Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation

Transcription

1 Form 990-PF Department of the Treasury Internal Revenue Servie For alendar year 2007, or tax year eg innin g and endin g Return of Private Foundation or Setion 4947(a)(1) Nonexempt Charitale Trust Treated as a Private Foundation to satisfy state uirements OMB No G Chek all that apply Initial return Final return Amended return Address hange Name han e Use the IRS Name of foundation A Employer Identifiation numer lael. Charitale Trust Agreement of Brion Otherwise, S. Collins B Telephone numer (see page 10 of the instrutions) print Numer and street (or P O ox numer if mail is not delivered to street address ) Room/suite or type. N7123 Mill Pond Way C If exemption appliation is pending, hek here See Speifi City or town, state, and ZIP ode D 1. Foreign organizations, hek here Instrutions. Hartland WI Foreign organizations meeting the H Chek type of organization. Setion 501()(3) exempt private foundation 85% test, hek here and attah omputation L X Setion 4947 ( a )( 1 ) nonexem p t haritale trust Other taxale rivate foundation E If private foundation status was terminated I Fair market value of all assets at end J Aounting method X Cash Arual u nder se tion 507 ( )( 1 )( A ), h e k h ere of year (from Part II, ol. (), 11 Other (speify) F If the foundation is in a 60-month termination line 16 ) $ 82, 577 ( Part I olumn ( d ) must e on ash asis under setion 507()(1)(B), hek here C Part I Analysis of Revenue and Expenses (The (a) Revenue and (d) Disursements total of amounts in olumns (), (), and (d) may expenses per () not neessarily Net investment () Adjusted net for hartale equal the amounts in olumn (a) (see pg 11 of the instrutions)) 1 Contriutions, gifts, grants, et, reeived (attah shedule) 50, Chek a ifthefoundation isnotrequiredtoattahsh B 3 Interest on savings and temporary ash investments Dividends and interest from seurities 5a Gross rents y Net rental inome or (loss) C 6a Net gain or (loss) from sale of assets not on line 10 j Gross sales pue for all assets on line 6a ooks inome inome purposes ( ash asis onl y) 3 7 Capital gain net inome (from Part IV, line 2) 0 8 Net short-term apital gain 0 LA 9 Inome modifiations v 10a Gross sales less returns and allowanes C Less- Cost of goods sold Gross profit or (loss) (attah shedule) 11 Other inome (attah shedule) 12 Total. Add lines 1 throu g h 11 50, Compensation of offiers, diretors, trustees, et 14 Other employee salaries and wages CD 15 Pension plans, employee enefits x 16a Legal fees (attah shedule) W Aounting fees (attah shedule) Stmt !^ 495 Other professional fees (attah shedule) 17 Interest A 18 Taxes (attah shedule) (see page 14 of the instrutions) S tiylt C 'g 19 Depreiation (attah shedule) and depletion Q 20 Oupany 21 Travel, onferenes, and meetings 22 Printing and puliations CO 23 Other expenses (att sh) Stmt Total operating and administrative expenses. Add lines 13 through 23 1, , Contriutions, gifts, grants paid 28, , Total expenses and disursements. Add lines 24 and 25 29, , Sutrat line 26 from line 12 a Exess of revenue over expenses and disursements 20, 424 Net investment inome (if negative, enter -0-) 41 Adjusted net inome ( if neg ative, enter -0- ) 0 For Privay At and Paperwork Redution At Notie, see page 30 of the instrutions. Form 990-PF (2007) J

2 Form 990-PF (2007) Charitale Trust Aareement of Brion Panp 2 Part II Balane Sheets Attahed shedules and amounts in the desription olumn Beg inning of year End of year should e for end-of-year amounts only (See instrutions) a Book Value ( ) Book Value ( ) Fair Market Value 1 Cash-non-interest-earing 2 Savings and temporary ash investments 28, , , Aounts reeivale Less allowane for doutful aounts 4 Pledges reeivale Less. allowane for doutful aounts 5 Grants reeivale 6 Reeivales due from offiers, diretors, trustees, and other disqualified persons (attah shedule) (see page 16 of the instrutions) 7 Other notes and loans reeivale (att shedule) Less- allowane for doutful aounts 8 Inventories for sale or use N 9 Prepaid expenses and deferred harges 10a Investments-U S and state government oligations (attah shedule) Investments-orporate stok (attah shedule) Investments-orporate onds (attah shedule) 11 Investments-land, uildings, and equipment asis Less aumulated depreiation (attah sh) 12 Investments-mortgage loans 13 Investments-other (attah shedule) 14 Land, uildings, and equipment asis Less aumulated depreiation (attah sh) 15 Other assets (desrie See Statement 4 33, Total assets (to e ompleted y all filers-see the instrutions Also, see page 1, item I , Aounts payale and arued expenses 18 Grants payale 19 Deferred revenue 20 Loans from offiers, diretors, trustees, and other disqualified persons 21 Mortgages and other notes payale (attah shedule) 22 Other liailities (desrie 23 Total liailities ( add lines 17 throug h 22 ) 0 0 Foundations that follow SFAS 117, hek here W and omplete lines 24 through 26 and lines 30 and Unrestrited 28, Temporarily restrited tv n 26 Permanently restrited Foundations that do not follow SFAS 117, hek here i and omplete lines 27 through Capital stok, trust prinipal, or urrent funds q U) 28 Paid-in or apital surplus, or land, ldg, and equipment fund CD 29 Retained earnings, aumulated inome, endowment, or other funds 30 Total net assets or fund alanes (see page 17 of the d instrutions) 28, 694 4_ Z 31 Total liailities and net assets /fund alanes (see page 17 of the instrutions ) 28, , 118, Part III Analysis of Chanaes in Net Assets or Fund Balanes 1 Total net assets or fund alanes at eginning of year-part II, olumn (a), line 30 (must agree with end-of-year figure reported on prior year's return) Enter amount from Part 1, line 27a 2 20, Other inreases not inluded in line 2 (itemize) 3 4 Add lines 1, 2, and , Dereases not inluded in line 2 (itemize) 5 6 Total net assets or fund alanes at end of Year (line 4 minus line 5)-Part II. olumn (). line ,118 Form 990-PF (2007)

