI'S PLAYHOUSE WAUSAU

3910 SCHOFIELD AVENUE STE 3
WESTON,WI54476 		  PC GIGIS 5K GLOW FUN RUN/WALK. GIGIS MISSION: TO CHANGE THE WAY THE WORLD VIEWS DOWN SYNDROME AND SEND A GLOBAL MESSAGE OF ACCEPTANCE FOR ALL. 500

GIRLS ON THE RUN OF THE NORTHWOODS INC

320 OAK ST
WOODRUFF,WI54568 		  PC GIRLS ON THE RUN NORTH CENTRAL WI WOULD LIKE TO REQUEST $3,000 TO PROVIDE FULL AND PARTIAL SCHOLARSHIPS TO GIRLS IN THE MERRILL SCHOOL DISTRICT. EACH REGISTRATION FEE IS $175 PER GIRL AND INCLUDES; 20 LESSONS,COACH TRAINING, HEALTHY SNACKS, T-SHIRT, WATE 500

GRACE CHIRSTIAN ACADEMY FOUNDATION

3233 ANNANDALE RD
FALLS CHURCH,VA22042 		  SO I ANNUAL GALA FUNDRAISER 500

GREATER FAITH MISSIONARY BAPTIST CHURCH

811 NE 88TH CIRCLE
VANCOUVER,WA98665 		  PC BACKPACK GIVE AWAY TO AREA CHILDREN 250

GREATER PHILADELPHIA CHAPTER OF THE ALS ASSOCIATION

321 NORRISTOWN ROAD - SUITE 260
AMBLER,PA19002 		  PC GENERAL FUNDRAISING 250

GREATER WAUSAU PROSPERITY PARTNERSHIP LTD

209 W WASHINGTON ST
WAUSAU,WI54403 		  PF WPS POWERHOUSE 20,000

GREATER WYOMING VALLEY AREA YMCA

40 W NORTHAMPTON ST
WILKES BARRE,PA18701 		  PC KENTUCKY DERBY: TO RAISE MONEY TO PROVIDE SCHOLARSHIPS AND CHILDCARE ENDOWMENT FUNDING 500

HABITAT FOR HUMANITY OF WAUSAU

1810 SCHOFIELD AVE
WESTON,WI54476 		  PC GENERAL FUNDRAISING 250

HEFFEMAN FOUNDATION

1350 CARLBACK AVE
WALNUT CREEK,CA94596 		  PF 35TH ANNIVERSARY CELEBRATION 5,000

HERITAGE CHRISTIAN SCHOOLS OF OHIO INC

2107 6TH STREET SW
CANTON,OH44706 		  PC GOLF OUTING TO SUPPORT OF OUR MISSION OF PROVIDING AN OUTSTANDING EDUCATION EXPERIENCE GROUNDED IN CHRISTIAN VALUES, ACADEMIC EXCELLENCE, AND A SUPPORTIVE FAMILY ATMOSPHERE. 250

HILLSIDE FELLOWSHIP CHURCH

1501 N PIER STREET
MERRILL,WI54452 		  PC HILLSIDE ALIVE EVENT TO GIVE BACK TO THE COMMUNITY 500

HMONG AMERICAN CENTER

1109 N 6TH ST
WAUSAU,WI54403 		  PC HMONG WAUSAU FESTIVAL 1,000

HOMETOWN HEROS INC

1000 BADGER CIRCLE
GRAFTON,WI53024 		  PC REQUESTING MONIES TO SPONSOR CAMPS. 500

HOPE CENTER INC

502 N EAST AVE
WAUKESHA,WI53186 		  PC REQUESTING MONIES FOR: CENTER'S OUTREACH MEAL, CENTER BREAKFAST/LUNCH PROGRAMS 500

HORIZON HIGH SCHOOL OF MADISON

5435 N FRESNO ST
FRESNO,CA93710 		  PC CRAB BOIL SPONSORSHIP BENEFITING HOPE'S YOUTH, YOUNG ADULT GROUP/OVERBOARD, AND THE GENERAL FUND. 500

INDIAN TRAILS CAMP INC

659 N WHITNEY WAY
MADISON,WI53705 		  PC FALL FUNDRAISER 500

IVYS LEAGUE YOUTH SPORTS ACADEMY

300 S PATHWAY COURT
CRYSTAL LAKE,IL60014 		  PC GOLF OUTING BENEFITING COMMUNITY FIRST RESPONDERS AND ILS STUDENT SCHOLARSHIPS 500

JESSI'S WISH

C/O KARL HENRICHS 821 COTTAGE ST
MERRILL,WI54452 		  PC FORESOME FOR CHARITY GOLF TOURNAMENT, CHECK TO BE WRITTEN DIRECTLY TO JESSI'S WISH 500

