I,
It
Form
or Section 4947(a)(1) Nonexempt Charitable Trust
Internal Revenue sen""
^oo^
Note . The foundation may be able to use a copy of this return to satisfy state reporting requirements.
For calendslr year 2008 , or tax year beginning
AUG
Initial return
G Check all that aooly
1,
. and ending
2008
Final return
JUL
Amended return
2009
Name chance
A Employer identification number
otherwise, TREK SCHOLARSHIP FOUNDATION INC
20-4143271
Number and street (or P 0 box number if mail is not delivered to street address )
Room/suite
01 W MADISON STREET
C If exemption application is pending . check here
53594
WI
D 1- Foreign organizations, check here
2. Foreign organi zations meeting the 85% test,
check here and attach computation
Section 501(c)(3) exempt private foundation
H Check typea of organization:
Section 4947(a)(1) nonexempt charitable trust L Other taxable p rivate foundation
Cash
Accrual
I Fair market value of all assets at end o f year J Accounting method:
= Other (specify)
(from Part ll, col. (c), line 16)
2 0 , 3 0 7 . (Part 1, column (d) must be on cash basis.)
Ana lysis of Revenue and Expenses
Part I (The
(a ) Revenue and
(b) Net investment
total of amounts in columns (b), (c), and (d) may not
expenses per books
income
necessarily equal the amounts in column (a))
I
Contributions, gifts, grants, etc., received
2
Check
3
Interest on savings and temporary
cash investments
B Telephone number
800-313-8725
See Specifi
City or town, state, and ZIP code
Instructions .
ATERLOO,
31 ,
Address chance
Name of foundation
Use the IRS
label.
or type •
1545-0052
Treated as a Private Foundation
Department of the Treasury
print
OMB No
Return of Private Foundation
990-PF
E If private foundation status was terminated
under section 507(b)(1)(A), check here ^ ^
F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here
( d ) Disbursements
(c) Adjusted net
income
for
only)
(cashbasis Y)
52,557.
it the foundation is not required Is attach Sch B
--J r.r•--'
4 Dividends and interest from securities
5a Gross rents
°
-
±r•1 ^ (^CA
b Net rental income or (loss)
68 Net gain or (loss) from sale of assets not on line 10
Gross sales price for all
b assets on line 6a
m
7
---
Capital gain net income (from Part IV, line 2)
0 .
--^ .
t
8 Net short-term capital gain
9 Income modifications
Gross sales less returns
1o8 and allowances
O
CV
b Less Cost of goods sold
c Gross profit or (loss)
11 Other income
12 Total . Add lines 1 through 11
13
LU
52,557.
0.
0.
0.
0.
0.
0.
3,250.
2,500.
0.
0.
0.
0.
0.
0.
5,750.
0 .
0 .
Compensation of officers drectors , trustees , etc
14 Other employee salaries and wages
15 Pension plans, employee benefits
rn
16a Legal fees
b Accounting fees
c Other professional fees
a
Q
.91
E
<
C
0
a
0
STMT 1
STMT 2
17
18
19
20
21
22
23
24
Interest
Taxes
Depreciation and depletion
Occupancy
Travel, conferences, and meetings
Printing and publications
Other expenses
Total operating and administrative
expenses . Add lines 13 through 23
25 Contributions, gifts, grants paid
26 Total expenses and disbursements.
Add lines 24 and 25
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements
49,000.
54,750.
<2
0 .
49,000.
0.
0.
49,000.
, 19 3 •
b Net investment income (d negative, enter -0-)
c Adjusted net income (if negative enter -0-)
LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions .
0
0.
Form 990-PF (2008)
823501
01-02-09
10131117
133329
762-741-0
1
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
r
Form 990-PF (2008)
Attached tthedulesandamounts inthedescnpbon
P eltII
Balance Sheets column should be for end-of -year amounts only
Beginning of year
( a ) B o ok Val ue
1 Cash - non=Interest-bearing 2 Savings and temporary cash investments
3 Accounts receivable ^
Less: allowance for doubtful accounts ^
4 Pledges receivable ^
Less: allowance for doubtful accounts ^
5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
_
disqualified persons
7
<
20-4143271
TREK SCHOLARSHIP FOUNDATION INC
Other notes and loans receivable
_
( b ) B oo k V a l ue
Page 2
End of year
( c ) Fair Market Value
22,500.
20,307.
20,307.
22,500.
20,307.
20,307.
0.
0.
22,500.
0.
0.
20,307
0 .
0 .
22,500.
20,307.
22 , 5 0 0.
20 , 3 0 7.