3 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 3 -Part IV. Ca p ital Gains and Losses for Tax on Investment Inome 1a d e N/A (e) (a) List and desrie the kind(s) of property sold (e g, real estate, 2-story ok warehouse, or ommon stok, 200 shs MLC Co) Gross sales prie (f) Depreiation allowed (or allowale) () How aquired P-Purhase D-Donation (g) Cost or other asis plus expense of sale () Date aquired (mo, day, yr) (h) Gain or (loss) (e) plus (f) minus (g) (d) Date sold (mo, day, yr ) a d e Com p lete only for assets showin g ain in olumn ( h ) and owned y the foundation on 12/31/69 (i) F M V as of 12/31/69 Adjusted asis as of 12/31/69 (k) Exess of ol (i) over ol (t), if any ( I ) G ains ( Co l ( h ) gain minus ol (k), ut not less than -0-) or Losses (from ol (h)) a d e 2 Capital gain net inome or (net apital loss) If gain, also enter in Part I, line 7 3 Net short-term apital gain or (loss) as defined in setions 1222(5) and (6): If gain, also enter in Part I, line 8, olumn () (see pages 13 and 17 of the instrutions) If (loss), enter -0- in Part I, line 7 } 2 If loss enter -0- In Part I line 8 3 Part V Qualifiation Under Setion 4940 ( e) for Redued Tax on Net Investment Inome (For optional use y domesti private foundations sujet to the setion 4940(a) tax on net investment inome ) If setion 4940(d)(2) applies, leave this part lank Was the foundation liale for the setion 4942 tax on the distriutale amount of any year in the ase period? F1 Yes No If "Ye s," th e fou n da ti o n does not qualify under setion 4940( e) Do not omplete this part. 1 Enter the a pp ro p riate amount in eah olumn for eah year, see page 18 of the instrutions efore making any entries (a) Base period years Calendar year ( or tax year eg inning in ) () Adjusted qualifying distriutions () Net value of nonharitale-use assets (d) Distriution ratio ( ol ( ) divided y ol , , 586 7, Total of line 1, olumn (d) Average distriution ratio for the 5-year ase period-divide the total on line 2 y 5, or y the numer of years the foundation has een in existene if less than 5 years Enter the net value of nonhantale-use assets for 2007 from Part X, line , Multiply line 4 y line , Enter 1 % of net investment inome (1 % of Part I, line 27) 6 7 Add lines 5 and , Enter qualifying distriutions from Part XII, line , 617 If line 8 is equal to or greater than line 7, hek the ox in Part VI, line 1, and omplete that part using a 1 % tax rate See the Part VI instrutions on page 18 Form 990-PF (2007)