JEWISH COMMUNITY ALLIANCE OF SOUTHERN MAINE

1342 CONGRESS STREET
PORTLAND,ME04102 		  PC ANNUAL JCA AD REQUEST 150

JEWISH COMMUNITY OF GREATER STOWE

1189 CAPE COD RD
STOWE,VT05672 		  PC COMMUNITY BUILDING CONCERT SERIES SPONSORSHIP 500

JOURNEY MENTAL HEALTH CENTER

25 KESSEL CT SUITE 105
MADISON,WI53711 		  PC GENERAL FUNDRAISING 250

JUNIOR ACHIEVEMENT OF WISCONSIN

NORTHCENTRAL DISTRICT 300 3RD
STREET L04
WAUSAU,WI54403 		  PC BOUNDLESS POSSIBILITY FUNDRAISER 500

KATE GOODRICH ELEMENTARY SCHOOL

505 W 10TH ST
MERRILL,WI54452 		  PC POSITIVE BEHAVIAL INTERVENTION & SUPPORTS 250

KEMMERER VILLAGE

941 N 2500 EAST RD
ASSUMPTION,IL62510 		  PC GENERAL FUNDRAISING 250

KENBROOK BIBLE CAMP

190 PINE MEADOW RD
LEBANON,PA17046 		  PC GOLF OUTING TO RAISE MONEY FOR SCHOLARSHIPS FOR KIDS TO ATTEND THE CAMP 250

KNOWN INC

1410 GEORGE STREET
APPLETON,WI54915 		  PC KNOWN WOMEN'S CONFERENCE 500

LA PLAZA INC

8902 E 328TH ST
INDIANAPOLIS,IN46226 		  PC LA PLAZA NIGHT OF THE AMERICAS - CELEBRATING HONDURAS 500

LAD LAKE INC

W350 S1401 WATERVILLE ROAD
DOUSMAN,WI53118 		  PC BRIGHT LIGHTS BIG DREAMS FUNDRAISER 500

LASALLE-PERU CHRISTIAN SCHOOL

200-24TH STREET
LASALLE,IL61301 		  PC DEFER IOWA NATIONAL TESTING COSTS 250

LE MOYNE COLLEGE

1419 SALT SPRINGS RD
SYRACUSE,NY13214 		  PC 2ND PAYMENT OF 3 YEAR PLEDGE TO THE MCNEIL ACADEMY OF RISK MANAGEMENT AND INSURANCE FOR 8/1/23 - 7/31/2024 15,000

LEADERSHIP COUNCIL FOR NON PROFITS

UC DIGITAL FUTURES 3080 EXPLORATION
AVE
CINCINNATI,OH45206 		  PC SECURING THE FUTURE CONFERENCE. 1,500

LEGACY COMMUNITY CENTER INC

26 W GRAND AVENUE
CHIPPEWA FALLS,WI54729 		  PC ASKING FOR MONEY FOR OPERATIONAL EXPENSES FOR AGNES' TABLE AND COMMUNITY CENTER 250

LIBERTY BAPTIST CHURCH OF GARY INDIANA

2301 ROOSEVELT ST
GARY,IN46404 		  PC 83RD YEAR ANIVERSARY, ASKING FOR AN AD IN SOUVENIR PROGRAM 100

LIBERTY UNIVERSITY-LU SERVE

1971 UNIVERSITY BLVD
LYNCHBURG,VA24515 		  PC LU SERVE PLANS TO USE THE FUNDS TO MAXIMIZE THE SERVE NOW PROGRAM TO SERVE THE NEEDS OF THOSE AFFECTED BY DISASTER RELIEF AND HUMANITARIAN CRISIS. 5,000

LIFE PROMOTIONS

3000 NORTH POINTER ROAD
APPLETON,WI54911 		  PC LIFEST 2023 50,000

LIFECAMPUSA INC

W379 S 4736 E PRETTY LAKE ROAD
DOUSMAN,WI53118 		  PC PROGRAM SUPPORT 500

LIGHTHOUSE CHRISTIAN ACADEMY

1201 W THAT ROAD
BLOOMINGTON,IN47403 		  PC BTOWN TURKEY TROT: TO RAISE SUPPORT FOR THE LCA WINTER SERVICE PROJECT. (25,000+ MEALS PACKED) 250

LIGHTHOUSE YOUTH CENTER

2475 W ROOSEVELT DR
MILWAUKEE,WI53209 		  PC 17TH ANNUAL BENET DINNER 500

LINCOLN COUNTY FAIR ASSOCIATION

2001 E 2ND ST
MERRILL,WI54452 		  PC TO OFFER A FREE CHRISTIAN CONCERT AT THE FAIR GRANDSTAND 800

LINN CHRISTAIN EDUCATION ASSOCIATION DBA ISAAC NEWTON CHRISTIAN ACADEMY

1635 LINMAR DR NE
CEDAR RAPIDS,IA52402 		  PC ISAAC NEWTON ANNUAL BANQUEST TO RAISE MONIES FOR EDUCATIONAL SUPPORT, SCHOLARSHIPS 500

LOVE AND UNITY WORKS

10223 CLODINE RD
RICHMOND,TX77407 		  PC YULETIDE BRUNCH PROVIDING CHRISTMAS GIFTS TO FAMILIES IN NEED WITHIN OUR COMMUNITY. 500

