2023-07-20T15:09:35-05:00 2022-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2022-01-01 391195540 CREATIVE COMMUNITY LIVING SERVICES INCORPORATED CREA 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 KATHLEEN ROACH CHIEF EXECUTIVE OFFICER 8002362257 2023-07-19 1 KATHLEEN ROACH 999009999 0 TIM SEIDEL CPA P01284559 6082744020 2023-07-19 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X KATHLEEN ROACH 500 EAST MAIN STREET WATERTOWN WI 53094 17460030 0 X CCLSWI.ORG X 1973 WI CREATIVE COMMUNITY LIVING SERVICES IS A PROVIDER OF SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES, OR FUNCTIONAL LIMITATIONS OF ADVANCED AGING. OUR COMMUINITY SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED. WE WORK WITH THE INDIVIDUAL TO BUILD THE NECESSARY SUPPORTS BASED ON THEIR NEEDS, STRENGTHS, AND WISHES. 7 7 581 0 418281 0 3218455 86145 17159140 16728621 10885 -77720 956005 419927 21344485 17156973 0 0 0 0 13856123 12942507 0 0 74677 4558033 4621097 18414156 17563604 2930329 -406631 7269281 7735339 3074019 3847410 4195262 3887929 OUR MISSION IS TO ESTABLISH INDIVIDUALIZED COMMUNITY SUPPORTS THAT WILL PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 0 0 10509655 0 16728621 DEVELOPMENTALLY DISABLED CARE - PROVIDING RESIDENTIAL HOUSING AND NONRESIDENTIAL SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES AND/OR TRAUMATIC BRAIN INJURIES. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SUPPORTIVE HOME CARE, SKILLS TEACHING/TRAINING, INDEPENDENT LIVING PROGRAMS, RESPITE, NON-MEDICAL TRANSPORTATION, SUPPORTED EMPLOYMENT, AND PRE-VOCATION, RECREATIONAL, NURSE AND DAY SERVICES. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 1805733 0 ELDER CARE - PROVIDING RESIDENTIAL HOUSING AND SUPPORTS FOR INDIVIDUALS WITH FUNCTIONAL LIMITATIONS OF ADVANCED AGING. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SKILLS RE-TEACHING/RE-TRAINING, NON-MEDICAL TRANSPORTATION, AND NURSE. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 12315388 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 53 0 581 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X DWAN SCHUCK 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 RANDALL RADTKE PRESIDENT/INTERIM TREASURER 0.75 0.50 X X 1500 0 0 DAVID MORSTAD VICE-PRESIDENT 0.50 X X 1400 0 0 KAREN FOELKER SECRETARY 0.50 X X 1650 0 0 ELLEN HAINES DIRECTOR 0.50 X 2250 0 0 BARBARA LEDUC DIRECTOR 0.50 0.50 X 2050 0 0 SHERI BERG DIRECTOR 0.50 X 2200 0 0 JEFFREY KAPHENGST DIRECTOR 0.50 X 1300 0 0 JAMES ZACHE CHIEF EXECUTIVE OFFICER (THRU SEPT) 36.00 6.00 X 142892 0 1833 DWAN SCHUCK CHIEF FINANCIAL OFFICER 32.00 6.00 X 112599 0 1222 KATHLEEN ROACH CHIEF EXECUTIVE OFFICER (BEG OCT) 40.00 6.00 X 39346 0 707 SHERYL MARSHALL CHIEF HUMAN RESOURCES OFFICER 40.00 6.00 X 109754 0 10147 MARGARET HIBBARD PROGRAM LEAD 40.00 X 169149 0 789 KRISTY BAUM CHIEF NURSING OFFICER 40.00 X 102051 0 12661 CRYSTAL FREEMAN PROGRAM LEAD 40.00 X 103520 0 9665 DANIEL KASTE PROGRAM LEAD 40.00 X 103983 0 8203 895644 0 45227 7 0 1 0 0 61176 24969 86145 CONTRACT INCOME 624100 16463987 16463987 TRAINING 611430 264634 264634 16728621 15337 15337 1646 0 1646 1646 1646 210000 303057 -93057 -93057 -93057 RESIDENTIAL MANAGEMENT FEES 623990 418281 418281 418281 17156973 16728621 418281 -76074 311149 311149 10591871 7622756 2941703 27412 43355 30311 12935 109 1183104 827157 352972 2975 813028 568422 242562 2044 13695 13695 36867 36867 1031414 818245 210634 2535 355985 256399 95875 3711 314415 133101 180309 1005 1538275 1253777 266606 17892 371561 178444 180181 12936 18264 551 17713 95762 46578 49184 147214 108780 38434 163323 72022 91301 FOOD 373227 367806 5255 166 DUES, FEES, SUBSCRIPTIO 105510 21608 80890 3012 BAD DEBT EXPENSE 32298 32298 INCOME TAX EXPENSE 600 600 22687 9431 12376 880 17563604 12315388 5173539 74677 46700 19182 3050417 2467734 1819287 2202439 28678 17180 3378339 1894713 1548976 1483626 775223 1545178 7269281 7735339 984004 1035938 262949 38245 1296167 1116675 530899 1656552 3074019 3847410 X 4075966 3738319 119296 149610 4195262 3887929 7269281 7735339 X -406631 99298 X 0 1 X 1 0 X 2400 122031 1607815 3218455 86145 5036846 2400 122031 1607815 3218455 86145 5036846 5036846 3325 6299 9510 9675 16983 45792 1814 1814 5084452 86677247 0.99060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 325636 325636 1905638 814705 1090933 621682 621682 0 525383 458326 67057 1483626 SECURITY DEPOSITS 51511 OPERATING LEASE RIGHT-OF-USE ASSETS 1313984 FINANCING LEASE RIGHT-OF-USE ASSETS 179683 1545178 DEFICIENCY IN ASSETS OF SUBSIDIARY 82119 PROVISION FOR CONTRACT REPAYMENTS 64110 OPERATING LEASE LIABILITIES, NET 1321718 FINANCING LEASE LIABILITIES, NET 188605 1656552 X X X 0 0 0 0 0 0 0 0 0 MARGARET HIBBARD PROGRAM LEAD 168162 0 987 0 0 0 750 0 39 0 169938 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B CCLS HIRES A CPA FIRM TO COMPILE FORM 990. THE CFO AND CEO REVIEW FOR ACCURACY BEFORE SIGNATURE AND SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 MARKET DATA ANALYSIS FOR SIMILAR INDUSTRIES/CPA FIRM INPUT. HUMAN RESOURCES, CEO, AND REGIONAL DIRECTOR DISCUSS AND DECIDE AFTER 1ST AND 2ND PANEL INTERVIEWS (AND RECOMMENDATIONS) WHAT TO OFFER. INTERVIEW PANEL OFTEN INCLUDES A BOARD MEMBER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY IN NET INCOME OF FAST PACE MEDICAL STAFFING, INC. 99,298. FAST PACE MEDICAL STAFFING INC 500 EAST MAIN STREET WATERTOWN WI 53094 842704067 TEMPORARY STAFFING WI CREATIVE COMMUNITY LIVING SERVICES INC C 3993846 698727 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 FAST PACE MEDICAL STAFFING INC Q 714461 FACE AMOUNT