FURP.ORG / PUBLIC DATA EXPLORER

CHAMPIONS4KIDS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CHAMPIONS4KIDS INC (EIN 20-5779146)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202303199349316495
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)
Return2023-11-15T14:03:04-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN452904270PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KMA SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11200 JOHN Q HAMMONS DR STE 500AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53717ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205779146EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHAMPIONS4KIDS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHAMBusinessNameControlTxt
Phone6084677113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonASHLYN MEHLHAFFPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6084677113PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstASHLYNPersonFirstNm
Person LastMEHLHAFFPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON R KADOW CPAPreparerPersonNm
PTINP00845003PTIN
Phone6086641040PhoneNum
Preparation2023-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FIRST TEE - SOUTH CENTRAL WISCONSINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerASHLYN MEHLHAFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$676,388GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFIRSTTEESCW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE OPPORTUNITIES FOR AT-RISK CHILDREN IN THE CITY OF MADISON, WISCONSIN AND SURROUNDING AREAS TO PARTICIPATE IN THE GAME OF GOLF BY PROVIDING ADULT MENTORS, FREE PROFESSIONAL INSTRUCTION, EQUIPMENT, GOLF COURSE AND RANGE ACCESS; TO COMBAT JUVENILE DELINQUENCY AND ENCOURAGE THE DEVELOPMENT OF LIFE SKILLS BY PROVIDING A RECREATIONAL OUTLET THROUGH THE PROMOTION OF THE GAME OF GOLF.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$578,858PYContributionsGrantsAmt
CY Contributions Grants$530,390CYContributionsGrantsAmt
PY Program Service Revenue$16,822PYProgramServiceRevenueAmt
CY Program Service Revenue$37,307CYProgramServiceRevenueAmt
PY Investment Income$245PYInvestmentIncomeAmt
CY Investment Income$891CYInvestmentIncomeAmt
PY Other Revenue$51,760PYOtherRevenueAmt
CY Other Revenue$63,243CYOtherRevenueAmt
PY Total Revenue$647,685PYTotalRevenueAmt
CY Total Revenue$631,831CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$448,630PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$402,860CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$185,949CYTotalFundraisingExpenseAmt
PY Other Expenses$199,072PYOtherExpensesAmt
CY Other Expenses$229,182CYOtherExpensesAmt
PY Total Expenses$647,702PYTotalExpensesAmt
CY Total Expenses$632,042CYTotalExpensesAmt
PY Revenues Less Expenses-$17PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$211CYRevenuesLessExpensesAmt
Total Assets BOY$745,237TotalAssetsBOYAmt
Total Assets EOY$652,911TotalAssetsEOYAmt
Total Liabilities BOY$93,879TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,352TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$651,358NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$621,559NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE FIRST TEE SOUTH CENTRAL WISCONSIN IS TO IMPACT THE LIVES OF YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING EDUCATIONAL PROGRAMS FOR YOUTH THAT BUILDS CHARACTER, INSTILLS LIFE-ENHANCING VALUES AND PROMOTES HEALTHY CHOICES THROUGH THE GAME OF GOLF.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$290,725ExpenseAmt
Grant$0GrantAmt
Revenue$37,307RevenueAmt
DescTHE FIRST TEE TEACHING SKILLS TO IMPACT THE LIVES OF YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING EDUCATIONAL PROGRAMS FOR YOUTH THAT BUILD CHARACTER, INSTILL LIFE-ENHANCING VALUES, AND PROMOTE HEALTHY CHOICES THROUGH THE GAME OF GOLF.Desc
Total Program Service Expenses$290,725TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELSEY PRESCOTTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6084677113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ASHLYN MEHLHAFF
EXECUTIVE DIRECTOR40.00Yes (X)$94,736$0$0
JIM METZ
CHAIR1.00Yes (X)$0$0$0Yes (X)
JEFF CRESSMAN
VICE CHAIR5.00Yes (X)$0$0$0Yes (X)
LINDSAY KOTH
VICE CHAIR5.00Yes (X)$0$0$0Yes (X)
TONY BALISTRERI
TREASURER2.00Yes (X)$0$0$0Yes (X)
AMY FLESCH
SECRETARY2.00Yes (X)$0$0$0Yes (X)
WILLIAM BISSETT
DIRECTOR1.00$0$0$0Yes (X)
BRIAN BURNS
DIRECTOR1.00$0$0$0Yes (X)
LAURA CLIFTON
DIRECTOR1.00$0$0$0Yes (X)
SARAH DEKRAAY
DIRECTOR1.00$0$0$0Yes (X)
JONI DYE
DIRECTOR1.00$0$0$0Yes (X)
JIM KROGSTAD
DIRECTOR1.00$0$0$0Yes (X)
KAREN MOSER
DIRECTOR1.00$0$0$0Yes (X)
GREG NEWMAN
DIRECTOR1.00$0$0$0Yes (X)
BRAD NIEBUHR
DIRECTOR1.00$0$0$0Yes (X)
CESAR PINZON
DIRECTOR1.00$0$0$0Yes (X)
CHRIS REECE
DIRECTOR1.00$0$0$0Yes (X)
GLORIA REYES
DIRECTOR1.00$0$0$0Yes (X)
BRETT ROTH
DIRECTOR1.00$0$0$0Yes (X)
ALAN STEINHAUER
DIRECTOR1.00$0$0$0Yes (X)
CAROL VANDER SLUIS
DIRECTOR1.00$0$0$0Yes (X)
BEN WRIGHT
DIRECTOR1.00$0$0$0Yes (X)
CHRIS YESBECK
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$94,736TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,400FederatedCampaignsAmt
Fundraising$31,144FundraisingAmt
All Other Contributions$488,846AllOtherContributionsAmt
Total Contributions$530,390TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPARTICIPANT FEESDesc
Business611620BusinessCd
Total Revenue Column$37,307TotalRevenueColumnAmt