4 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 4 Part VI Exise Tax Based on Investment Inome ( Setion 4940 ( a ), 4940 ( ), 4940 (e ), or 4948-see pag e 18 of the instrutions la Exempt operating foundations desried in setion 4940(d)(2), hek here and enter "N/A" on line 1. Date of ruling letter - (attah opy of ruling letter if neessary-see instrutions) Domesti foundations that meet the setion 4940(e) requirements in Part V, hek 1 1 here El and enter 1 % of Part I, line 27 All other domesti foundations enter 2% of line 27 Exempt foreign organizations enter 4% of Part I, line 12, ol. () 2 Tax under setion 511 (domesti setion 4947(a)(1) trusts and taxale foundations only. Others enter -0-) Add lines 1 and Sutitle A (inome) tax (domesti setion 4947(a)(1) trusts and taxale foundations only Others enter -0-) Tax ased on investment inome. Sutrat line 4 from line 3 If zero or less, enter Credits/Payments. a 2007 estimated tax payments and 2006 overpayment redited to a Exempt foreign organizations-tax withheld at soure 6 Tax paid with appliation for extension of time to file (Form 8868) 6 d Bakup withholding erroneously withheld 6d 7 Total redits and payments Add lines 6a through 6d 7 8 Enter any penalty for underpayment of estimated tax Chek here F] if Form 2220 is attahed 8 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid Enter the amount of line 10 to e Credited to 2008 estimated tax Refunded 11 Part VII-A Statements Reg ardin g Ativities la During the tax year, did the foundation attempt to influene any national, state, or loal legislation or did it Yes No partiipate or intervene in any politial ampaign? 1a X Did it spend more than $100 during the year (either diretly or indiretly) for politial purposes (see page 19 of the instrutions for definition)? 1 X If the answer is "Yes" to 1 a or 1, attah a detailed desription of the ativities and opies of any materials pulished or distriuted y the foundation in onnetion with the ativities Did the foundation file Form POL for this year? 1 X d Enter the amount (if any) of tax on politial expenditures (setion 4955) imposed during the year. (1) On the foundation $ (2) On foundation managers $ e Enter the reimursement (if any) paid y the foundation during the year for politial expenditure tax imposed on foundation managers $ 2 Has the foundation engaged in any ativities that have not previously een reported to the IRS? 2 X If "Yes," attah a detailed desription of the ativities 3 Has the foundation made any hanges, not previously reported to the IRS, in its governing instrument, artiles of inorporation, or ylaws, or other similar instruments? If "Yes," attah a onformed opy of the hanges 3 X 4a Did the foundation have unrelated usiness gross inome of $1,000 or more during the year? 4a X If "Yes," has it filed a tax return on Form 990 -T for this year? N/A 4 5 Was there a liquidation, termination, dissolution, or sustantial ontration during the year? 5 X If "Yes," attah the statement required y General Instrution T 6 Are the requirements of setion 508(e) (relating to setions 4941 through 4945) satisfied either By language in the governing instrument, or By state legislation that effetively amends the governing instrument so that no mandatory diretions that onflit with the state law remain in the governing instrument? 6 X 7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," omplete Part II, ol (), and Part XV 7 X 8a Enter the states to whih the foundation reports or with whih it is registered (see page 19 of the instrutions) WI If the answer is "Yes" to line 7, has the foundation furnished a opy of Form 990-PF to the Attorney General (or designate) of eah state as required y General Instrution G? If "No," attah explanation 8 X 9 Is the foundation laiming status as a private operating foundation within the meaning of setion 49420)(3) or 49420)(5) for alendar year 2007 or the taxale year eginning in 2007 (see instrutions for Part XIV on page 27)"- If "Yes," omplete Part XIV X 10 Did any persons eome sustantial ontriutors during the tax year? If "Yes," attah a shedule listing their names and addresses Stint 5 10 X Form 990 -PF (2007)

5 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 5 Part VII-A Statements Reg ardin g Ativities ( ontinued ) 11 a At any time during the year, did the foundation, diretly or indiretly, own a ontrolled entity within the meaning of setion 512()(13)? If 'Yes," attah shedule (see page 20 of the instrutions) 11a X If "Yes," did the foundation have a inding written ontrat in effet on August 17, 2006, overing the interest, rents, royalties, and annuities desried in the attahment for line 11a? N/A Did the foundation aquire a diret or indiret interest in any appliale insurane ontrat? 12 X 13 Did the foundation omply with the puli inspetion requirements for its annual returns and exemption appliation? 13 X Wesite address N/A 14 The ooks are in are of Brion S. Collins Telephone no N7123 Mill Pond Way Loated at Hartland, WI ZIP Setion 4947(a)(1) nonexempt haritale trusts filing Form 990-PF in lieu of Form Chek here 1 and enter the amount of tax-exempt interest reeived or arued during the year I 15 I 0 Part VII-B Statements Re g ardin g Ativities for Whih Form 4720 Ma y Be Re q uired File Form 4720 if any item is heked In the "Yes" olumn, unless an exeption applies. Yes No 1a During the year did the foundation (either diretly or indiretly). (1) Engage in the sale or exhange, or leasing of property with a disqualified person? Yes XX No (2) Borrow money from, lend money to, or otherwise extend redit to (or aept it from) a disqualified person? Yes R9 No (3) Furnish goods, servies, or failities to (or aept them from) a disqualified person's Yes X No (4) Pay ompensation to, or pay or reimurse the expenses of, a disqualified person? Yes X No (5) Transfer any inome or assets to a disqualified person (or make any of either availale for the enefit or use of a disqualified person)? LI Yes No (6) Agree to pay money or property to a government offiial? (Exeption. Chek "No" if the foundation agreed to make a grant to or to employ the offiial for a period after termination of government servie, if terminating within 90 days.) LI Yes No If any answer is "Yes" to 1 a(1)-(6), did any of the ats fail to qualify under the exeptions desried in Regulations setion (d)-3 or in a urrent notie regarding disaster assistane (see page 22 of the instrutions)? N/A l Organizations relying on a urrent notie regarding disaster assistane hek here Did the foundation engage in a prior year in any of the ats desried in 1 a, other than exepted ats, that were not orreted efore the first day of the tax year eginning in 2007? N/A 1 2 Taxes on failure to distriute inome (setion 4942) (does not apply for years the foundation was a private a operating foundation defined in setion 49420)(3) or 49420)(5))- At the end of tax year 2007, did the foundation have any undistriuted inome (lines 6d and 6e, Part XIII) for tax year(s) eginning efore 2007? Yes XX No If "Yes," list the years 20, 20, 20, 20 Are there any years listed in 2a for whih the foundation is not applying the provisions of setion 4942(a)(2) (relating to inorret valuation of assets) to the year's undistriuted inome? (If applying setion 4942(a)(2) to all years listed, answer "No" and attah statement-see page 22 of the instrutions.) N/A 2 If the provisions of setion 4942(a)(2) are eing applied to any of the years listed in 2a, list the years here 20, 20, 20, 20 3a Did the foundation hold more than a 2% diret or indiret interest in any usiness enterprise at any time during the year? Yes IX No If "Yes," did it have exess usiness holdings in 2007 as a result of (1) any purhase y the foundation or disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved y the Commissioner under setion 4943()(7)) to dispose of holdings aquired y gift or equest, or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Shedule C, Form 4720, to determine if the foundation had exess usiness holdings in 2007.) N/A 3 4a Did the foundation invest during the year any amount in a manner that would jeopardize its haritale purposes? 4a X Did the foundation make any investment in a prior year (ut after Deemer 31, 1969) that ould jeopardize its haritale purpose that had not een removed from jeopardy efore the first day of the tax year eginning in X Form 990-PF (2007)