LUTHER PREPARATORY SCHOOL

1300 WESTERN AVE
WATERTOWN,WI53094 		  PC LPS GALA XVIII, BENEFITS STUDENT FINANCIAL ASSISTANCE, PROJECT TIMOTHY AND MUSIC PROGRAMS 250

LUTHERAN CHURCH MISSOURI SYNOD-SOUTHERN ILLINOIS DISTRICT

2408 LEBANON AVE
BELLEVILLE,IL62221 		  PC LUTHERAN OLDER ADULT RETREAT: GRANT WILL HELP PAY FOR EXPENSES: HONORARIUMS FOR THE KEYNOTER, BIBLE CLASS LEADER, 16 WORKSHOPS LEADERS, 4 MEALS, GRAPHICS, PRINTING FOR THE SENIOR RETREAT. 500

MARIAN UNIVERSITY

OFFICE OF ADVANCEMENT AND ALUMNI
RELATIONS 45 NATIONAL AVENUE
FOND DU LAC,WI54935 		  PC GOLF TOURNAMENT FUNDRAISER TO SUPPORT STUDENTS 250

MARIAN UNIVERSITY

OFFICE OF ADVANCEMENT AND ALUMNI
RELATIONS 45 NATIONAL AVENUE
FOND DU LAC,WI54935 		  PC DONATION TO THE DR. GEORGE E KOONCE SCHOLARS PROGRAM IN RECOGNITION OF HIS YEARS ON THE CM REGENT BOARD. 2,000

MARQUETTE UNIVERSITY

COLLEGE OF BUSINESS ADMINISTRATION
MILWAUKEE,WI53201 		  PC INSURANCE AND RISK MANAGEMENT PROGRAM 50,000

MARQUETTE UNIVERSITY

PO BOX 1881
MILWAUKEE,WI53201 		  PC MATCHING EMPLOYEE GIFT - ZACHARY TRETOW 100

MARQUETTE UNIVERSITY

1250 W WISCONSIN AVE PO BOX 1881
MILWAUKEE,WI53233 		  PC CIVIC DIALOGUES PROGRAM CURRENT USE FUND 50,000

MARTIN LUTHER COLLEGE

1995 LUTHER COURT
NEW ULM,MN56073 		  PC MATCHING EMPLOYEE GIFT - ZACHARY TRETOW 500

MERCY MANOR INC

25 GROSVENOR AVE
DAYTON,OH45417 		  PC 2ND ANNUAL GOLF TOURNAMENT FUNDRAISER 250

MERRILL AREA UNITED WAY

PO BOX 813
MERRILL,WI54452 		  PC MATCHING UNITED WAY EMPLOYEE GIFT 106,465

MERRILL CHAMBER OF COMMERCE

705 N CENTER AVE
MERRILL,WI54452 		  PC REQUESTING SPONSORSHIP OF ANNUAL FUND RAISING DINNER 460

MERRILL LIONS CLUB

1804 E 8TH ST
MERRILL,WI54452 		  PC GOLF FUNDRAISER 100

MERRILL SPECIAL OLYMPICS BOOSTER CLUB CORPORATION

C/O BRYAN PLAUTZ W4962 HILLSIDE
DRIVE
MERRILL,WI54452 		  PC CLUB BAG TOSS TOURNAMENT TO HELP RAISE MONIES FOR SPECIAL OLYMPICS PARTICIPANTS FROM OUR AREA TO HAVE UNIFORMS AND ANY EQUIPMENT THEY NEED. 250

MILE HIGH UNITED WAY

PO BOX 5547
DENVER,CO80217 		  PC MATCHING UNITED WAY EMPLOYEE GIFT 1,859

MILWAUKEE RESCUE MISSION

830 N 19TH ST
MILWAUKEE,WI53233 		  PC LEADERSHIP CHALLENGE -- MATCHING GIFT CHALLENGE 250

MIRACLE ON WHEELS LLC

1091 NOME AVE
AKRON,OH44320 		  PC GENERAL FUNDRAISING 250

MKE FELLOWS

1527 N ASTOR ST STE A
MILWAUKEE,WI53202 		  PC 2 SUCCESSFUL INTERNS 25,000

MOBILE HOPE

7900 MAPLE HILL ROAD
CORCORAN,MN55340 		  PC ORGANIZATIONAL FUNDRAISING 500

MOOREFIELD CHURCH OF GOD

217 S ELM ST
MOOREFIELD,WV26836 		  PC HAVE A FOOD PANTRY. THEY LIST NEEDING TO FIND A BIGGER BUILDING AND NEW REFRIGERATOR/ 250

MOSAIC INTER-FAITH MINISTRIES DBA LUTHERAN SOCIAL SERVICES

3278 SOUTH 540 EAST
SALT LAKE CITY,UT84106 		  PC WINTER GIVEAWAY 500

MOUNT ST MARYS UNIVERSITY

16300 OLD EMMITSBERG RD
EMMITSBURG,MD21727 		  PC EMPLOYEE MATCHING GIFT - KEN KUNZMAN 100

MOUNT ZION MISSIONARY BAPTIST CHURCH

2121 FIFTH AVENUE
ALTOONA,PA16602 		  PC 150TH ANNIVERSARY 250

MT ZION BAPTIST CHURCH

2019 FISHER STREET
MADISON,WI53713 		  PC MIDWEST GOSPEL PREACHING SUMMIT: THE MIDWEST GOSPEL PREACHING SUMMIT IS A TWO-DAY CONFERENCE LED BY EXPERIENCEDPREACHERS AND THEOLOGIANS, WHO WILL ADDRESS TOPICS INCLUDING PREACHING, TEACHING, WORSHIP, AND LEADERSHIP. REQUEST IS TO: SUPPORT HONORARIUM 500