Related Or Exempt Func Income$37,307RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$37,307TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$891TotalRevenueColumnAmt
Exclusion$891ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$103,879FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$31,144ContriRptFundraisingEventAmt
Fundraising Direct Expenses$44,557FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,322TotalRevenueColumnAmt
Exclusion$59,322ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,921TotalRevenueColumnAmt
Exclusion$3,921ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,921OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$631,831TotalRevenueColumnAmt
Related Or Exempt Func Income$37,307RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$64,134ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$94,737TotalAmt
Program Services$41,152ProgramServicesAmt
Management And General$21,022ManagementAndGeneralAmt
Fundraising$32,563FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$271,993TotalAmt
Program Services$118,149ProgramServicesAmt
Management And General$60,354ManagementAndGeneralAmt
Fundraising$93,490FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,130TotalAmt
Program Services$15,694ProgramServicesAmt
Management And General$8,017ManagementAndGeneralAmt
Fundraising$12,419FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,670TotalAmt
Management And General$11,670ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,549TotalAmt
Management And General$10,549ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,038TotalAmt
Program Services$18,730ProgramServicesAmt
Fundraising$26,308FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,290TotalAmt
Program Services$7,131ProgramServicesAmt
Management And General$4,497ManagementAndGeneralAmt
Fundraising$20,662FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,270TotalAmt
Program Services$17,410ProgramServicesAmt
Management And General$860ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,412TotalAmt
Program Services$2,684ProgramServicesAmt
Management And General$20,728ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,148TotalAmt
Program Services$23,148ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,477TotalAmt
Program Services$9,477ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$9,221TotalAmt
Program Services$9,221ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,412TotalAmt
Management And General$15,412ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
GOLF COURSE FEES$25,676$25,676
GOLF INSTRUCTION$2,199$2,199

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,820TotalAmt
Program Services$54ProgramServicesAmt
Management And General$2,259ManagementAndGeneralAmt
Fundraising$507FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$632,042TotalAmt
Program Services$290,725ProgramServicesAmt
Management And General$155,368ManagementAndGeneralAmt
Fundraising$185,949FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$210,596BOYAmt
EOY$120,371EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$269,723BOYAmt
EOY$245,812EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,500BOYAmt
EOY$4,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$489EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,497BOYAmt
EOY$8,710EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,130LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$32,989EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,661BOYAmt
EOY$29,715EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$222,260BOYAmt
EOY$210,325EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$745,237BOYAmt
EOY$652,911EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$93,879BOYAmt
EOY$16,382EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,970EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,879BOYAmt
EOY$31,352EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$362,835BOYAmt
EOY$351,405EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$288,523BOYAmt
EOY$270,154EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$651,358BOYAmt
EOY$621,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$745,237BOYAmt
EOY$652,911EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$211ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,314NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$21,274OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$828,891CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$356,580CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$374,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$578,858CurrentTaxYearMinus1YearAmt
Current Tax Year$530,390CurrentTaxYearAmt
Total$2,669,273TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$828,891CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$356,580CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$374,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$578,858CurrentTaxYearMinus1YearAmt
Current Tax Year$530,390CurrentTaxYearAmt
Total$2,669,273TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$534,178SubstantialContributorsTotAmt
Public Support Total170$2,135,095PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,317CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,199CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$245CurrentTaxYearMinus1YearAmt
Current Tax Year$891CurrentTaxYearAmt
Total$6,195TotalAmt