6 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 6 Part VII-B Statements Re g ardin g Ativities for Whih Form 4720 May Be Re q uired ( ontinued ) 5a During the year did the foundation pay or inur any amount to. (1) Carry on propaganda, or otherwise attempt to influene legislation (setion 4945(e))'" Yes No (2) Influene the outome of any speifi puli eletion (see setion 4955), or to arry on, diretly or indiretly, any voter registration drive? 8 Yes BX No (3) Provide a grant to an individual for travel, study, or other similar purposes Yes X No (4) Provide a grant to an organization other than a haritale, et, organization desried in setion 509(a)(1), (2), or (3), or setion 4940(d)(2)? (see page 22 of the instrutions) Yes No (5) Provide for any purpose other than religious, haritale, sientifi, literary, or eduational purposes, or for the prevention of ruelty to hildren or animals? Yes No If any answer is "Yes" to 5a(1)-(5), did any of the transations fail to qualify under the exeptions desried in 6a Regulations setion or in a urrent notie regarding disaster assistane (see page 22 of the instrutions)' N/A 5 Organizations relying on a urrent notie regarding disaster assistane hek here If the answer is "Yes" to question 5a(4), does the foundation laim exemption from the tax eause it maintained expenditure responsiility for the grants N/A U Yes No If "Yes," attah the statement required y Regulations setion (d). Did the foundation, during the year, reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? Yes No Did the foundation, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? 6 X If you answered "Yes" to 6, also file Form a At any time during the tax year, was the foundation a party to a prohiited tax shelter transation? Yes No If yes, did the foundation reeive any p roeeds or have any net inome attriutale to the transation? N/A 7 Part VIII Information Aout Offiers, Diretors, Trustees, Foundation Managers, Highly Paid Employees, and Contrators I List all offiers - diretors - trustees. foundation mananers and their mmnanatinn / an nano 74 of the intr..rtinnl (a) Name and address Brion S. Collins Hartland N7123 Mill Pond Way W Jennifer M. Collins Hartland N7123 Mill Pond Way WI () Title, and average hours per week devoted to position Trustee Trustee () Compensation ( ( If not paid, enter employee enefito plans and deferred om pensation (e) Ex p ense aount, other allowanes Compensation of five highest-paid employees (other than those inluded on line 1-see page 23 of the instrutions). If none. enter "NONE." (a) Name and address of eah employee paid more than $50,000 () Title, and average hours per week devoted to position () Compensation (d) Contriutions to employee enefit plans and deferred ompensation (e) Expense aount, other allowanes NONE Total numer of other employees paid over $50,000 1 Form 990-PF (2007)

7 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 7 Part VIII Information Aout Offiers, Diretors, Trustees, Foundation Managers, Highly Paid Employees, and Contrators (ontinued) 3 Five highest -paid independent ontrators for professional servies (see page 23 of the instrutions ). If none, enter "NONE." NONE ( a ) Name and address of eah person p aid more than $50,000 ( ) Type of servie ( ) Compensation Total numer of others reeiving over $50,000 for professional servies Part IX-A Summary of Diret Charitale Ativities List the foundation's four largest diret haritale ativities during the tax year Inlude relevant statistial information suh as the numer of organizations and other enefiiaries served, onferenes onvened, researh papers produed, et I The purpose of this trust is to ontriute to entities reognized y the IRS as haritale organizations. A list of amounts ontriuted is attahed. 2 Expenses 28, Part IX- B Summary of Program- Related Investments (see page 24 of the instrutions) Desrie the two largest program-related investments made y the foundation during the tax year on lines 1 and 2 Amount 1 N/A 2 All other program-related investments 3 See page 24 of the instrutions Total. Add li nes 1 thro ugh 3 Form 990 -PF (2007)