^
Less: allowance for doubtful accounts ^
- 8 Inventories for sale or use
9 Prepaid expenses and deferred charges
10a Investments - U.S. and state government obligations
b Investments - corporate stock
c Investments - corporate bonds
11
Investments - land buildings and equipment basis
^
less accumulated depreciation
^
12 Investments - mortgage loans
13 Investments - other
14 Land, buildings, and equipment basis ^
Less accumulated depreciation
^
15 Other assets (describe ^
m
J
01
m
to
r_
LL
0
a
Z
16
17
18
19
Total assets to be completed b all filers
Accounts payable and accrued expenses
Grants payable
Deferred revenue
20
Loans from officers directors, trustees . and other disqualified persons
21 Mortgages and other notes payable
22 Other liabilities (describe ^
23 Total liabilities (add lines 17 throu g h 22 )
Foundations that follow SFAS 117 , check here
^
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted
25 Temporarily restricted
26 Permanently restricted
Foundations that do not follow SFAS 117, check here
No.
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds
28 Paid-in or capital surplus, or land, bldg., and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds
30 Total net assets or fund balances
31 Total liabilities and net assets/fund balances
Part Ill
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 30
(must agree with end-of-year figure reported on prior year's return)
2 Enter amount from Part I, line 27a
3 Other increases not included in line 2 (itemize) ^
4 Add lines 1, 2, and 3
5 Decreases not included in line 2 (itemize) ^
6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II. column
22,500.
<2.193.>
line 30
V .
20,307.
0.
20,307.
Form 990-PF (2008)
823511
01-02-09
2
10131117
133329
762-741-0
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990-PF (2008)
TREK SCHOLARSHIP FOUNDATION INC
Part IV Capita l G ains an d Losses for Tax on I nvestment I ncome
20-4143271
How acquired
- Purchase
D - Donation
(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.)
(c Date acquired
()mo., day, yr.)
Page 3
(d) Date sold
(mo., day, yr.)
la
NONE
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
(i) F.M.V. as of 12/31/69
(j) Adjusted basis
as of 12/31/69
(I) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col. (h))
(k) Excess of col. (i)
over col. (j), it any
a
b
c
d
e
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2 Capital gain net income or (net capital loss)
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).
If (loss), enter -0- in Part I, line 8
I Part V
3
uuatiTlcatlon Unger Section 4`•J4U (e) Tor lieaucea Tax on Net investment income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes, the foundation does not qualify under section 4940(e). Do not complete this part
1 Enter the appropriate amount in each column for each year see instructions before making any entries.
(a)
Base period years
Calendar year (or tax year beginning in)
(b)
Adjusted qualifying distributions
0 Yes ® No
Distribution ratio
(col. (b) divided by col. (c))
(c)
Net value of nonchantable-use assets
2007
11,000.
15,267.
.720508
2006
15,500.
8,846.
1.752204
2005
2004
2003
2 Total of line 1, column (d)
3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of years
the foundation has been in existence if less than 5 years
2
2.472712
3
1.236356
4 Enter the net value of noncharitable-use assets for 2008 from Part X, line 5
4
21,083.
5 Multiply line 4 by line 3
5
26,066.
6 Enter 1% of net investment income (1% of Part I, line 27b)
6
0.
7 Addlines5and6
7
26,066.
8
49,000.
8 Enter qualifying distributions from Part XII, line 4
_
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.
See the Part VI instructions.
823521 01-02-09
10131117 133329 762-741-0
Form 990-PF (2008)
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990 -PF (2008)
TREK SCHOLARSHIP FOUNDATION INC
Part VI I Excise Tax Based on Investment I ncome (Section 4
(a) , 4
20-4143271
Page 4
4940(e) , or 4948 - see instructions)
and enter N/A' on line 1.
Is Exempt operating foundations described in section 4940 ( d)(2), check here ^
Date of ruling letter.
(attach copy of ruling letter if necessary - see instructions)
b Domestic foundations that meet the section 4940 (e) requirements in Part V, check here ^ ® and enter 1%
of Part I , line 27b
.
c All other domestic foundations enter 2% of line 27b . Exempt foreign organizations enter 4% 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-)
_
3 Add lines 1 and 2
4 Subtitle A (income ) tax (domestic section 4947( a)(1) trusts and taxable foundations only. Others enter -0-)
5 Tax based on investment income . Subtract line 4 from line 3 . If zero or less, enter -06 Credits/Payments:
a 2008 estimated tax payments and 2007 overpayment credited to 2008
6a
b Exempt foreign organizations - tax withheld at source
6b
c Tax paid with application for extension of time to file (Form 8868)
6c
d Backup withholding erroneously withheld
6d
7 Total credits and payments. Add lines 6a through 6d
8 Enter any penalty for underpayment of estimated tax. Check - here 0 if Form 2220 is attached
9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed
^
10 Overpayment . If line 7 is more than the total of lines 5 and 8 , enter the amount overpaid
^
11 Enter the amount of line 10 to be : Credited to 2009 estimated tax .
Refunded jo.