MT ZION BAPTIST CHURCH

2019 FISHER STREET
MADISON,WI53713 		  PC MIDWEST GOSPEL PREACHING SUMMIT: THE MIDWEST GOSPEL PREACHING SUMMIT IS A TWO-DAY CONFERENCE LED BY EXPERIENCEDPREACHERS AND THEOLOGIANS, WHO WILL ADDRESS TOPICS INCLUDING PREACHING, TEACHING, WORSHIP, AND LEADERSHIP. REQUEST IS TO: SUPPORT HONORARIUM 500

NEVER FORGOTTEN HONOR FLIGHT

225780 RIB MOUNTAIN DRIVE 234
WAUSAU,WI54401 		  PC SPONSORSHIP OF NFHF GOLF TOURNAMENT FUNDRAISER. NOTE EVERY $500 RAISED COVERS THE COST OF A VETERAN GOING ON THE FLIGHT 500

NEW HOPE MINISTRIES

99 W CHURCH STREET
DILLSBURG,PA17019 		  PC ANNUAL DONATION TO FOOD PANTRIES 250

NEWHOUSE INC

660 BROOKLYN AVE
KANSAS CITY,MO64124 		  PC IMAGINE A DAY GALA ANNUAL FUNDRAISER TO RAISE MONIES FOR THEIR SHELTER 3,000

NORTHLAND LUTHERAN HIGH SCHOOL

BOOSTER CLUB 2107 TOWER RD
KRONENWETTER,WI54455 		  PC REQUESTING AD IN THEIR ATHLETIC PROGRAM BOOK 500

OLD DOMINION ASSOCIATION OF CHURCH SCHOOLS

3131 VALOR CT
BROADWAY,VA22815 		  PC ODACS EDUCATORS' CONVENTION 200

ONE MILE LEADERSHIP PROJECT INC

7852 E STONE RIDGE
LANNON,WI53046 		  PC PARTNER TO SPONSOR WISCONSIN RECON RIDE 100

OPERATION WILDCAT

5 PLEASANT VIEW DRIVE
MECHANICSBURG,PA17055 		  PC FUNDS FROM CM CARES WILL BE USED TO ASSIST 3 FAMILIES IN THE MECHANICSBURG SCHOOL DISTRICT (OUR INSURED) WHO LOST THEIR HOMES DUE TO A FIRE AT A LOCAL MOTEL 6. OPERATION WILDCAT IS A 5013 WITHINTHE MECHANICSBURG SCHOOL DISTRICT. THEY PROVIDE MANY OF T 1,200

OUTREACH FOR HOPE

1212 S LAYTON BLVD
MILWAUKEE,WI53215 		  PC RIDE RUN WALK 2023 MILES FOR HOPE - RAISE FUNDS FOR ELCA MINISTRIES IN LOW INCOME COMMUNITIES IN SE WI. SUPPORT FOR EVENT SUPPLIES (TEE-SHIRTS, BANNERS, SIGNS, BOTTLED WATER) 500

OZAUKEE CHRISTIAN SCHOOL

1214 HWY 33
WEST BEND,WI53095 		  PC REQUESTING MONEY TO PURCHASE MOBYMAX SOFTWARE TO HELP ALL STUDENTS IN OCS K8. 1,995

OZAUKEE FOOD ALLIANCE

PO BOX 80341 166 W DEKORA STREET
SAUKVILLE,WI53080 		  PC NUTRITIOUS FOOD PROGRAM 500

PINES OF SARASOTA FOUNDATION INC

1501 N ORANGE AVE
SARASOTA,FL34236 		  PC PINES FOUNDATION MISSION FUND PROGRAM - THIS PROGRAM IS FOR NURSING RESIDENTS WHO HAVE OUTLIVED THEIR FINANCIAL RESOURCES AND ARE DEPENDENT SOLELY ON MEDICAID AND CHARITABLE SUPPORT FOR THEIR CARE. 500

PROJECTIGIVE INC

11514 WHIMBREL CT
CHARLOTTE,NC28278 		  PC THE DONATION REQUEST IS TO SUPPORT THE JOURNEY GATHERING TOURS AND EXPERIENCE. THESE TOURS WILL SPAN ACROSS EIGHT MAJOR STATES, CULMINATING IN A FINAL CONVENING IN MIAMI, FLORIDA. THE FUNDS WILL BE USED TO COVER THE EXPENSES OF THE GATHERING TOURS AND CON 250

