ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC (EIN 39-1802875)
Tax period
2022-10-01 to 2023-09-30
Filed
2023-12-13
IRS object ID
202343479349300619
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)
Return2023-12-13T11:42:31-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN262064862PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOLLATH & ASSOCIATES CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1421 WATER ST STE 111AddressLine1Txt
CityPRAIRIE DU SACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53578ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391802875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT DE PAUL SOCIETY OF SAUKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTVIBusinessNameControlTxt
Phone6086438905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 19TH STREETAddressLine1Txt
CityPRAIRIE DU SACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53578ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHELEN CAMPBELLPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone6086438905PhoneNum
Signature2023-12-01SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHELENPersonFirstNm
Person LastCAMPBELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE MILLERPreparerPersonNm
PTINP00388780PTIN
Phone6086440206PhoneNum
Preparation2023-12-01PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJACKIE MURPHYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 19TH STREETAddressLine1Txt
CityPRAIRIE DU SACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53578ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,805,225GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STVDPSAUKPRAIRIE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee43TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$285,350PYContributionsGrantsAmt
CY Contributions Grants$162,308CYContributionsGrantsAmt
PY Program Service Revenue$97,254PYProgramServiceRevenueAmt
CY Program Service Revenue$97,460CYProgramServiceRevenueAmt
PY Investment Income$22,241PYInvestmentIncomeAmt
CY Investment Income-$8,403CYInvestmentIncomeAmt
PY Other Revenue$1,472,261PYOtherRevenueAmt
CY Other Revenue$1,471,326CYOtherRevenueAmt
PY Total Revenue$1,877,106PYTotalRevenueAmt
CY Total Revenue$1,722,691CYTotalRevenueAmt
PY Grants And Similar Paid$123,620PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$156,828CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,027,660PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,094,580CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$392,514PYOtherExpensesAmt
CY Other Expenses$406,882CYOtherExpensesAmt
PY Total Expenses$1,543,794PYTotalExpensesAmt
CY Total Expenses$1,658,290CYTotalExpensesAmt
PY Revenues Less Expenses$333,312PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,401CYRevenuesLessExpensesAmt
Total Assets BOY$1,743,338TotalAssetsBOYAmt
Total Assets EOY$1,836,602TotalAssetsEOYAmt
Total Liabilities BOY$63,222TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,600TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,680,116NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,773,002NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,212,446ExpenseAmt
Grant$156,828GrantAmt
Revenue$1,620,582RevenueAmt
DescTO PROVIDE ASSISTANCE TO THE NEEDY OF THE SAUK-PRAIRIE/ROXBURY AREA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$182,287ExpenseAmt
Revenue$32,975RevenueAmt
DescMANAGEMENT OF THE ST VINCENT RESOURCE CENTER WHICH IS OCCUPIED BY GOVERNMENT AND NON-PROFIT AGENCIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$239,564ExpenseAmt
Revenue$97,254RevenueAmt
DescOPERATION OF A LOW INCOME DENTAL CLINICDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,613ExpenseAmt
DescFOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,613TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,636,910TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee43EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 RlnYes (true)FamilyOrBusinessRlnInd
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJARROD VANDE HEYPersonNm
Phone6086438905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 19TH STREETAddressLine1Txt
CityPRAIRIE DU SACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53578ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JACKIE MURPHY
PRESIDENT7.00Yes (X)$0$0$0
HELEN CAMPBELL
VICE PRESIDE2.00Yes (X)$0$0$0
BILL CAMPBELL
TREASURER2.00Yes (X)$0$0$0
TAMARA VANDEHEY
SECRETARY2.00Yes (X)$0$0$0
JEROME KELLER
DIRECTOR7.00$0$0$0Yes (X)
ROMAN MAIER
DIRECTOR2.00$0$0$0Yes (X)
ROBERT PFAFF
DIRECTOR2.00$0$0$0Yes (X)
DEAN BRICKL
DIRECTOR2.00$0$0$0Yes (X)
MARY BRICKL
DIRECTOR2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$162,308AllOtherContributionsAmt
Noncash Contributions$59,943NoncashContributionsAmt
Total Contributions$162,308TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDENTAL CLINIC FEESDesc
Total Revenue Column$97,460TotalRevenueColumnAmt
Related Or Exempt Func Income$97,460RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$97,460TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,582TotalRevenueColumnAmt
Exclusion$15,582ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,341OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$28,326OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$23,985OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,985TotalRevenueColumnAmt
Related Or Exempt Func Income-$28,326RelatedOrExemptFuncIncomeAmt
Exclusion$4,341ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,525,143GrossSalesOfInventoryAmt
Cost Of Goods Sold$54,208CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,470,935TotalRevenueColumnAmt
Related Or Exempt Func Income$1,470,935RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDISCOUNTS TAKENDesc
Total Revenue Column$391TotalRevenueColumnAmt
Related Or Exempt Func Income$391RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$391OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,722,691TotalRevenueColumnAmt
Related Or Exempt Func Income$1,540,460RelatedOrExemptFuncIncomeAmt
Exclusion$19,923ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,819TotalAmt
Program Services$13,819ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$143,009TotalAmt
Program Services$143,009ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$89,779TotalAmt