Part VII-A
1
0.
2
3
4
5
0.
7
8
9
10
11
0.
0.
0.
0.
Statements Regarding Activities
Is During the tax year , did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in
_
any political campaign?
b Did it spend more than $100 during the year ( either directly or indirectly) for political purposes ( see instructions for definition)?
If the answer is "Yes' to Is or 1b, attach a detailed descnptson 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?
d Enter the amount ( if any) of tax on political expenddures (section 4955) imposed during the year:
(1) On the foundation. ^ $
0. (2) On foundation managers. ^ $
0.
e Enter the reimbursement (if any ) paid by the foundation during the year for poldical expenditure tax imposed on foundation
managers. ^ $
la
1b
Yes No
X
X
1c
X
2
X
3
4a
4b
5
X
X
0.
2 Has the foundation engaged in any activities that have not previously been reported to the IRS?
_
If "Yes,' attach a detailed descnphon 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
4a Did the foundation have unrelated business gross income of $1 , 000 or more during the year?
b If 'Yes ; has it filed a tax return on Form 990 -T for this years
5 Was there a liquidation , termination, dissolution , or substantial contraction during the year?
_
N/A
X
If "Yes," attach the statement required by General Instruction T.
6 Are the requirements of section 508 ( e) (relating to sections 4941 through 4945 ) satisfied either:
• By language in the governing instrument, or
• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law
remain in the governing instrument?
7 Did the foundation have at least $5,000 in assets at any time during the year?
6
7
X
X
8b
X
If "Yes ," complete Part fl, col. (c), and Part XV.
8a Enter the states to which the foundation reports or with which it is registered (see instructions) ^
WI
b It 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
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942 (j)(3) or 4942( 1)(5) for calendar
year 2008 or the taxable year beginning in 2008 ( see instructions for Part XIV)? If "Yes,' complete Part XIV
10 Did an y persons become substantial contributors during the tax year? if 'Yes.' attach a schedule listin g their names and addresses
STMT
9
3
X
10 X
Form 990-PF (2008)
823531
01-02-09
10131117 133329 762-741-0
4
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990- PF (2008 )
TREK SCHOLARSHIP FOUNDATION INC
Page 5
20-4143271
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)
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before
August 17, 2008?
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
N/A
Website address ^
11
14 The books are m care of ^ MARK JOSLYN
located at ^ 8 01 W MADISON STREET,
WATERLOO,
WI
11
X
12
13
X
X
Telephone no. ^ 920-478-2191
3594
ZIP+4
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here
and enter the amount of tax-exempt interest received or accrued during the year
. ^
^ L_J
N/A
15
Part VII- 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.
Is 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'
Q Yes
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
Yes
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
0 Yes
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
Yes
(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.)
Yes
b If any answer is 'Yes' to la(1)-(6), did any of the acts fail to quality under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
_
c 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 20089
_
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(l)(5)):
a At the end of tax year 2008, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning
before 2008?
0 Yes
If 'Yes; list the years ^
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.)
_
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
No
® No
® No
® No
® No
® No
® No
N/A
^Q
1b
Ic I
I X
® No
N/A
2b
^
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
during the year?
Yes ® No
b If 'Yes; did it have excess business holdings in 2008 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 2008.)
N/A
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
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 beaimmna in 2008?
_
3b
4a
X
I X
4b I
Form 990-PF (2008)
823541
01-02-09
10131117
133329 762-741-0
5
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990-PF (2008)
TREK SCHOLARSHIP
20-4143271
FOUNDATION INC
5a During the year did the foundation pay or incur any amount to:
(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945(e))?
(2) Influence the outcome of any specific public election (see section 4955 ); or to carry on , directly or indirectly,
_
any voter registration drive?
(3) Provide a grant to an individual for travel , study , or other similar purposes?
(4) Provide a grant to an organ ization other than a charitable , etc., organization described in section
509(a )( 1), (2), or (3 ), or section 4940 (d)(2)?
(5) Provide for any purpose other than religious , charitable, scientific , literary , or educational purposes, or for
the prevention of cruelty to children or animals?
b If any answer is 'Yes' to 5a ( 1)-(5), did any of the transactions fail to quality under the exceptions described in Regulations
section 53.4945 or in a current notice regarding disaster assistance ( see instructions)?
Organizations relying on a current notice regarding disaster assistance check here
c If the answer is 'Yes' to question 5a(4), does the foundation claim exemption from the tax because it maintained
N/A
expenditure responsibility for the grant?
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?
b Did the foundation , during the year , pay premiums , directly or indirectly, on a personal benefit contract?
If you answered ' Yes' to 6b, also file Form 8870.