8 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 8 Part X Minimum Investment Return (All domesti foundations must omplete this part. Foreign foundations, see pa g e 24 of the instrutions. ) 1 Fair market value of assets not used (or held for use) diretly in arrying out haritale, et, purposes a Average monthly fair market value of seurities 1a 0 Average of monthly ash alanes 1 20, 117 Fair market value of all other assets (see page 25 of the instrutions) 1 16, 729 d Total (add lines 1 a,, and ) 1d 36, 846 e Redution laimed for lokage or other fators reported on lines 1a and 1 (attah detailed explanation) 1e 0 2 Aquisition indetedness appliale to line 1 assets Sutrat line 2 from line ld Cash deemed held for haritale ativities Enter 1 1/2% of line 3 (for greater amount, see page 25 of the instrutions) Net value of nonharitale -use assets. Sutrat line 4 from line 3 Enter here and on Part V, line Minimum investment return. Enter 5% of line 5 6 1, 815 Part XI Distriutale Amount (see page 25 of the instrutions) (Setion 49420)(3) and 0)(5) private operating foundations and ertain foreig n org anizations hek here 1-1 and do not om plete this p art 1 Minimum investment return from Part X, line 6 1 1, 815 2a Tax on investment inome for 2007 from Part VI, line 5 2a 1 Inome tax for 2007 (This does not inlude the tax from Part VI.) 2 Add lines 2a and Distriutale amount efore adjustments. Sutrat line 2 from line 1 3 1, Reoveries of amounts treated as qualifying distriutions 4 5 Add lines 3 and 4 5 1, Dedution from distriutale amount (see page 25 of the instrutions) 6 7 Distriutale amount as adjusted Sutrat line 6 from line 5. Enter here and on Part XIII, line 1 7 1, 814 Part XII Qualifying Distriutions (see page 26 of the instrutions) 1 Amounts paid (inluding administrative expenses) to aomplish haritale, et, purposes a Expenses, ontriutions, gifts, et -total from Part I, olumn (d), line 26 1a 29, 617 Program-related investments-total from Part IX-B 1 2 Amounts paid to aquire assets used (or held for use) diretly in arrying out haritale, et, purposes 2 3 Amounts set aside for speifi haritale projets that satisfy the a Suitaility test (prior IRS approval required) 3a Cash distriution test (attah the required shedule) 3 4 Qualifying distriutions. Add lines la through 3. Enter here and on Part V, line 8, and Part XIII, line , Foundations that qualify under setion 4940(e) for the redued rate of tax on net investment inome Enter 1 % of Part I, line 27 (see page 26 of the instrutions) Adjusted qualifying distriutions. Sutrat line 5 from line 4 6 2_9 617 Note : The amount on line 6 will e used in Part V, olumn (), in susequent years when alulating whether the foundation qualifies for the setion 4940(e) redution of tax in those years Form 990 -PF (2007)

9 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 9 Part XIII Undistriuted Inome ( see pa g e 26 of the instrutions (a) () () (d) 1 Distriutale amount for 2007 from Part XI, Corpus Years poor to line 7 1, Undistriuted inome, if any, as of the end of a Enter amount for 2006 only Total for prior years. 20, 20, 20 3 Exess distriutions arryover, if any, to a From , 327 From , 736 From , 454 d From , 236 e From , 448 f Total of lines 3a through e 238, Qualifying distriutions for 2007 from Part XII, line 4 $ 29,617 a Applied to 2006, ut not more than line 2a Applied to undistriuted inome of prior years (Eletion required-see page 27 of the instrutions) Treated as distriutions out of orpus (Eletion required-see page 27 of the instrutions) d Applied to 2007 distriutale amount 1, 814 e Remaining amount distriuted out of orpus 27, Exess distriutions arryover applied to 2007 (If an amount appears in olumn (d), the same amount must e shown in olumn (a) ) 6 Enter the net total of eah olumn as Indiated elow: a Corpus Add lines 3f, 4, and 4e. Sutrat line 5 266, 004 Prior years' undistriuted inome Sutrat line 4 from line 2 Enter the amount of prior years' undistriuted inome for whih a notie of defiieny has een issued, or on whih the setion 4942(a) tax has een previously assessed d Sutrat line 6 from line 6 Taxale amount-see page 27 of the instrutions e Undistriuted inome for 2006 Sutrat line 4a from line 2a. Taxale amount-see page 27 of the instrutions f Undistriuted inome for 2007 Sutrat lines 4d and 5 from line 1. This amount must e distriuted in Amounts treated as distriutions out of orpus to satisfy requirements imposed y setion 170()(1)(F) or 4942(g)(3) (see page 27 of the instrutions) 8 Exess distriutions arryover from 2002 not applied on line 5 or line 7 (see page 27 of the instrutions) 34, Exess distriutions arryover to Sutrat lines 7 and 8 from line 6a 231, Analysis of line 9. - a Exess from , 736 Exess from , 454 Exess from , 236 d Exess from , 448 e Exess from Form 990 -PF (2007)