RAHABS DAUGHTERS

509 W OLD NORTHWEST HWY STE LL-1
BARRINGTON,IL60010 		  PC I AM HUMBLY WRITING ON BEHALF OF RAHAB'S DAUGHTERS, A NATIONALLY RECOGNIZED 501(C)(3) NONPROFIT ESTABLISHED IN 2015, WITH NATIONAL HEADQUARTERS IN BARRINGTON, IL. WE ARE RESPECTFULLY REQUESTING YOUR CONSIDERATION OF A GRANT OF $5,000 WHICH WOULD ALLOW U 500

REDEMPTION ROAD MINISTRIES

1345 7TH AVE N
FARGO,ND58102 		  PC COPS AND CONS CHARITY SOFTBALL GAME - SOFTBALL GAME BETWEEN LOCAL POLICE AND RECOVERING CONVICTS 500

RESCUE MISSIONS MINISTRY INC DBA DURHAM RESCUE MISSION

507 E KNOX ST
DURHAM,NC27701 		  PC FUNDRAISING FOR DURHAM RESCUE MISSION 250

RITENOUR CO-CARE INC FOOD PANTRY

9303 MIDLAND BLVD PO BOX 142542
OVERLAND,MO63114 		  PC FOOD PANTRY SPOOKTACULAR TRIVIA NIGHT TO RAISE MONIES FOR THE FOOD PANTRY 250

RITENOUR CO-CARE INC FOOD PANTRY

PO BOX 3000
BOONE,NC28607 		  PC OPERATION CHRISTMAS CHILD 250

SAMARITANS PURSE

PO BOX 3000
BOONE,NC28607 		  PC OPERATION CHRISTMAS CHILD 250

SCHOLARSHIP AMERICA INC

PO BOX 772514
DETROIT,MI48277 		  PC SCHOLARSHIPS PAYMENT 57,949

SECOND HARVEST FOODBANK OF SOUTHERN WISCONSIN

2802 DAIRY DRIVE
MADISON,WI53718 		  PC ANNUAL DONATION TO FOOD PANTRIES 3,000

SHALOM ORLANDO INC INC

851 N MAITLAND AVE
MAITLAND,FL32751 		  PC FUNDRAISING THEY SUBMITTED THE EVENT REQUEST AFTER THE EVENT WAS OVER. 250

SHARP LITERACY

5775 N GLEN PARK ROAD SUITE 202
MILWAUKEE,WI53209 		  PC SHARP LITERACY PROGRAM FOR HMONG AMERICAN PEACE ACADEMY 2,500

SHARP LITERACY

5775 N GLEN PARK ROAD SUITE 202
MILWAUKEE,WI53209 		  PC SHARP LITERACY PROGRAM GRANVILLE LUTHERAN SCHOOL 2,500

SHEPHERDS WATCH COMMUNITY CENTER

507 STONE AVE
MATTOON,WI54450 		  PC THANKSGIVING DINNER SERVING OVER 75-100 FAMILIES 250

SISTERS TOO INC

333 W BROWN DEER RD SUITE G-465
MILWAUKEE,WI53217 		  PC P.E.A.C. FOR GIRLS MENTORSHIP PROGRAM. 500

SOCIETY OF ST VINCENT DE PAUL ST FRANCIS XAVIER CONFERENCE INC

503 S CENTER AVE STE 2
MERRILL,WI54452 		  PC MONIES USED TO HELP COMPLETE A MATCHING GIFT TO HELP LOCAL MERRILL FAMILIES. 500

SPECIAL OLYMPICS WISCONSIN

3317 BUSINESS PARK DR
STEVENS POINT,WI54482 		  PC ANNUAL RUN WITH THE COPS FUNDRAISER: RAISES FUNDS, AWARENESS, LEADERSHIP AND HEALTH PROGRAMS FOR ATHLETES. 500

ST ANTHONY CATHOLIC

FRIENDS OF CHRISTIAN EDUCATION 301
ELM ST
ATHENS,WI54411 		  PC FRIENDS OF CHRISTIAN EDUCATION BANQUET A JOINT BANQUET AND AUCTION FOR THE ST. ANTONY CATHOLIC SCHOOL AND TRINITY LUTHERAN SCHOOL IN ATHENS, WI. PROCEEDS FROM THE BANQUET ARE SPLIT BETWEEN THE TWO SCHOOLS. 250

ST JAMES AME CHURCH

632 EAST BROAD STREET
SAVANNAH,GA31401 		  PC CELEBRATION OF STEWARDSHIP, THEY WILL TAKE A DONATION ANY TIME FOR ANOTHER OUTREAH EVENT 250

ST JOAN ANTIDA HIGH SCHOOL

1341 NORTH CASS ST
MILWAUKEE,WI53202 		  PC SPONSOR GALA NIGHT, MONIES RAISED FOR SCHOOL OPERATIONS AND FINANCIAL AID 250