0
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction'
b If yes, did the foundation receive any proceeds or have any net income attributable to the transactions
Page6
Yes ® No
Yes ® No
Yes 0 No
Yes ® No
Yes ® No
5b
X
Yes ® No
_
6b
X
Yes ® No
N/A
7b
Yes
No
inrormaxion Aooux J racers, urrectors, i rusiees, rounoation managers, pigmy
Part VIII
0
Paid Employees, and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation.
(b) Title, and averag e
hours per week devoted
(a) Name and address
to position
ELAINE BURKE
W308 N6 183 SHORE ACRES ROAD
HARTLAND, WI 53029
<10.00/m0,
MICHELE DEUBEL
7905 WOOD POND TRAIL
CROSS PLAINS, WI 53528
Conidbuhonsto
emp l oyee benefit pions
and deterred
compensation
(e) Expense
account, other
allowances
CTOR
0.
0.
0.
0.
0.
0.
0.
0.
contributions to
mp ands benefit plans
M
delerted
compensation
(e) Expense
account, other
allowances
0.
SECRETARY/TRE ASURER/DI RECT
W308 N6 184 SHORE ACRES ROAD
HARTLAND, WI 53029
MARK JOSLYN
RESIDENT/DI
(c) Co mpensation
( It not p aid ,
enter -0-)
<'10.00
M0.
DIRECTOR
2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."
(b) Title, and average
hours p er week
(a) Name and address of each employee paid more than $50,000
(c) Compensation
devoted t o position
e
NONE
Total number of other employees paid over $50,000
0
^
Form 990-PF (2008)
823551
01-02-09
10131117
133329 762-741-0
6
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
I
Form 990-PF (2008)
TREK SCHOLARSHIP FOUNDATION INC
20-4143271
Information About Officers, Directors , Trustees , Foundation Managers , Highly
Part VIII
0
Paid E mpl oyees, and Contra ctors (continued)
3 Five highest- paid independent contractors for professional services. If none, enter " NONE."
(a) Name and address of each person paid more than $50,000
Total number of others recennna over $50,000 for professional services
Pagel
(c) Compensation
(b) Type of service
U
..
List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as the
number o f orga ni zation s and oth er be neficiaries served, conference s convened, researc h papers produced, etc.
Expenses
N/A
t
2
3
4
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
1
Amount
N/A
2
All other program-related investments. See instructions.
3
Total. Add lines 1 throu gh 3
^
0.
Form 990-PF (2008)
823561
01-02-09
10131117
133329 762 - 741-0
7
2008 . 04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990-PF (2008 )
Part X
1
a
b
c
d
e
2
3
4
5
6
SCHOLARSHIP
FOUNDATION
INC
0.
Is
lb
1c
1d
21,404.
21,404.
0.
0.
2
3
4
5
6
Distributable Amount (see instructions) (Section 4942(1)(3) and (I)(5) private operating foundations and certain
foreign organizations check here lo^ 0 and do not complete this part-)
Minimum investment return from Part X, line 6
Tax on investment income for 2008 from Part VI, line 5
2a
Income tax for 2008. (This does not include the tax from Part VI.)
2b
Add lines 2a and 2b
Distributable amount before adjustments. Subtract line 2c from line 1
Recoveries of amounts treated as qualifying distributions
_
Add lines 3 and 4
Deduction from distributable amount (see instructions)
Distributable amountas adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
art
Page 8
20-4143271
Minimum Investment Return (All domestic foundations must complete this part Foreign foundations , see instructions.)
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:
Average monthly fair market value of securities
Average of monthly cash balances
Fair market value of all other assets
Total (add lines la, b, and c)
Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation)
le
Acquisition indebtedness applicable to line 1 assets
Subtract line 2 from line 1d
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions)
Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4
Minimum investment return . Enter 5% of line 5
Part XI
1
2a
b
c
3
4
5
6
7
TREK
21 , 404 .
321
21, 083
1 , 054
1
1 , 054 .
2c
3
4
5
6
7
0 .
1,05 4 .
0 .
1,05 4.
0 .
1,05 4 .
Qualifying Distributions (see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a Expenses, contributions, gifts, etc. - total from Part I , column (d), line 26
1a
b Program-related investments - total from Part IX-B
_
lb
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 protects 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 la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
_
4
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income Enter 1% of Part I, line 27b
5
6 Adjusted qualifying distributions . Subtract line 5 from line 4
6
Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section
4940(e) reduction of tax in those years.
49,000.
0.
49,000.
0.
49,000.
Form 990-PF (2008)
823571
01-02-09
10131117 133329 762-741-0
8
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990 -PF (2008)
Part XIII
TREK SCHOLARSHIP
Undistributed Income (see instructions)
(a)
Corpus
(b)
Years prior to 2007
(d)
2008
(c)
2007
1 Distributable amount for 2008 from Part XI,
line 7
2
Page 9
20-4143271
FOUNDATION INC
1,054.
