2022-05-10T14:19:00-05:00 2021-06-30 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2020-07-01 391370658 EPILEPSY FOUNDATION OF WISCONSIN INC EPIL 6086651848 41 PARK RIDGE DRIVE NO C STEVENS POINT WI 54481 KRISTIN HUBBARD DOSTAL EXECUTIVE DIRECTOR 6086651848 2022-05-10 1 KRISTIN HUBBARD DOSTAL 999009999 MIKE HABLEWITZ CPA P01259157 6082744020 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KRISTIN HUBBARD DOSTAL 41 PARK RIDGE DRIVE NO C STEVENS POINT WI 54481 206257 0 X EPILEPSYWISCONSIN.ORG X 1980 WI TO PROVIDE PROGRAMS AND RELIEF TO PERSONS WITH EPILEPSY AND THEIR FAMILIES AND EDUCATION TO THE COMMUNITY ABOUT EPILEPSY AND SEIZURE DISORDERS. 15 15 5 20 0 0 279955 200784 0 500 80 624 6051 1062 286086 202970 0 0 0 0 148823 153865 0 0 46958 114762 71758 263585 225623 22501 -22653 186250 167277 15231 18911 171019 148366 X THE EPILEPSY FOUNDATION OF WISCONSIN LEADS THE FIGHT TO OVERCOME THE CHALLENGES OF LIVING WITH EPILEPSY AND TO ACCELERATE THERAPIES TO STOP SEIZURES, FIND CURES AND SAVE LIVES. 0 0 97145 0 500 EPILEPSY AWARENESS : EFW HOLDS WEEKLY ONLINE SEMINARS ENTITLED "VIRTUAL MEET UPS". THE TOPICS RANGE FROM HEALTH AND SAFETY TOPICS TO "LIFE HACKS" TO DIET AND EXERCISE. ALL ARE DELIVERED BY SOME OF THE TOP MEDICAL AND CERTIFIED PROFESSIONALS IN THE US. THESE MEET UPS ARE FREE TO ANYONE THAT REGISTERS. 0 0 0 COMMUNITY SERVICES : IN TYPICAL CALENDAR YEAR, EFW ACHIEVES OVER 300,000 INDIVIDUAL INTERACTIONS OR TOUCHES WITHIN THE STATE OF WISCONSIN. VIA OUR WEBSITE AND CONNECTION WITH THE EFW WEBSITE, INDIVIDUALS THROUGHOUT WISCONSIN HAVE 24/7 ACCESS TO THE LATEST MEDICAL AND TREATMENT INFORMATION, SAFETY AND TRAINING MATERIALS AS WELL AS ONLINE SEMINARS AND EDUCATIONAL OFFERINGS. THIS PROGRAM WAS ON HOLD IN FISCAL YEAR 6/30/21 DUE TO THE PANDEMIC. 815 0 0 DIRECT CLIENT SERVICES : IN A TYPICAL YEAR EFW HOLDS THREE TYPES OF IN PERSON EVENTS THAT BENEFIT OUR CLIENTS AND THE COMMUNITY. 1) SUPPORT GROUPS : THESE IN PERSON MEETINGS ARE MODERATED BY EFW STAFF AND ALLOW MEMBERS OF THE COMMUNITY TO MEET AND BUILD RELATIONSHIPS AROUND THEIR SHARED EPILEPSY JOURNEYS. 2) KIDS CAMP : FOR ONE WEEK EACH YEAR ADOLESCENTS FROM ACROSS THE STATE ARE ABLE TO COME TOGETHER AT THE LION'S CAMP IN ROSHOLT WISCONSIN AND ENJOY A "TYPICAL" SUMMER CAMP EXPERIENCE THAT IS OFTEN NOT POSSIBLE BECAUSE OF THEIR EPILEPSY UNDER OTHER CONDITIONS. 3) ADULT RETREAT : EFW CONDUCTS A FULL WEEKEND OF ACTIVITIES FOR OUR ADULT CLIENTS TO BUILD A SENSE OF COMMUNITY AND FELLOWSHIP WITH OTHERS. THE EFW STAFF BUILDS THE AGENDA AND FACILITATES ALL OF THE ACTIVITIES DURING THIS FUN FILLED WEEKEND. 