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DEMENTIA INNOVATIONS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
DEMENTIA INNOVATIONS (EIN 84-2907425)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-05-10
IRS object ID
202421319349304027
Schema version
2023v5.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-10T16:12:23-04:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842907425EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEMENTIA INNOVATIONS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEMEBusinessNameControlTxt
Phone9203959533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1627 N 8TH STAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL D PETERSONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9203959533PhoneNum
Signature2024-05-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDANIEL DPersonFirstNm
Person LastPETERSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparation2024-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Principal OfficerCHARLES E BUTLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 VISIONARY WAYAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,754,983GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressDEMENTIAINNOVATIONS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO EMBRACE THOSE LIVING WITH DEMENTIA THROUGH EDUCATION, COMMUNITY COLLABORATION, AND DIGNITY OF RISK LIFESTYLE. THIS WILL ULTIMATELY INCLUDE DEVELOPMENT OF A VILLAGE DESIGNED FOR THOSE LIVING WITH DEMENTIA.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$1,740,682CYContributionsGrantsAmt
CY Program Service Revenue$14,301CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$1,754,983CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$42,523CYOtherExpensesAmt
CY Total Expenses$42,523CYTotalExpensesAmt
CY Revenues Less Expenses$1,712,460CYRevenuesLessExpensesAmt
Total Assets BOY$70,336TotalAssetsBOYAmt
Total Assets EOY$1,786,255TotalAssetsEOYAmt
Total Liabilities EOY$3,459TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$70,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,782,796NetAssetsOrFundBalancesEOYAmt
MissionTO EMBRACE THOSE LIVING WITH DEMENTIA THROUGH EDUCATION, COMMUNITY COLLABORATION, AND DIGNITY OF RISK LIFESTYLE. THIS WILL ULTIMATELY INCLUDE DEVELOPMENT OF A VILLAGE DESIGNED FOR THOSE LIVING WITH DEMENTIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,358ExpenseAmt
Revenue$301RevenueAmt
DescEDUCATION - DEMENTIA INNOVATIONS CONTINUES TO CREATE PROFESSION-SPECIFIC EDUCATION FOR EMS, LAW ENFORCEMENT, 911 DISPATCH; AND HOSPITAL AND DIRECT CAREGIVERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,702ExpenseAmt
Revenue$14,000RevenueAmt
DescCOMMUNITY COLLABORATION - DEMENTIA INNOVATIONS CONTINUES TO PARTNER WITH OTHER COMMUNITY ORGANIZATIONS IN AN ONGOING EFFORT TO IDENTIFY CHALLENGES, PROMOTE FORWARD THINKING, AND CREATE OBTAINABLE SOLUTIONS FOR THE CARE OF THOSE LIVING WITH DEMENTIA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$30,463ExpenseAmt
Grant$30,463GrantAmt
DescDIGNITY OF RISK LIFESTYLE - DEMENTIA INNOVATIONS CONTINUES TO MOVE TOWARD REALIZATION OF ITS ULTIMATE GOAL OF CREATING A VILLAGE FOR THOSE LIVING WITH DEMENTIA. DURING 2023 THE LAND FOR THE VILLAGE IN SHEBOYGAN COUNTY WAS ACQUIRED, AND INITIAL PLANS FOR THE VILLAGE WERE DRAFTED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$42,523TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIEL D PETERSONPersonNm
Phone9203959533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13518 LAKESHORE RDAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53083ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LAURA ALBRIGHT
DIRECTOR2.00Yes (X)$0$0$0
YOLANDA GRAF
DIRECTOR2.00Yes (X)$0$0$0
NICOLE GRUEBLING
DIRECTOR2.00Yes (X)$0$0$0
JAMES HOLMES
DIRECTOR2.00Yes (X)$0$0$0
CHARLES E BUTLER
PRESIDENT10.00$0$0$0Yes (X)
MICHELLE L LEMAHIEU
SECRETARY10.00$0$0$0Yes (X)
DANIEL D PETERSON
TREASURER2.00$0$0$0Yes (X)
MARY PITSCH
VICE PRESIDE10.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,740,682AllOtherContributionsAmt
Total Contributions$1,740,682TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONSULTING REVENUE$14,000$14,000
SERVICE REVENUE$301$301
FieldValueIRS element (for citing)
Total Program Service Revenue$14,301TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,754,983TotalRevenueColumnAmt
Related Or Exempt Func Income$14,301RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,745TotalAmt
Program Services$2,745ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,718TotalAmt
Program Services$27,718ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,018TotalAmt
Program Services$2,018ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,905TotalAmt
Program Services$2,905ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,702TotalAmt
Program Services$5,702ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$501TotalAmt
Program Services$501ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LUNCH MEETINGS$593$593
MEETING EXPENSE$258$258
FEES$50$50
GIFTS/THANK YOUS$33$33

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,523TotalAmt
Program Services$42,523ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,336BOYAmt
EOY$186,383EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,599,872LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$1,599,872EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$70,336BOYAmt
EOY$1,786,255EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$3,459EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,459EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$70,336BOYAmt
EOY$1,782,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,336BOYAmt
EOY$1,782,796EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,336BOYAmt
EOY$1,786,255EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,712,460ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,740,682CurrentTaxYearAmt
Total$1,740,682TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,740,682CurrentTaxYearAmt
Total$1,740,682TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,740,682PublicSupportTotal170Amt
Total Support$1,740,682TotalSupportAmt
Gross Receipts Rltd Activities$14,301GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,599,872InvestmentCostOrOtherBasisAmt
Book Value$1,599,872BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,599,872TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART IV, LINE 2BFormAndLineReferenceDesc
ExplanationDEMENTIA INNOVATIONS, INC. ACTS AS THE RECORD KEEPER FOR THE SHEBOYGAN COUNTY DEMENTIA CARE NETWORK. THE DEMENTIA CARE NETWORK IS A GROUP OF ORGANIZATIONS AND CARE GIVERS WITHIN SHEBOYGAN COUNTY WISCONSIN THAT ARE INVOLVED IN THE CARE OF INDIVIDUALS LIVING WITH DEMENTIA.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF DIRECTORS HAS THE ABILITY TO ADD OR REMOVE DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 11BA DRAFT OF FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990. DURING THIS PROCESS FEEDBACK AND COMMENTARY WAS SOLICITED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART IX, LINE 11GDESIGN AND ARCHITECT 26,081 0 0 OTHER PROFESSIONAL EXPENSE 1,637 0 0 TOTAL 27,718 0 0

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DIGNIFIED SOLUTIONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1627 N 8TH STAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesHOLD LANDPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
End Of Year Assets$1,599,872EndOfYearAssetsAmt
Direct Controlling NAN/ADirectControllingNACd

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