Undistributed income , if any, as of the end of 2007
0.
a Enter amount for 2007 only
b Total for prior years:
0.
3 Excess distributions carryover, if any, to 2008:
a From 2003
bFrom 2004
c From 2005
15,058.
d From 2006
10,237.
e From 2007
f Total of lines 3a through e
4 Qualifying distributions for 2008 from
Part XII, line 4:
49,000.
a Applied to 2007, but not more than line 2a
bApplied to undistributed income of prior
years (Election required - see instructions)
c Treated as distributions out of corpus
(Election required - see instructions)
dApplied to 2008 distributable amount
e Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2008
(If an amount appears in column ( di, the same amount
must be shown in column (a) )
25,295.
0.
0.
0.
1,054.
47,946.
0.
0.
6 Enter the net total of each column as
indicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5
b Prior years' undistributed income. Subtract
line 4b from line 2b
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
d Subtract line 6c from line 6b. Taxable
amount - see instructions
e Undistributed income for 2007. Subtract line
4a from line 2a. Taxable amount - see instr.
f Undistributed income for 2008. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2009
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3)
8 Excess distributions carryover from 2003
not applied on line 5 or line 7
9 Excess distributions carryover to 2009.
Subtract lines 7 and 8 from line 6a
10 Analysis of line 9:
a Excess from 2004
b Excess from 2005
c Excess from 2006
15,058.
10,237.
d Excess from 2007
47,946.
e Excess from 2008
73,241.
0.
0.
0.
0.
0.
0.
0.
73,241.
Form 990-PF (2008)
823581
01-02-09
10131117 133329 762-741-0
2008.04040
9
TREK SCHOLARSHIP FOUNDATION
762-7411
Page 10
20-4143271
TREK SCHOLARSHIP FOUNDATION INC
Form 990-PF (2008)
N/A
Pa rt XIV Private O perating Foun dations (see instructions and Part VII-A' question 9)
1 a If the foundation has received a ruling or determination letter that it is a private operating
^
foundation, and the ruling is effective for 2008 , enter the date of the ruling
4942(1)(5)
L-J 4942 (j)(3) or
b Check box to indicate whether the foundation is a private operating foundation described in section
Prior 3 years
Tax year
2 a Enter the lesser of the adjusted net
(e) Total
( d) 2005
(c) 2006
(b) 2007
(a) 2008
income from Part I or the minimum
b
c
d
e
3
a
investment return from Part X for
each year listed
85% of line 2a
Qualifying distributions from Part XII,
line 4 for each year listed ._
_ . _
Amounts included in line 2c not
used directly for active conduct of
exempt activities
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
Complete 3a , b, or c for the
alternative test relied upon:
'Assets' alternative test - enter.
(1) Value of all assets
(2) Value of assets qualifying
under section 4942( I)(3)(B)(i)
b 'Endowmenr alternative test - enter
2/3 of minimum investment return
shown in Part X, 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 ( I)(3)(B)(m) _
(3) Largest amount of support from
an exempt organization
(4 ) Gross investment income
,Part 7CV_ Supplementary information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year-see the instructions.)
1
Information Regarding Foundation Managers:
a List 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).)
ELAINE BURKE
b List 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
NONE
2 Information Regarding Contribution, Grant, Gift, Loan , Scholarship , etc., Programs:
Check here ^ El if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If
the foundation makes gifts, grants, etc. (see instructions ) to individua l s or orga n izations un der other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
MARK JOSLYN, 920-478-2191
801 W MADISON STREET, WATERLOO,
WI 53594
b The form in which applications should be submitted and information and materials they should include:
SEE ATTACHED APPLICATION - STATEMENT 5
c Any submission deadlines:
SELECTED DATE EACH YEAR
d Any restrictions or limitations on awards , such as by geographical areas, charitable fields, kinds of institutions, or other factors:
MUST BE USED FOR TUITION, HOUSING, BOOKS, FEES AND/OR TRANSPORTATION
EXPENSES AT ANY ACCREDITED POST-SECONDARY EDUCATIONAL PROGRAM/INSTITUTION.
Form 990-PF (2008)
823601 01 -02-09
10
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
10111119 133329 762-741-0
Form 990-PF (2008 )
TREK SCHOLARSHIP FOUNDATION INC
20-4143271
Page 11
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
If recipient is an individual,
Recipient
Foundation
show any relationship to
status of
any foundation manager
Name and address (home or business)
recipient
or substantial contributor
Purpose of grant or
contribution
A mount
a Paid during the year
SEE STATEMENT 4
Total
b Approved for future payment
^ 3a
NONE
Total
823611 01-02-09
10131117
133329 762-741- 0
^ 3b 1
0.