ST MARCUS SCHOOL

ST MARCUS MISSION ADVANCEMENT
OFFICE 2215 N PALMER ST
MILWAUKEE,WI53212 		  PC ANNUAL GALA 5,000

ST NORBERT COLLEGE

100 GRANT ST MAIN HALL 309
DE PERE,WI54115 		  PC MATCHING GIFT - NAMES 500

ST PAUL AME CHURCH

639 EAST LANG STREET
COLUMBUS,OH43215 		  PC REQUESTING AD IN THEIR 200TH ANNIVERSARY SOUVENIR JOURNAL 125

ST STEPHENS UNITED CHURCH OF CHRIST

100 W ST PAUL ST
MERRILL,WI54452 		  PC O'TANNEBAUM EVENT TO SUPPORT LINCOLN COUNTY 4-H AND OTHER COMMUNITY PROGRAMS. 250

ST STEPHENS UNITED CHURCH OF CHRIST

903 E 2ND STREET
MERRILL,WI54452 		  PC FOOD FOR KIDS MERRILL 500

ST MARY'S SCHOOL

221 EAST WASHINGTON AVE
TOMAHAWK,WI54487 		  PC ANNUAL FUNDRAISING 250

STETTIN ELEMENTARY PTO

109 N 56TH AVE
WAUSAU,WI54401 		  PC PANCAKE BREAKFAST AND RAFFLE FUNDRAISER, REQUESTED DONATION FOR THE RAFFLE PRIZES AND WANTED TO CHECK TO SEE IF CM CARES/ CHURCH MUTUAL WOULD BE WILLING TO DONATE A RAFFLE PRIZE ITEM OR MONEY TO CONTRIBUTE TO A LARGER RAFFLE PRIZE. 250

SUSAN G KOMEN BREST CANCER FOUNDATION

2025 W OKLAHOMA AVE STE 116
MILWAUKEE,WI53215 		  PC REQUESTING SPONSORSHIP OF ANNUAL FUNDRAISING WALK IN MILWAUKEE, NO WAUSAU AREA WALKS PLANNED THIS YEAR. 500

SWEET HOME MISSIONARY BAPTIST CHURCH

3634 WEST 11TH AVENUE
GARY,IN46404 		  PC PHILIP & JUDITH ROGERS SCHOLARSHIP FUND: COLLEGE SCHOLARSHIPS 500

T LAB ACCELERATED LEARNING CENTERS

1751 RADCLIFF ST
GARDEN CITY,MI48135 		  PC ANNUAL BLACK TIE BALL 1,500

TEEN CHALLENGE INTERNATIONAL INC

PO BOX 250771
MILWAUKEE,WI53225 		  PC GREAT LAKES ADULT AND TEEN CHALLENGE 500

TEMPLE BETH ISRAEL

3033 NORTH TOWNE AVE
POMONA,CA91767 		  PC GENERAL FUNDRAISING 500

THE ACTUARIAL FOUNDATION

475 NORTH MARTINGALE ROAD SUITE 600
SCHAUMBURG,IL60173 		  PC SUPPORT OF MATH EDUCATION AND FINANCIAL LITERACY PROGRAMS AND SCHOLARSHIPS 500

THE ASSCIATION OF CAMP NURSING INC

19006 HUNT COUNTRY LANE
FISHERVILLE,KY40023 		  PC ADDRESS IS A PRIVATE HOUSE IN KENTUCKY, WEBSITE CREATED IN 2023 250

THE HAGAR HOUSE

915 NORTH 5TH STREET
WAUSAU,WI54403 		  PC COLOR RUN TO RAISE MONIES TO PURCHASE SUPPLIES TO 1,000

THE ISLAMIC CENTER OF GREATER TOLEDO INC

25877 SCHEIDER RD
PERRYSBURG,OH43551 		  PC 22ND INTERNATIONAL FESTIVAL SPONSORSHIP 200

THE MARSHALL UNIVERSITY FOUNDATION INC

519 JOHN MARSHALL DR
HUNTINGTON,WV25703 		  PC MATCHING EMPLOYEE GIFT 500

THE METHODIST HOME

304 PIERCE AVE
MACON,GA31203 		  PC GENERAL FUNDRAISER 250

THE NEIGHBORS PLACE

360 GRAND AVE SUITE 200
WAUSAU,WI54403 		  PC ANNUAL DONATION TO FOOD PANTRIES 3,000

THE OPEN DOOR CHRISTIAN WORSHIP CENTER CHRUCH INC

1501 WEST RING ST
MILWAUKEE,WI53206 		  PC BOXES OF LOVE FUNDRAISER - ORIGINAL REQUEST WAS FOR THANKSGIVING TURKEYS BUT RECEIVED THE REQUEST TOO LATE, NOW LOOKING AT CHRISTMAS 500

THE THURGOOD MARSHALL COLLEGE FUND

901 F ST NW SUITE 700
WASHINGTON,DC20004 		  PC ANNUAL LEADERSHIP INSTITUTE 10,000

THE WORLD UNION FOR PROGRESSIVE JUDISM LTD

901 F ST NW SUITE 700
WASHINGTON,DC20004 		  PC ANNUAL LEADERSHIP INSTITUTE 250

TINDLEY ACCELERATED SCHOOLS INC

3960 MEADOWS DR
INDIANAPOLIS,IN46205 		  PC UNIFORMS FOR ATHLETIC TEAMS AT TINDLEY PREP. 250

TRINITY LUTHERAN

FRIENDS OF CHRISTIAN EDUCATION 301
ELM ST
ATHENS,WI54411 		  PC FRIENDS OF CHRISTIAN EDUCATION BANQUET A JOINT BANQUET AND AUCTION FOR THE ST. ANTONY CATHOLIC SCHOOL AND TRINITY LUTHERAN SCHOOL IN ATHENS, WI. PROCEEDS FROM THE BANQUET ARE SPLIT BETWEEN THE TWO SCHOOLS. 250

