PAYNESVILLE FIRE DEPARTMENT RELIEF ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PAYNESVILLE FIRE DEPARTMENT RELIEF ASSOCIATION (EIN 41-1319602)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-09-19
IRS object ID
202322629349300047
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

FieldValueIRS element (for citing)
Return2023-09-19T15:28:23-04:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411781145PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIANSON PLLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1302 5TH ST SWAddressLine1Txt
CityWILLMARCityNm
State AbbreviationMNStateAbbreviationCd
ZIP562013214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411319602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAYNESVILLE FIRE DEPARTMENT RELIEFBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPAYNBusinessNameControlTxt
Phone3204923365PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW NIENABERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3203331102PhoneNum
Signature2023-09-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastNIENABERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHRYN MUELLER CPAPreparerPersonNm
PTINP01571778PTIN
Phone3202355937PhoneNum
Preparation2023-09-19PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW NIENABERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$85,639GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE FIRE, RESCUE, AND COMMUNITY SUPPORT SERVICES FOR THE SURROUNDING PAYNESVILLE AREAActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$48,595PYContributionsGrantsAmt
CY Contributions Grants$49,465CYContributionsGrantsAmt
PY Program Service Revenue$145PYProgramServiceRevenueAmt
CY Program Service Revenue$140CYProgramServiceRevenueAmt
PY Investment Income$13,378PYInvestmentIncomeAmt
CY Investment Income$1,176CYInvestmentIncomeAmt
PY Other Revenue$37,844PYOtherRevenueAmt
CY Other Revenue$27,458CYOtherRevenueAmt
PY Total Revenue$99,962PYTotalRevenueAmt
CY Total Revenue$78,239CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$76,775CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,647PYOtherExpensesAmt
CY Other Expenses$49,395CYOtherExpensesAmt
PY Total Expenses$24,647PYTotalExpensesAmt
CY Total Expenses$126,170CYTotalExpensesAmt
PY Revenues Less Expenses$75,315PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$47,931CYRevenuesLessExpensesAmt
Total Assets BOY$834,733TotalAssetsBOYAmt
Total Assets EOY$698,108TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$834,733NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$698,108NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FIRE, RESCUE, AND COMMUNITY SUPPORT SERVICES FOR THE SURROUNDING PAYNESVILLE AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,100ExpenseAmt
Revenue$140RevenueAmt
DescFIRE RESCUE AND COMMUNITY SERVICESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$76,775ExpenseAmt
DescPENSION PAYOUTSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$80,875TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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 EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD MEHLHOPBusinessNameLine1Txt
Business Name Line2PAYNESVILLE FIRE DEPT RELIEF ASSOCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone3203331102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRt
ANDREW NIENABER
PRESIDENTYes (X)Yes (X)$0$0$0
MICHAEL HEMMESCH
VICE PRESIDEYes (X)Yes (X)$0$0$0
CHRISTOPHER PRICE
SECRETARYYes (X)Yes (X)$0$0$01.00
BRADLEY MEHLHOP
TREASURERYes (X)Yes (X)$0$0$01.00
TOM FORDYCE
TRUSTEEYes (X)$0$0$01.00
GRANT LIESER
TRUSTEEYes (X)$0$0$01.00
SHAWN REINKE
MAYORYes (X)$0$0$01.00
ANDREW SOINE
FIRE CHEIFYes (X)$0$0$01.00
TARIQ AL-RIFAI
CITY ADMINISYes (X)$0$0$01.00
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$49,465GovernmentGrantsAmt
Total Contributions$49,465TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDUES REVENUE - SPECIAL FUNDDesc
Total Revenue Column$140TotalRevenueColumnAmt
Related Or Exempt Func Income$140RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,176TotalRevenueColumnAmt
Related Or Exempt Func Income$1,176RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$34,843FundraisingGrossIncomeAmt
Fundraising Direct Expenses$7,400FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,443TotalRevenueColumnAmt
Exclusion$27,443ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$15TotalRevenueColumnAmt
Related Or Exempt Func Income$15RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$15OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,239TotalRevenueColumnAmt
Related Or Exempt Func Income$1,331RelatedOrExemptFuncIncomeAmt
Exclusion$27,443ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$76,775TotalAmt
Program Services$76,775ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,706TotalAmt
Management And General$6,706ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
OTHER$30,551$30,551
ADMINISTRATIVE EXPENSE$6,782$6,782
EQUIPMENT EXPENSE - GENER$3,944$3,944
MEETING EXPENSE - GENERAL$1,256$1,256

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$156TotalAmt
Program Services$156ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$126,170TotalAmt
Program Services$80,875ProgramServicesAmt
Management And General$45,295ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$155,170BOYAmt
EOY$48,609EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$679,563BOYAmt
EOY$648,499EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$834,733BOYAmt
EOY$698,108EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,624BOYAmt
EOY$44,162EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$782,109BOYAmt
EOY$653,946EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$834,733BOYAmt
EOY$698,108EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$834,733BOYAmt
EOY$698,108EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$47,931ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$89,694NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,000OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$78,239TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$78,239RevenueSubtotalAmt
Total Revenue Per Form990$78,239TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$126,170TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$126,170ExpensesSubtotalAmt
Total Expenses Per Form990$126,170TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISINGEvent1Nm
Gross Receipts Event1$34,843GrossReceiptsEvent1Amt
Gross Revenue Event1$34,843GrossRevenueEvent1Amt
Other Direct Expenses Event1$7,400OtherDirectExpensesEvent1Amt
Gross Receipts Total$34,843GrossReceiptsTotalAmt
Gross Revenue Total Events$34,843GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$7,400OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$7,400DirectExpenseSummaryEventsAmt
Net Income Summary$27,443NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9ACCRUAL TO CASH ADJUSTMENT 1,000

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