Form 990-PF (2008)
11
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990-PF (2008 )
Part XVI -A
TREK SCHOLARSHIP
I Program service revenue:
a
b
c
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash
investments
4 Dividends and interest from securities
5 Net rental income or (loss ) from real estate:
a Debt-financed property
b Not 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)
_
13 Total . Add line 12, columns ( b), (d), and ( e)
(See worksheet in line 13 instructions to verify calculations.)
Line No .
y
Page 12
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
FPa_ff_XW_- ffj
20-4143271
FOUNDATION INC
E xcluded by sectwn 512, 513 , or 514
U nre l a te d b usiness income
(a)
Business
code
(b)
Amount
X see
(d)
Amount
0.
(e)
Related or exempt
function income
0 .
13
0.
0.
Relationship of Activities to the Accomplishment of Exempt Purposes
Explain below how each activity for which income is reported in column (e) of Part XVI- A contributed importantly to the accomplishment of
the foundation ' s exempt purposes ( other than by providing funds for such purposes).
Form 990-PF (2008)
of=oz-o9
12
10131117 133329 762-741-0
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Form 990-PF (2008)
TREK SCHOLARSHIP FOUNDATION INC
20-4143271
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1
a
b
c
d
Page 13
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of
Yes
the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Transfers from the reporting foundation to a noncharitable exempt organization of.
(1) Cash
la ( l )
(2) Other assets
la (2 )
Other transactions:
(1) Sales of assets to a nonchantable exempt organization
lb ( l)
(2) Purchases of assets from a noncharitable exempt organization
tb(2)
(3) Rental of facilities, equipment, or other assets
lb(3)
(4) Reimbursement arrangements
1b(4)
(5) Loans or loan guarantees
1b(5)
(6) Performance of services or membership or fundraising solicitations
tb(6)
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
1c
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, ot her assets,
or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, sh ow in
2a Is the foundation directly or indirectly affiliated with, or related to , one or more tax-exempt organ izations described
in section 501(c) of the Code ( 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
Yes
(c) Description of relationship
N/A
Under penalties of
and complete
erryry. 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,
hon of preparer ( other than taxpayer or fiduaary) is based on all information of which preparer has any knowledge
.I
Signature o
i
or trustee
Preparer's
signature
a a 0
CL
Arm s name (oryours
it self-employed).
address, and ZIP code
SM MCGLADREY,
. O.
BOX 5946
MAD ISON,
WI
INC .
53705-0
446
823622
01-02-09
10131117
133329 762 - 741-0
2008.0404
t
^.
No
X
X
X
X
X
X
X
X
X
® No
Schedule B
Schedule of Contributors
(Form 990, 990-EZ,
or 990-PF)
OMB No
Attach to Form 990, 990-EZ, and 990-PF.
1545-0047
2008
Department of the Trea$ury
Internal Rev enue Servi ce
Name of the organization
Employer identification number
TREK SCHOLARSHIP FOUNDATION INC
20-4143271
Organization type(check one):
Section:
Filers of:
Form 990 or 990-EZ
501 (c)(
) (enter number) organization
4947(a)(1) nonexempt chartable trust not treated as a private foundation
Q 527 political organization
Form 990-PF
® 501 (c)(3) exempt private foundation
0 4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
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
For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one
contributor. Complete Parts I and II.
Special Rules
D For a section 501(c)(3) organization filing Form 990, or Form 990- EZ, that met the 33 1 /3% support test of the regulations under sections
509(a)( 1)/1 70 (b)(1)(A)(vi ), and received from any one contributor , during the year , a contribution of the greater of (1) $5,000 or (2) 2% of the
amount on Form 990 , Part VIII , line 1 h or 2% of the amount on Form 990-EZ, line 1. Complete Parts I and II.
For a section 501(c)(7), (8), or (10) organization filing Form 990 , or Form 990-EZ, that received from any one contributor , during the year,
aggregate contributions or bequests of more than $ 1,000 for use exclusively for religious , chartable , scientific , literary , or educational
purposes , or the prevention of cruelty to children or animals . Complete Parts 1, II, and Ill.
0 For a section 501 (c)(7), (8), or ( 10) organization filing Form 990 , or Form 990- EZ, that received from any one contributor , during the year,
some contributions for use exclusively for religious , charitable , etc., purposes , but these contributions did not aggregate to more than
$1,000 . (If this box is checked , enter here the total contributions that were received during the year for an exclusively religious, charitable,
etc., purpose . Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively
religious, charitable , etc., contributions of $5,000 or more during the year )
^ $
Caution . Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990, 990-EZ, or 990-PF), but
they must answer 'No' on Part IV, line 2 of their Form 990, or check the box in the heading of their Form 990-EZ, or on line 2 of their Form 990-PF, to
certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions
for Form 990 . These instructions will be issued separately.