TRINITY LUTHERAN CHURCH

107 N STATE ST
MERRILL,WI54452 		  PC COMMUNITY THANKSGIVING DINNER THROUGH TRINITY LUTHERAN CHURCH AND THE ENRICHMENT CENTER IN MERRILL. 1,000

UNITARIAN CHURCH OF HINSDALE

PO BOX 7548
MADISON,WI53707 		  PC MISSION: POSSIBLE! RAISE FUNDS FOR OUR PROGRAMS SUPPORT AND ADVOCACY FOR UNDERSERVED YOUTH, SENIORS, AND MINORITY GROUPS IN THE CHICAGO AREA AND THROUGHOUT ILLINOIS. 500

UNITED WAY OF DANE COUNTY

UNITED WAY PLEDGE PROCESSING PO BOX
88988
MILWAUKEE,WI53288 		  PC MATCHING UNITED WAY EMPLOYEE GIFT 5,183

UNITED WAY OF GREATER MILWAUKEE AND WAUKESHA COUNT

PO BOX 88988
MILWAUKEE,WI53288 		  PC MATCHING UNITED WAY EMPLOYEE GIFT 8,161

UNITED WAY OF THE CAPITAL REGION

2001 FOURTH AVE
STEVENS POINT,WI54481 		  PC THE MONEY WOULD BE USED TO PAY FOR THE COST OF ADMINISTERING SEVERAL MATH COMPETITIONS INVOLVING HIGH SCHOOL STUDENTS IN CENTRAL WI. IN ADDITION, THE MONEY WOULD HELP FUND THE YEAR END BANQUET.NOTE: WE HAVE SUPPORTED THIS PROGRAM FOR SEVERAL YEARS. 4,428

UNIVERSITY OF WISCONSIN STEVENS POINT FOUNDATION

2001 FOURTH AVE
STEVENS POINT,WI54481 		  PC CENTRAL WISCONSIN MATH LEAGUE 1,500

URBAN LEAGUE OF NORTHWEST IN

3101 BROADWAY
GARY,IN46409 		  PC SPONSORSHIP OF THE DIVERSITY AND INCLUSION LUNCHEON 1,100

UW WAUSAU CAMPUS FOUNDATION INC

518 SOUTH SEVENTH AVENUE
WAUSAU,WI54401 		  PC WIPPS WISCONSIN INSTITUTE FOR PUBLIC POLICY AND SERVICE: SURVEY: PUBLIC PERCEPTIONS OF DIVERSITY, INCLUSION, ACCESS ANDOPPORTUNITIES FOR ALL IN MARATHON AND LINCOLN COUNTIES 25,000

UWM FOUNDATION INC

1440 EAST NORTH AVENUE
MILWAUKEE,WI53202 		  PC UWMS LUBAR ENTREPRENEURSHIP CENTER 15,000

VILLAGE MISSIONS

696 E ELLENDALE AVE
DALLAS,OR97338 		  PC SOMETHING IS HAPPENING IN NORTH AMERICA. SMALL COUNTRY CHURCHES STRUGGLE TO PAY THEIR BILLS, TO FIND PASTORS, TO KEEP THE DOORS OPEN. EACH YEAR, HUNDREDS OF CHURCHES CLOSE THEIR DOORS. 300

WINGS OF GOD TRANSITION HOME INC

310 N KALAMAZOO STREET
PAW PAW,MI49079 		  PC SPONSORSHIP FOR PLEDGE FOR PEARLS BUCKET BRIGADE: EVENT PURPOSETHE MONIES RAISE SUPPORT OF WOMEN WHO ARE SEEKING POSITIVE CHANGE AND LEAVING BEHIND LIVES OF ADDICTION, CRIME, AND DESPAIR. 150

WISCONSIN EVANGELICAL LUTHERAN SYNOD

WELS MISSION OFFICE ATTN TASTE OF
MISSIONS SPONSOR N16W23377 STONE RI
WAUKESHA,WI53188 		  PC TASTE OF MISSIONS: MONIES RAISED USE FOR EDUCATING PEOPLE ABOUT WELS MISSIONS AND MISSIONARY WORK 500

WISCONSIN INSTITUTE FOR PUBLIC POLICY AND SERVICE

UW STEVENS POINT AT WAUSAU 625
STEWART AVE
WAUSAU,WI54401 		  PC FUNDS WOULD BE USED TO SUPPORT THE VENINGA LECTURE ON RELIGION AND SOCIETY, INCLUDING SPEAKER FEES, LODGING, AND TRAVEL; SPACE USAGE; IT AND TECHNICAL SUPPORT; MARKETING; AND EVENT STAFF SUPPORT. 2,500