10 Forni 990-PF (2007) Charitale Trust Agreement of Brion Page 10 Part XIV Private O p eratin g Foundations ( see pa g e 27 of the instrutions and Part VII-A q uestion 9 ) 1a If the foundation has reeived a ruling or determination letter that it is a private operating foundation, and the ruling is effetive for 2007, enter the date of the ruling Chek ox to indiate whether the foundation is a p rivate o perating foundation desried in setion )( 3 ) or 4942 (j)( 5 ) 2a Enter the lesser of the adjusted net Tax year Prior 3 years inome from Part I or the minimum (a ) 2007 ( ) 2006 ( ) 2005 ( d ) 2004 investment return from Part X for eah year listed 85% of line 2a Qualifying distriutions from Part XII, line 4 for eah year listed d Amounts inluded in line 2 not used diretly e for ative ondut of exempt ativities Qualifying distriutions made diretly for ative ondut of exempt ativities Sutrat line 2d from line 2 3 Complete 3a,, or for the a alternative test relied upon "Assets" alternative test-enter, (1) Value of all assets (2) Value of assets qualifying under setion 49420)(3)(8)(1) 'Endowment" alternative test-enter 2/3 of minimum investment return shown in Part X, line 6 for eah year listed "Support" alternative test-enter. (1) Total support other than gross investment inome (interest, dividends, rents, payments on seurities loans (setion 512(a)(5)), or royalties) (2) Support from general puli and 5 or more exempt organizations as provided in setion 49420)(3)(B)(ui) (3) Largest amount of support from an exempt organization (4 ) Gross investment inome Part XV Supplementary Information ( Complete this part only if the foundation had $5,000 or more in assets at any time during the year-see page 28 of the instrutions.) 1 Information Regarding Foundation Managers: a ( e) Total List any managers of the foundation who have ontriuted more than 2% of the total ontriutions reeived y the foundation efore the lose of any tax year (ut only if they have ontriuted more than $5,000). (See setion 507(d)(2) Brion S. Collins & Jennifer M. Collins $ List any managers of the foundation who own 10% or more of the stok of a orporation (or an equally large portion of the ownership of a partnership or other entity) of whih the foundation has a 10% or greater interest. N/A 2 Information Regarding Contriution, Grant, Gift, Loan, Sholarship, et., Programs: a Chek here IX if the foundation only makes ontriutions to preseleted haritale organizations and does not aept unsoliited requests for funds. If the foundation makes gifts, grants, et. (see page 28 of the instrutions) to individuals or organizations under other onditions, omplete items 2a,,, and d The name, address, and telephone numer of the person to whom appliations should e addressed N/A The form in whih appliations should e sumitted and information and materials they should inlude N/A Any sumission deadlines: N/A d Any restritions or limitations on awards, suh as y geographial areas, haritale fields, kinds of institutions, or other fators. N/A Form 990-PF (2007)

11 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 11 Part XV, Supplementary Information (ontinued) 3 Grants and Contriutions Paid During the Year or Approved for Future Payment Reipient Name and address ( home or usiness ) a Paid during the year See Attahed Shedule If reipient is an individual, Foundation show any relationship to status of Purpose of grant or any foundation manager or sustantial ontriutor reipient ontriution Amount 28,501 Total 3a 28, 501 Approved for future payment N/A Total 3 Form 990-PF (2007)

12 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 12 Part XVI -A Analysis of Inome - Produini Ativities Enter gross amounts unless otherwise indiated Unrelated usiness inome Exluded y setion 512, 513, or 514 (e) Related or exempt ( a) () () (d ) funtion inome Business ode Amount Exlusion Amount (See page 28 of odde 1 Program servie revenue the instrutions ) a d e f g Fees and ontrats from government agenies 2 Memership dues and assessments 3 Interest on savings and temporary ash investments 41 4 Dividends and interest from seurities 5 Net rental inome or (loss) from real estate a Det-finaned property Not det-finaned property 6 Net rental inome or (loss) from personal property 7 Other investment inome 8 Gain or (loss) from sales of assets other than inventory 9 Net inome or (loss) from speial events 10 Gross profit or (loss) from sales of inventory 11 Other revenue- a d e 12 Sutotal Add olumns (), (d), and (e) Total. Add line 12, olumns (), (d), and (e) (See worksheet in line 13 instrutions on page 29 to verify alulations ) Part XVI- B Relationshi p of Ativities to the Aom p lishment of Exem p t Purposes Explain elow how eah ativity for whih inome is reported in olumn (e) of Part XVI-A ontriuted importantly to Line No.. V the aomplishment of the foundation's exempt purposes (other than y providing funds for suh purposes) (See a e 29 of the instrutions 3 Earnin g s on undistriuted funds will e used to make future haritale ontriutions. Form 990-PF (2007)

13 Form 990-PF (2007) Charitale Trust Agreement of Brion Page 13 Part XVII Information Regarding Transfers To and Transations and Relationships With Nonharitale Exem p t Org anizations 1 Did the organization diretly or indiretly engage in any of the following with any other organization desried Yes No in setion 501() of the Code (other than setion 501 ()(3) organizations) or in setion 527, relating to politial a organizations? Transfers from the reporting foundation to a nonhantale exempt organization of (1) Cash a 1 X (2) Other assets 1a(2) X Other transations: (1) Sales of assets to a nonharitale exempt organization 1 ( l ) X (2) Purhases of assets from a nonharitale exempt organization 1 ( 2 )1 X (3) Rental of failities, equipment, or other assets 1 ( 3 )1 X (4) Reimursement arrangements 1(4)1 X (5) Loans or loan guarantees 1 ( 5 ) X (6) Performane of servies or memership or fundraising soliitations 1 ( 6 ) X Sharing of failities, equipment, mailing lists, other assets, or paid employees 1 X d If the answer to any of the aove is "Yes," omplete the following shedule. Column () should always show the fair market value of the goods, other assets, or servies given y the reporting organization If the foundation reeived less than fair market value in any transation or sharing arrangement. show in olumn (d) the value of the goods. other assets. or servies reeived (a) Line no I () Amount involved I () Name of nonharitale exempt organization I (d) Desription of transfers, transations. and shanna arrangements N/A 2a Is the foundation diretly or indiretly affiliated with, or related to, one or more tax-exempt organizations desried in setion 501 ( ) of the Code ( other than setion 501( )( 3)) or in setion 527" If "Yes _" omplete the following shedule 1-1 Yes No N/A ( a ) Name of organization ( ) Type of organization ( ) Desri ption of relationshi p Under penalties of perjury, I delare that I have examined this return, inluding aompanwna shedules and statements. and to the est of my knowledge and elief, it is true, et, and o plete Delaration of preparer ( other than taxpayer or fi Sign re o f o ffier or trustee [ d Preparers' g a m sl nature 1 (i +\j CL M Firm's name ( or yours if Andrew Douglas, LLP self-employed ), address, S Calhoun Rd and ZIP ode Brookfield, WI 53

