CHISAGO COUNTY LIFE CARE CENTER: Form 990EZ, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHISAGO COUNTY LIFE CARE CENTER (EIN 41-1921727)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-05-10
- IRS object ID
- 202301309349203075
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T16:22:05-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411921727 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHISAGO COUNTY LIFE CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Ann Olson | InCareOfNm |
| Business Name Control | CHIS | BusinessNameControlTxt |
| Foreign Phone | 6516742121 | ForeignPhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 516 | AddressLine1Txt |
| City | North Branch | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55056 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Betty Mitchell | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | www.chisagolifecare.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $65,915 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $65,835 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $55 | InvestmentIncomeAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $6,664 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$6,664 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $25 | OtherRevenueTotalAmt |
| Total Revenue | $59,251 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $56,320 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $5,200 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $15,427 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $483 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $9,306 | OtherExpensesTotalAmt |
| Total Expenses | $86,736 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$27,485 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $64,778 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $37,293 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,501 | BOYAmt |
| EOY | $53,265 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,856 | BOYAmt |
| EOY | $82,829 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517 | BOYAmt |
| EOY | $641 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,874 | BOYAmt |
| EOY | $136,735 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,096 | BOYAmt |
| EOY | $99,442 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,778 | BOYAmt |
| EOY | $37,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Provide one-on-one mentoring to pregnant and parenting women & men on topics such as prenatal & postnatal infant development healthy life choices practical life skills such as budgeting & nutrition and information on STDs & healthy reproductive and sexual decision making. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Education & Earn While You Learn Mentoring Program: Provide one-on-one mentoring to pregnant and parenting women & men on topics such as prenatal & postnatal infant development healthy life choices practical life skills such as budgeting & nutrition information on STDs & healthy reproductive and sexual decision-making | $0 | $26,576 |
| Social Service Baby Boutique & community program referrals: Provide intake assessments to determine the need. Provide practical & material assistance such as clothing diapers and baby equipment. Utilize resource database to provide information and referrals. | $0 | $23,406 |
| Outreach: Strengthen relationships with existing community partners and identify new community partners in order to identify potential referral sources for clients and increase capacity of programming. | $0 | $12,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $62,795 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Ann Olson | ||||
| President | 4 | $0 | $0 | $0 |
| Jackie Scheldorf | ||||
| Secretary | 2 | $0 | $0 | $0 |
| Betty Mitchell | ||||
| Treasurer | 20 | $0 | $0 | $0 |
| Theresa Williams | ||||
| Director | 0.2 | $0 | $0 | $0 |
| Bob Williams | ||||
| Director | 0.2 | $0 | $0 | $0 |
| Fr Matt Shireman | ||||
| Director | 0.2 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Betty Mitchell | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6344 Elm St | AddressLine1Txt |
| City | North Branch | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6516742121 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,973 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $123,062 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,685 | CurrentTaxYearAmt |
| Total | $513,542 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,973 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $123,062 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,685 | CurrentTaxYearAmt |
| Total | $513,542 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $513,542 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55 | CurrentTaxYearAmt |
| Total | $197 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25 | CurrentTaxYearAmt |
| Total | $25 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $513,764 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9996 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9664 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I | We rely on contributions from individuals and businesses. We had a State Grant that ended 12-31-21 |
| Part II, line 10 | | S.No:, Amount:, Description:| 1, $25, Credit Card Rebate| |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Annual Banquet | Event1Nm |
| Gross Receipts Event1 | $20,574 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $20,574 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $0 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $0 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,226 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $50 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $641 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $20,574 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $20,574 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $0 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $0 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,226 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $50 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $641 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $2,917 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,917 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Doing Business As Names | | Options for Women of Chisago Co| |
| Doing Business As Names | Options for Women of Chisago County |
| Part I, line 8 | | Other Revenues:, Amount:| Credit Card Rebate, $25| |
| Part I, line 16 | | Other Expenses:, Amount:| Client Services, $2862.00| Outreach, $668.00| Travel=mileage, $68.00| Depreciation, $1027.00| Miscellaneous, $59.00| Office and Software Expenses, $4622.00| |
| Part II, line 24 | | Asset Name:, BOY Amount:, EOY Amount:| Petty Cash, $100, $290| Other Current Assets, $417, $351| |
| Part II, line 26 | | Liabilities Name:, BOY Amount:, EOY Amount:| Payroll Taxes Payable, $866, 0| Credit Card Payable, 0, $1515| Accounts Payable, $1572, $1741| Mortgages or other loans payable, $99658, $96186| |
Comments