Program Services$80,801ProgramServicesAmt
Management And General$8,978ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$914,265TotalAmt
Program Services$914,265ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,090TotalAmt
Program Services$13,910ProgramServicesAmt
Management And General$180ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$76,446TotalAmt
Program Services$75,759ProgramServicesAmt
Management And General$687ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,535TotalAmt
Management And General$11,535ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$68,251TotalAmt
Program Services$68,251ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,931TotalAmt
Program Services$2,931ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,306TotalAmt
Program Services$15,306ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$65,978TotalAmt
Program Services$65,978ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$50,032TotalAmt
Program Services$50,032ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,670TotalAmt
Program Services$60,670ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$59,848$59,848
BANK CHARGES$47,455$47,455
TELEPHONE$9,702$9,702
DUES & SUBSCRIPTIONS$5,510$5,510

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,664TotalAmt
Program Services$9,664ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,658,290TotalAmt
Program Services$1,636,910ProgramServicesAmt
Management And General$21,380ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$151,587BOYAmt
EOY$204,581EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$401,675BOYAmt
EOY$293,772EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,941BOYAmt
EOY$39,852EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,112,570LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,310,399LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$735,166BOYAmt
EOY$802,171EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$395,460BOYAmt
EOY$475,717EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$20,509BOYAmt
EOY$20,509EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,743,338BOYAmt
EOY$1,836,602EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,222BOYAmt
EOY$63,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,222BOYAmt
EOY$63,600EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,610,830BOYAmt
EOY$1,713,516EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,286BOYAmt
EOY$59,486EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,680,116BOYAmt
EOY$1,773,002EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,743,338BOYAmt
EOY$1,836,602EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$64,401ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,485NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$161,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$278,556CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$285,350CurrentTaxYearMinus1YearAmt
Current Tax Year$162,308CurrentTaxYearAmt
Total$1,000,172TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,338,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,124,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,412,329CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,646,327CurrentTaxYearMinus1YearAmt
Current Tax Year$1,622,994CurrentTaxYearAmt
Total$7,144,848TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,500,028CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,403,296CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,524,717CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,931,677CurrentTaxYearMinus1YearAmt
Current Tax Year$1,785,302CurrentTaxYearAmt
Total$8,145,020TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,000CurrentTaxYearMinus3YearsAmt
Total$28,000TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,000CurrentTaxYearMinus3YearsAmt
Total$28,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,117,020PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,721CurrentTaxYearMinus1YearAmt
Current Tax Year$15,582CurrentTaxYearAmt
Total$28,220TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,721CurrentTaxYearMinus1YearAmt
Current Tax Year$15,582CurrentTaxYearAmt
Total$28,220TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$667CurrentTaxYearMinus3YearsAmt
Total$953TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,501,416CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,404,348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,527,147CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,940,398CurrentTaxYearMinus1YearAmt
Current Tax Year$1,800,884CurrentTaxYearAmt
Total$8,174,193TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99300PublicSupportCY509Pct
Public Support PY5090.99170PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation953ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,180OtherCostOrOtherBasisAmt
Book Value$39,180BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,073,390OtherCostOrOtherBasisAmt
Depreciation$1,310,399DepreciationAmt
Book Value$762,991BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$802,171TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtRecipient EINRecipientEIN
GOOD NEIGHBOR CLINIC
95 LINCOLN AVEPRAIRIE DU SACWI53578501 C3$7,500CHARITABLE
SAUK PRAIRIE FOOD PANTRY
821 B INDUSTRY ROADSAUK CITYWI53583501 C3$6,319CHARITABLE391608034
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePROVIDE DIRECT ASSISTANCEGrantTypeTxt
Cash Grant$83,066CashGrantAmt
Non Cash Assistance$59,943NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$59,943NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING.
FORM 990, PAGE 2, PART III, LINE 4DFOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES.
FORM 990, PAGE 6, PART VI, LINE 2BILL CAMPBELL HELEN CAMPBELL TREASURER V.P. HUSBAND/WIFE DEAN BRICKL MARY BRICKL DIRECTOR DIRECTOR HUSBAND/WIFE
FORM 990, PAGE 6, PART VI, LINE 11B990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW
FORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS ARE REQUIRED TO REPORT ON A REGULAR BASIS ANY CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15AGENERAL MANAGERS SALARY IS APPROVED BY THE BOARD OF DIRECTORS
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST - DOCUMENTS ARE MAINTAINED AT ORGANIZATIONS OFFICES.

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