823451
Schedule B (Form 990, 990-EZ, or 990 -PF) (2008)
12-18-08
10131117 133329 762-741-0
14
2008.04040 TREK SCHOLARSHIP FOUNDATION 762-7411
Schedule 8 (Form 990. 990-EZ. o r 990- PF) ( 2 0 08)
1
Name of organization
TREK SCHOLARSHIP FOUNDATION INC
Part I '
1
of Part)
20-4143271
Contributors (see instructions)
(b)
Name , address , and ZIP + 4
(a)
No.
1
of
Employer identification number
ESTATE OF RICHARD A.
C/O JOHN BURKE,
WATERLOO,
WI
BURKE
801 W.
MADISON ST.
(d)
Type of contribution
Person
$
51,000.
Payroll
Noncash
Q
0
(Complete Part li if there
is a noncash contribution.)
53594
(b)
Name, address , and ZIP + 4
(a)
No.
(c)
Aggregate contributions
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
Noncash
$
0
Q
Q
(Complete Part II if there
is a noncash contribution.)
(a)
No.
(b)
Name , address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
Noncash
$
0
Q
Q
(Complete Part II if there
is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
$
(d)
Type of contribution
Person
El
Payroll
Q
Noncash
(Complete Part 11 if there
is a noncash contnbution.)
(a)
No.
(b)
Name, address , and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
Noncash
$
0
Q
(Complete Part 11 if there
is a noncash contribution.)
(a)
No.
(b)
Name , address , and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
$
Q
Noncash
(Complete Part II if there
is a noncash contribution.)
823452 12-1 8-a8
10131117
133329 762-741-0
Schedule B (Form 990 . 990-EZ . or 990-PFI (20081
15
2008. 04040 TREK SCHOLARSHIP FOUNDATION 762-7411
TREK SCHOLARSHIP FOUNDATION
FORM 990-PF
INC
20 -4143271
ACCOUNTING FEES
DESCRIPTION
STATEMENT
(A)
(B)
EXPENSES
PER BOOKS
NET INVEST MENT INCOME
(C)
1
(D)
ADJUSTED
NET INCOME
CHARITABLE
PURPOSES
TAX PREPARATION AND
CONSULTING
3,250.
0.
0.
0.
TO FORM 990-PF, PG 1, LN 16B
3 , 250.
0.
0.
0.
FORM 990-PF
OTHER PROFESSIONAL FEES
(A)
EXPENSES
PER BOOKS
DESCRIPTION
CONSULTING FEES
TO FORM 990-PF,
PG 1,
FORM 990-PF
LN 16C
(B)
NET INVESTMENT INCOME
(C)
ADJUSTED
NET INCOME
2
(D)
CHARITABLE
PURPOSES
2,500.
0.
0.
0.
2,500.
0.
0.
0.
LIST OF SUBSTANTIAL CONTRIBUTORS
PART VII-A, LINE 10
NAME OF CONTRIBUTOR
ESTATE OF RICHARD A.
STATEMENT
STATEMENT
3
ADDRESS
BURKE
10381117 133329 762-741-0
801 W.
2008.04040
MADISON ST.,
WATERLOO,
16
TREK SCHOLARSHIP
WI
53594
STATEMENT(S) 1, 2, 3
FOUNDATION 762-7411
Y
•
TREK SCHOLARSHIP FOUNDATION INC
FORM 990-PF
20-4143271
GRANTS AND CONTRIBUTIONS
PAID DURING THE YEAR
RECIPIENT RELATIONSHIP
AND PURPOSE OF GRANT
RECIPIENT NAME AND ADDRESS
FRANKLIN ST., WAUPUN,
MATTHEW MARTIN
17 HERITAGE DR.,
WI
5,000.
SEWELL,
NJ 08080 POST-SECONDARY
EDUCATION
5,000.
815 HIGHLAND AVE.,
53098
SELENA STERN
W9226 LONDON RD.,
53523
WATERTOWN,
POST-SECONDARY
EDUCATION
4,000.
POST-SECONDARY
EDUCATION
4,000.
REESEVILLE,
MICHAEL FISCHER
W11305 ANHAUSER RD.,
53925
POST-SECONDARY
EDUCATION
4,000.
COLUMBUS,
WI
POST-SECONDARY
EDUCATION
10,000.
DEERFIELD, WI
ERIC COLEGROVE
1649 MINNEHAHA AVE. W,
PAUL, MN 55104
JADE TITUS
1543 SAPPHIRE WAY,
WI 53590
133329
WI
CAMBRIDGE, WI
CHRISTOPHER GARNER
W10635 CTY. HWY. I,
WI 53579
10131117
AMOUNT
POST-SECONDARY
EDUCATION
EMILY MERRITT
BRANDON STORLIE
241 N. MAIN ST.,
53531
RECIPIENT
STATUS
4
4,000.