WISCONSIN LUTHERAN CHILD & FAMILY SERVICE INC DBA CHRISTIAN FAMILY SOLUTION

W175 N11120 STONEWOOD DRIVE
GERMANTOWN,WI53022 		  PC GRANT TO TRAIN THEIR STAFF ON YOUTH MENTAL HEALTH FIRST AID. 500

WISCONSIN TROOPERS BENVOLENT FOUNDATION

4230 EAST TOWNE BLVD 284
MADISON,WI53704 		  PC FUNDRAISING FOR ALL PROGRAMS 250

WISCONSIN VALLEY LUTHERAN HIGHSCHOOL

601 MAPLE RIDGE RD
MOSINEE,WI54455 		  PC ANNUAL FUNDRAISER 500

WOMANS COMMUNITY INC OF WAUSAU

625 STEWART AVENUE
WAUSAU,WI54401 		  PC TOWARD ONE SPONSORSHIP 500

WOMEN ARE DREAMERS TOO

PO BOX 1371
ALPHARETTA,GA30009 		  PC K12 STEM 500

YMCA OF MIDDLETOWN NY

81 HIGHLAND AVE
MIDDLETOWN,NY10940 		  PC YMCA ANNUAL STRONG KIDS CAMPAIGN 500

YWCA OF NORTHEAST IN

5920 DECATUR RD
FT WAYNE,IN46816 		  PC CIRCLE PROGRAM: DOLLARS FROM THE LUNCHEON IS USED TO SUPPORT OPERATION EXPENSES RELATED SUPPORT OF WOMEN AND DOMESTIC VIOLENCE PROGRAMS. FOR EXAMPLE, IT WILL HELP ASSIST IN PAYING FOR ADVOCATES SALARIES, AND ONE ON ONE THERAPY SUPPORT GROUPS IN ADDITION, 1,300
Total .................................right arrow 3a 643,475
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
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
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 27,815  
4 Dividends and interest from securities ....          
5 Net rental income or (loss) from real estate:
aDebt-financed property......          
bNot debt-financed property.....          
6 Net rental income or (loss) from personal property          
7 Other investment income .....          
8 Gain or (loss) from sales of assets other than
inventory ............ 		         
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 27,815 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
27,815
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
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
2023
Name of the organization
CHURCH MUTUAL INSURANCE COMPANY
FOUNDATION INC
Employer identification number

47-4690250
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
CHURCH MUTUAL INSURANCE COMPANY
FOUNDATION INC 		Employer identification number
47-4690250
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
CHURCH MUTUAL INSURANCE COMPANY SI
 
3000 SCHUSTER LANE
 
MERRILL, WI54452

$ 250,000


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
CHURCH MUTUAL INSURANCE COMPANY
FOUNDATION INC 		Employer identification number

47-4690250
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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
CHURCH MUTUAL INSURANCE COMPANY
FOUNDATION INC 		Employer identification number

47-4690250
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
CHURCH MUTUAL INSURANCE COMPANY
 
FOUNDATION INC
EIN:
47-4690250
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
DELOITTE 3,975 0   3,975

TY 2023 DissolutionStmt
Name:
CHURCH MUTUAL INSURANCE COMPANY
 
FOUNDATION INC
EIN:
47-4690250
Dissolution Name Dissolution Address Explanation Dissolution Amount
SEE PART XIV FOR DETAILS 3000 SCHUSTER LANE
MERRILL,WI54452 		THE FOUNDATION HAS MADE DISTRIBUTIONS TO VARIOUS CHARITABLE ORGANIZATIONS IN 2023 THAT MEET THE QUALIFICATIONS FOR A SUBSTANTIAL CONTRACTION OF ASSETS FOR THE FOUNDATION.THE SUBSTANTIAL CONTRACTION WAS NOT RELATED TO A PLAN OF LIQUIDATION OR DISSOLUTION. 643,475


TY 2023 LiquidationExplanationStmt
Name:
CHURCH MUTUAL INSURANCE COMPANY
 
FOUNDATION INC
EIN:
47-4690250
Statement:
IN THE 2023 TAX YEAR, CHURCH MUTUAL INSURANCE COMPANY FOUNDATION, INC. (THE FOUNDATION) HAS MADE DISTRIBUTIONS THAT MEET THE QUALIFICATIONS OF A SUBSTANTIAL CONTRACTION IN ASSETS OF THE FOUNDATION. SEE PART XIV, LINE 3A FOR INFORMATION REGARDING ASSETS TRANSFERRED. THE SUBSTANTIAL CONTRACTION WAS NOT RELATED TO A PLAN OF LIQUIDATION OR DISSOLUTION.


TY 2023 OtherExpensesSchedule
Name:
CHURCH MUTUAL INSURANCE COMPANY
 
FOUNDATION INC
EIN:
47-4690250
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK CHARGES 2,700 0   2,700


TY 2023 OtherProfessionalFeesSchedule
Name:
CHURCH MUTUAL INSURANCE COMPANY
 
FOUNDATION INC
EIN:
47-4690250
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
RESPONSORY - MARKETING CAMPAIGN 35,381 0   35,381