14 Federal Statements Statement 1 - Form 990-PF. Part I. Line 16 - Aountina Fees Net Adjusted Charitale Desription Total Investment Net Purpose Indiret Aounting Fees $ 495 $ $ $ 495 Total $ 495 $ 0 $ 0 $ 495 Statement 2 - Form PF, Part I, Line 18 - Taxes Net Adjusted Charitale Desription Total Investment Net Purpose Indiret Taxes/Lienses $ 1 $ $ $ 1 Total $ 1 $ 0 $ 0 $ 1 Statement 3 - Form 990 -PF. Part I. Line 23 - Other Expenses Net Adjusted Charitale Desription Total Investment Net Purpose $ $ $ $ Expenses Life Insurane Premiums Total $ 620 $ 0 $ 0 $

15 Federal Statements Statement 4 - Form PF, Part II, Line 15 - Other Assets Beginning End of Desription of Year Year Cash Surrender Value Life Insurane $ $ Total $ 0 $ 0 Fair Market Value $ 33,459 $ 33,459 4

16 Federal Statements Statement 5 - Form 990 -PF, Part VII-A, Line 10 - Sustantial Contriutor s Name Address Brion and Jennifer Collins N7123 Mill Pond Way Hartland WI City, St Zip 5

17 Federal Statements Form 990 -PF, Part XV, Line 1a - Managers Who Contriuted Over 2% or $5,00 0 Name of Manager Brion S. Collins & Jennifer M. Collins Total Amount 50,000 50,000

18 Charitale Trust of Brion and Jennifer Collins Part XV - Supplementary Information Name Amerian Life League Arhdioese of Milwaukee Basilia of St. Josaphat Blessed Teresa of Calutta Boy Souts of Ameria Catholi Answers Children International Holy Hill Human Life International Knights of Columus LifeNews Northwestern University Pro-Life Wisonsin Eduation Task Fore St Anthony's On the Lake St James St Jerome's Parish St Matthew WYRE Ministries Woodlawn Foundation Youth Servie International Total Address P 0 Box 1350, Stafford, VA S Lake Drive, Milwaukee, WI South 6th Street, Milwaukee, WI W314 N7462 Hwy 83, North Lake, WI N 12 West Bluemound Rd, Waukesha, WI Gillespie Way, ElCajon, CA P O. Box , Kansas City, MO Carmel Road, Huertus, Wisonsin Family Life Lane, Front Royal, VA West Beltline Highway, Madison, WI om 2020 Ridge Avenue, Evanston, IL North Hills Drive, Brookfield, WI W280 N2101 Highway SS Pewaukee WI County Road NN East Mukwonago WI S. Main Street, Oonomowo, WI East Shaumurg Road, Shaumurg, IL th Avenue, Kenosha, WI North Avenue, New Rohelle, NY Status Purpose of Grant 2007 Contriution Eduational Eduation on Rights of Unorn $ 1,000 Religious Relief Servies for Poor $ 7,000 Religious Loal Churh Operations $ 100 Religious Loal Churh Operations $ 6,300 Children Servie Children's Servies $ 300 Religious Eduation on Catholi Faith $ 1,000 Relief Servies Relief Servies for Poor $ 264 Religious Loal Churh Operations $ 2,650 Puli Charity Pro-Life Awareness $ 250 Religious Relief Servies for Poor $ 2,125 Eduational Pro-Life Awareness $ 100 Eduational Eduation $ 250 Eduational Eduation Assistane for Needy $ 1,262 Religious Loal Churh Operations $ 150 Religious Loal Churh Operations $ 100 Religious Loal Churh Operations $ 200 Religious Loal Churh Operations $ 100 Eduational Eduation on Morality $ 150 Religious Eduation on Catholi Faith $ 5,000 Religious Eduation on Catholi Faith $ 200 $ 28,501