ZAKERY HELMEID
704 E.
53963
STATEMENT
POST-SECONDARY
EDUCATION
5,000.
SAINT
POST-SECONDARY
EDUCATION
4,000.
SUN PRAIRIE,
762-741-0
POST-SECONDARY
EDUCATION
2008.04040
17
TREK SCHOLARSHIP
STATEMENT(S) 4
FOUNDATION 762-7411
'PREK SCHOLARSHIP
20-4143271
FOUNDATION INC
4,000.
SARAH HALE
1169 14T.H AVE.
MN 55414
SE, MINNEAPOLIS,
TOTAL TO FORM 990-PF,
10131117
133329
PART XV,
762-741-0
POST-SECONDARY
EDUCATION
LINE 3A
18
2008.04040 TREK SCHOLARSHIP
49,000.
STATEMENT(S) 4
FOUNDATION 762-7411
. APPLICATION INFORMATION AND INSTRUCTIONS FOR TREK
FOUNDATION SCHOLARSHIPS AND TREK CORPORATE SCHOLARSHIPS
Please complete the following scholarship application and financial statement,
providing as much information as possible for the scholarship selection
committee.
Please return the completed forms in the envelope provided - signed by the
applicant and parent (s). You will be required to submit the information listed
below:
• Application form and financial statement
• Resume. Please provide a one-page resume. You may use the
format of your choice. Your school's career center can provide tips.
• School transcripts with most recent grades
• High School Test scores from college admission tests (if
completed)
• Essay
• Two letters of recommendation. One must be from a teacher with
whom you have interacted in the past school year. The second
may be from an employer or teacher.
• Passport-style photograph. Kinko's stores offer this service.
The Selection Committee will begin the review process upon receipt of the
information . The deadline for application is Friday, April 28th
All applicants will -meet with a Selection Committee Member. This interview will
be scheduled in May.
Scholarship recipients will be announced in June.
If you have any questions about the application process, please contact Mark
Joslyn at 920-479-2191, extension 12631 or mark ioslyn(c^trekbikes.com or
Jenny Herrmann at extension 12507 or jenny herrmann(c_)trekbikes.com
SrATEW-- OT
APPLICATION FOR SCHOLARSHIP GRANT
Please complete all sections of the application. Missing information will delay the
process.
1. APPLICANT'S FULL NAME:
2. GRADE LEVEL
a. Freshman
b. Sophomore
c. Junior
d. Senior
3. SCHOOL ATTENDING/PLAN TO ATTEND:
a. Name of College , University or Tech nicalNocationaI School
b. Location ( City and State):
4. ANTICIPATED GRADUATION DATE (Month and Year):
5. HOME ADDRESS:
a. Street address:
b. City/State/Zip:
c. Telephone:
d. E-Mail address:
6. CURRENT ADDRESS ( if different than above):
a. Street address:
b. City/State/Zip:
c. Telephone:
7. SOCIAL SECURITY NUMBER:
8. DATE OF BIRTH:
9. INFORMATION ABOUT YOUR PARENT(S) WHO WORKS FOR TREK":
a. Name:
b. Hire date:
c. Department:
d. Position/title:
10.TREK
a.
b.
c.
d.
e.
f.
LOCATION WHERE YOUR PARENT IS EMPLOYED:
Waterloo
Whitewater/Watertown
Oconomowoc
East Coast DC
West Coast DC
Other:
* Please note : Parent information is used for tax reporting purposes - if
both parents work at Trek, please provide information
o
A-V- •11CAM
l
STUDENT FINANCIAL STATEMENT
Please complete the chart below - identifying your anticipated annual costs for
each of the expense categories shown. We would also like to understand the
amounts you will be personally responsible for.
Expense
Category
Estimated
Annual Cost
% You will be
Res p onsible for
Tuition
Books
Housing
Commutin g/Transportation
Other (explain below)
Other costs:
Have you applied for any grants/loans or do you expect to receive any athletic
and/or academic scholarships? If so, please explain.
What will your family contribute?
Has your family had any emergency expenses, making it impossible for them to
help you with college expenses as much as they otherwise would? If so, please
explain.
I hereby declare that the information reported above is true and complete.
Signature
Date
Student ( a pplicant ):
Parent ( em plo yee ) :
5TRTEMENT --
J
F
ESSAY QUESTION
Develop the following statement in a well-written, concise essay. The essay
should contain a minimum of 150 words and should not exceed 300 words.
Correct use of grammar, punctuation and spelling are expected.
Identify a change that you would like to see implemented at the school you
attend. Discuss why the change should be made, how it can be
accomplished and the related benefits.
STATEMENT ^5
LETTERS OF RECOMMENDATION
Please ask two people to prepare a letter of recommendation. The author may
mail that to us in the envelope provided or may send it via e-mail to Jenny
Herrmann.
5Tff
EN'r,