FieldValueIRS element (for citing)
Total Support$2,675,468TotalSupportAmt
Gross Receipts Rltd Activities$463,059GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79800PublicSupportCY170Pct
Public Support PY1700.86990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$251,921BeginningYearBalanceAmt
Contributions$248ContributionsAmt
Investment Earnings Or Losses-$19,253InvestmentEarningsOrLossesAmt
Other Expenditures$7,380OtherExpendituresAmt
Administrative Expenses$2,021AdministrativeExpensesAmt
End Year Balance$223,515EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$223,974BeginningYearBalanceAmt
Contributions$420ContributionsAmt
Investment Earnings Or Losses$29,927InvestmentEarningsOrLossesAmt
Administrative Expenses$2,400AdministrativeExpensesAmt
End Year Balance$251,921EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$174,358BeginningYearBalanceAmt
Contributions$1,284ContributionsAmt
Investment Earnings Or Losses$50,737InvestmentEarningsOrLossesAmt
Administrative Expenses$2,405AdministrativeExpensesAmt
End Year Balance$223,974EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$189,380BeginningYearBalanceAmt
Contributions$10,250ContributionsAmt
Investment Earnings Or Losses-$19,242InvestmentEarningsOrLossesAmt
Other Expenditures$6,030OtherExpendituresAmt
End Year Balance$174,358EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$197,698BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses-$2,861InvestmentEarningsOrLossesAmt
Other Expenditures$5,557OtherExpendituresAmt
End Year Balance$189,380EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.66450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.33550TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,130OtherCostOrOtherBasisAmt
Depreciation$34,130DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN ASSETS HELD BY MADISON COMMUNITY FOUNDATION$193,800
RIGHT OF USE ASSET$14,970
SECURITY DEPOSIT$1,555
FieldValueIRS element (for citing)
Total Book Value Other Assets$210,325TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCURRENT PORTION OF OPERATING LEASE LIABILITYDesc
Amt$14,970Amt
FieldValueIRS element (for citing)
Total Liability$14,970TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$676,388TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$676,388RevenueSubtotalAmt
Other Revenues Not Included-$44,557OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$44,557RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$631,831TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$676,599TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$44,557OtherExpensesIncludedAmt
Expenses Not Reported$44,557ExpensesNotReportedAmt
Expenses Subtotal$632,042ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$632,042TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED TO HELP THE ORGANIZATION CARRY OUT ITS EXEMPT PURPOSE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSES -44,557.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSES 44,557.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$105,721GrossReceiptsEvent1Amt
Charitable Contri Event1$21,144CharitableContriEvent1Amt
Gross Revenue Event1$84,577GrossRevenueEvent1Amt
Rent Facility Costs Event1$31,978RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$3,328OtherDirectExpensesEvent1Amt
Event2CHAMPIONS AWARD BANQUETEvent2Nm
Gross Receipts Event2$12,361GrossReceiptsEvent2Amt
Gross Revenue Event2$12,361GrossRevenueEvent2Amt
Other Direct Expenses Event2$1,208OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$16,941GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$10,000CharitableContriOtherEventsAmt
Gross Revenue Other Events$6,941GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$7,693RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$350OthDirectExpnssOtherEventsAmt
Gross Receipts Total$135,023GrossReceiptsTotalAmt
Charitable Contributions Tot$31,144CharitableContributionsTotAmt
Gross Revenue Total Events$103,879GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$39,671RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$4,886OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$44,557DirectExpenseSummaryEventsAmt
Net Income Summary$59,322NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARED FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AND MANAGEMENT FOR REVIEW BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT-OF-INTEREST STATEMENT ON AN ANNUAL BASIS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE REPORTED CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BODY DELEGATED POWERS. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON SHALL LEAVE THE GOVERNING BODY OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING DIRECTORS OR COMMITTEE MEMBERS. THE GOVERNING BODY OR DESIGNATED COMMITTEE CONDUCTS PERIODIC REVIEWS TO ENSURE THAT THE ORGANIZATION DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
FORM 990, PART VI, SECTION B, LINE 15ATHE INDEPENDENT MEMBERSHIP OF THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE ANNUALLY CONDUCTS A PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND COMPARED TO PUBLIC INFORMATION ABOUT COMPENSATION IN POSITIONS AT SIMILAR ORGANIZATIONS. THE BOARD PRESIDENT APPROVES COMPENSATION FOR THE EXECUTIVE DIRECTOR AFTER CONSULTATION WITH THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF BENEFICIAL INTEREST HELD BY MADISON COMMUNITY FOUNDATION -21,274.