19 Form 8868 I Appliation -for Extension of Time To File an I (Rev April 2007) Exempt Organization Return OMB No Department of the Treasury I 110- File a separate appliation for eah return I Internal Revenue Servie If you are filing for an Automati 3-Month Extension, omplete only Part I and hek this ox X If you are filing for an Additional ( not automati ) 3-Month Extension, omplete only Part II (on page 2 of this form) Do not omplete Part 11 unless you have already een granted an automati 3-month extension on a previously filed Form Part I Automati 3-Month Extension of Time. Only sumit original (no opies needed). Setion 501() orporations required to file Form 990-T and requesting an automati 6-month extension-hek this ox and omplete Part I only q All other orporations (inluding 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file inome tax returns. Eletroni Filing (e4ile ). Generally, you an eletronially file Form 8868 if you want a 3-month automati extension of time to file one of the returns noted elow (6 months for setion 501() orporations required to file Form 990-T). However, you annot file Form 8868 eletronially if (1) you want the additional (not automati) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group returns, or a omposite or onsolidated Form 990-T. Instead, you must sumit the fully ompleted and signed page 2 (Part II) of Form For more details on the eletroni filing of this form, visit and lik on e-file for Charities & Nonprofits Type or print File y the due date for filing your return See instrutions Name of Exempt Organization Charitale Trust Agreement of Brion S. Collins Numer, street, and room or suite no. If a P.O ox, see instrutions. N7123 Mill Pond Way City, town or post offie, state, and ZIP ode. For a foreign address, see instrutions. Hart land WI Chek type of return to e filed (file a separate appliation for eah return): Form 990 Form 990-T ( orporation) Form 990-BL Form 990-T (se 401(a ) or 408(a) trust) Form 990 -EZ X Form 990 -PF Form 1041-A Form 990-T (trust other than aove) Employer identifiation numer Form 4720 Form 5227 Form 6069 Form 8870 The ooks are in the are of Brion S. Collins Telephone No FAX No. If the organization does not have an offie or plae of usiness in the United States, hek this ox q If this is for a Group Return, enter the organization ' s four digit Group Exemption Numer (GEN) If this is for the whole group, hek this ox q. If it is for part of the group, hek this ox and attah a list with the names and EINs of all memers the extension will over. 1 I request an automati 3 -month (6 months for a setion 501 () orporation required to file Form 990 -T) extension of time until 8/15/ 08, to file the exempt organization return for the organization named aove. The extension is for the organization ' s return for X alendar year 2007 or tax year eginning, and ending 2 If this tax year is for less than 12 months, hek reason: q Initial return q Final return q Change in aounting period 3a If this appliation is for Form 990 -BL, PF, 990 -T, 4720, or 6069, enter the tentative tax, nonrefundale redits See instrutions. If this appliation is for Form 990-PF or 990-T, enter any refundale redits and estimated tax payments made. Inlude any prior year overpayment allowed as a redit Balane Due. Sutrat line 3 from line 3a. Inlude your payment with this form, or, if required, deposit with FTD oupon or, if required, y using EFTPS (Eletroni Federal Tax Payment Caution. If you are going to make an eletroni fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instrutions. $ 0 $ 0 $ 0 For Privay At and Paperwork Redution At Notie, see Instrutions. Form 8868 (Rev )

20 Form 8868 ( Rev ) Pa e 2 If you are filing for an Additional ( Not Automati) 3-Month Extension, omplete only Part li and hek this ox X Note. Only omplete Part II if you have already een granted an automati 3-month extension on a previously filed Form If you are filing for an Automati 3-Month Extension, omplete only Part I (on page 1). Part If Additional ( Not Automati ) 3-Month Extension of Time. You must He original and one -o py. Type or Name of Exempt Organization Employer Identifiation numer print Charitale Trust Agreement of Brion File y the S. Collins extended Numer, street, and room or suite no. If a P.O. ox, see instrutions. For IRS use only due date for N7123 Mill Pond Way fil ing the return See City, town or post offie, state, and ZIP ode For a foreign address, see instrutions. instrutions Hartland WI r_hek tvne of return to e filed (File a separate aooliation for eah return): Form 990 Form 990-PF Form 1041-A q Form 6069 Form 990 -BL Form 990 -T (se. 401(a ) or 408( a) trust ) Form 4720 Form 8870 Form 990-EZ Form 990-T ( trust other than aove ) Form 5227 STOP! Do not omplete Part It If you were not already granted an automati 3-month extension on a previously filed Form The ooks are in the are of Telephone No... FAX No. If the organization does not have an offie or plae of usiness in the United States, hek this ox q If this is for a Group Return, enter the organization's four digit Group Exemption Numer (GEN). If this is for the whole group, hek this ox q. If it is for partof the group, hek this ox q and attah a list with the names and EINs of all memers the extension is for 4 I request an additional 3-month extension of time until 5 For alendar year, or other tax year eginning, and ending 6 If this tax year is for less than 12 months, hek reason: q Initial return q Final return q Change in aounting period 7 State in detail why you need the extension 8a If this appliation is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundale redits See instrutions. 8a $ If this appliation is for Form 990-PF, 990-T, 4720, or 6069, enter any refundale redits and estimated tax payments made. Inlude any prior year overpayment allowed as a redit and any amount paid previously with Form $ Balane Due. Sutrat line 8 from line 8a. Inlude your payment with this form, or, if required, deposit with FTD ou pon or, if required, y using EFTPS ( Eletroni Federal Tax Payment System ) See instrutions 8 $ Signature and Verifiation Under penalties ftvedury, I delare that I ye examingd this form, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orretl arld omplete, af1a thatfam alghorizeki to prepare this form Title Date 111/11 toh Form (Rev )