FORT ATKINSON FOOD PANTRY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FORT ATKINSON FOOD PANTRY (EIN 39-1848794)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-16
IRS object ID
202201369349304045
Schema version
2021v4.2
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)
Return2022-05-16T11:19:00-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN472935168PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BARES FORT TAX SERVICE INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1117 NORTH MAIN STREETAddressLine1Txt
CityFort AtkinsonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53538ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391848794EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORT ATKINSON FOOD PANTRY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFORTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 JONES AVEAddressLine1Txt
CityFORT ATKINSONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53538ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY THOMPersonNm
Person TitleOFFICERPersonTitleTxt
Phone9205633555PhoneNum
Signature2022-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGARYPersonFirstNm
Person LastTHOMPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARGARET A BAREPreparerPersonNm
PTINP00492517PTIN
Phone9205636562PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$127,070GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHIS NON-SECTARIAN ORGANIZATION SHALL EXIST FOR THE CHURCHES AND ORGANIZATIONS OF THE SCHOOL DISTRICT OF THE FORT ATKINSON, WISCONSIN AREA TO COORDINATE THEIR EFFORTS TO PROVIDE FOOD ON AN EMERGENCY BASIS TO PERSONS DETERMINED IN NEED.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$124,685PYContributionsGrantsAmt
CY Contributions Grants$124,685CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,641PYInvestmentIncomeAmt
CY Investment Income$2,385CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$127,326PYTotalRevenueAmt
CY Total Revenue$127,070CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$69,826CYOtherExpensesAmt
CY Total Expenses$69,826CYTotalExpensesAmt
PY Revenues Less Expenses$127,326PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,244CYRevenuesLessExpensesAmt
Total Assets BOY$266,798TotalAssetsBOYAmt
Total Assets EOY$324,042TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$266,798NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$324,042NetAssetsOrFundBalancesEOYAmt
MissionTHIS NON-SECTARIAN ORGANIZATION SHALL EXIST FOR THE CHURCHES AND ORGANIZATIONS OF THE SCHOOL DISTRICT OF THE FORT ATKINSON, WISCONSIN AREA TO COORDINATE THEIR EFFORTS TO PROVIDE FOOD ON AN EMERGENCY BASIS TO PERSONS DETERMINED IN NEED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$53,980ExpenseAmt
Revenue$124,685RevenueAmt
DescSERVED 1832 FAMILIES, 132 NEW FAMILIES, 4675 TOTAL INDIVIDUALS (ADULTS 18-59, ADULTS 60+ AND CHILDREN) BY PROVIDING FOOD THROUGHOUT THE YEARDesc
Total Program Service Expenses$53,980TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 EquipmentfalseReportLandBuildingEquipmentInd
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 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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGARY THOMPersonNm
Phone9205633555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 JONES AVEAddressLine1Txt
CityFORT ATKINSONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53538ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LAURIE MCHENRY
SECRETARY0.000.00Yes (X)$0$0$0
GARY THOM
TREASURER0.000.00Yes (X)$0$0$0
ALAN TIMM
PRESIDENT0.000.00Yes (X)$0$0$0
DON GROSS
VICE PRESIDENT0.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$124,685AllOtherContributionsAmt
Total Contributions$124,685TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,385TotalRevenueColumnAmt
Related Or Exempt Func Income$2,385RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,070TotalRevenueColumnAmt
Related Or Exempt Func Income$2,385RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,483TotalAmt
Management And General$3,483ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$152TotalAmt
Management And General$152ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,921TotalAmt
Management And General$10,921ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$180TotalAmt
Management And General$180ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$780TotalAmt
Management And General$780ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$53,980$53,980
CHAMBER DUES AND FEES$330$330

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$69,826TotalAmt
Program Services$53,980ProgramServicesAmt
Management And General$15,846ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$83,165BOYAmt
EOY$124,042EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$183,633BOYAmt
EOY$200,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$266,798BOYAmt
EOY$324,042EOYAmt

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$266,798BOYAmt
EOY$324,042EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$266,798BOYAmt
EOY$324,042EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$266,798BOYAmt
EOY$324,042EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$57,244ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$78,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,014CurrentTaxYearMinus1YearAmt
Current Tax Year$124,685CurrentTaxYearAmt
Total$492,812TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,014CurrentTaxYearMinus1YearAmt
Current Tax Year$124,685CurrentTaxYearAmt
Total$492,812TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$492,812PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,093CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$910CurrentTaxYearMinus1YearAmt
Current Tax Year$2,641CurrentTaxYearAmt
Total$8,376TotalAmt
FieldValueIRS element (for citing)
Total Support$501,188TotalSupportAmt
Public Support CY1700.98330PublicSupportCY170Pct
Public Support PY1700.98580PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11A COPY OF EACH YEARLY TAX RETURN IS AVAILBLE BY REQUEST FROM AN OFFICER OF THE GROUP
Conflict of interest policy compliance Part VI line 12cEACH YEAR THE DIRECTORS MUST READ AND SIGN THE CONFLICT OF INTEREST POLICY AGREEING TO COMPLY WITH THE POLICY BECAUSE THE ORG OR RISK LOSING ITS TAX EXEMPT STATUS. PERIODIC REVIEWS BY THE DIRECTORS WILL BE BE DONE TO MAINTAIN COMPLIANCE.
Governing documents etc available to public Part VI line 19ALL DOCUMENTS ARE AVAILABLE FOR REVIEW BY REQUEST FROM ONE OF THE DIRECTORS

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