0 0 0 EPILEPSY EDUCATION CONFERENCE : THE EFW STAFF BUILDS A DAY LONG EDUCATIONAL SEMINAR THAT APPEALS TO BOTH THE CLIENT COMMUNITY AND THE PROFESSIONAL COMMUNITY FEATURING SPEAKERS ON A WIDE RANGE OF TOPICS. THIS IN PERSON EVENT IS NOT ONLY A CHANCE FOR EVERYONE TO LEARN ABOUT THE LATEST ADVANCEMENTS, BUT IS ALSO THE ONE CHANCE FOR THE STATE WIDE COMMUNITY TO GATHER AND NETWORK. THIS PROGRAM WAS ON HOLD IN FISCAL YEAR 6/30/21 DUE TO THE PANDEMIC. 0 0 0 PUBLIC EDUCATION: IN A TYPICAL YEAR EFW CONDUCTS FREE SEIZURE RECOGNITION AND FIRST AID TRAINING SESSIONS FOR SCHOOL DISTRICTS, BUSINESS AND SERVICE ORGANIZATIONS. THE VARIOUS LEVELS OF TRAINING CAN BE TAILORED TO THE AUDIENCE AND ARE DELIVERED ELECTRONICALLY AND IN PERSON. THIS PROGRAM WAS ON HOLD IN FISCAL YEAR 6/30/21 DUE TO THE PANDEMIC. 0 0 0 97960 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X KAYLA MUNOZ 6086651848 41 PARK RIDGE DRIVE STE C STEVENS POINT WI 54481 CURTIS DEPREY CHAIR 1.00 X X 0 0 0 SHERRY BETTHAURSER SECRETARY 1.00 X X 0 0 0 TY WEIMER TREASURER 1.00 X X 0 0 0 VICTORIA CARTER DIRECTOR 1.00 X 0 0 0 JENNIFER FORBES-BENISHEK DIRECTOR 1.00 X 0 0 0 BARRY GIDAL DIRECTOR 1.00 X 0 0 0 SARA SZUBERT DIRECTOR 1.00 X 0 0 0 JASON LONGMIER DIRECTOR 1.00 X 0 0 0 TOM MCCARRIER DIRECTOR 1.00 X 0 0 0 JOY PAUL DIRECTOR 1.00 X 0 0 0 DOUG PICHLER DIRECTOR 1.00 X 0 0 0 SHERRI SCHLIES DIRECTOR 1.00 X 0 0 0 RACHEL KOVAL DIRECTOR 1.00 X 0 0 0 MARRY ANN WERZ DIRECTOR 1.00 X 0 0 0 LORI WYSONG DIRECTOR 1.00 X 0 0 0 MICHAEL GOMOLL EXECUTIVE DIRECTOR (THRU MAY) 40.00 X 55000 0 2100 KRISTIN HUBBARD DOSTAL EXECUTIVE DIRECTOR (FROM MAY) 40.00 X 44370 0 0 99370 0 2100 0 0 0 0 0 9802 39855 119239 31888 200784 PROGRAM SERVICE REVENU 517919 500 500 500 624 624 0 39855 3287 -3287 -3287 MANAGEMENT FEES 541610 8 8 4341 4341 4349 202970 500 0 1686 60000 30000 15000 15000 82495 41247 20624 20624 11370 5686 2842 2842 2998 2998 29020 29020 989 989 1344 307 130 907 5480 2553 1180 1747 5566 2784 1391 1391 3138 1570 784 784 859 837 11 11 559 559 2731 1365 683 683 6164 3082 1541 1541 DUES AND SUBSCRIPTIONS 10398 8036 1181 1181 2512 493 1772 247 225623 97960 80705 46958 27347 66122 110785 67320 43998 32296 735 885 24163 23509 3385 654 186250 167277 9737 18911 5494 0 15231 18911 X 127021 104802 43998 43564 171019 148366 186250 167277 -22653 0 X 0 1 X 1 0 X 257500 282431 296246 279955 200784 1316916 257500 282431 296246 279955 200784 1316916 7679 1309237 259 826 925 80 624 2714 1000 1000 1320630 46645 0.99140 0.98740 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 1,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24163 23509 654 654 WALK TO END EPILEPSY 39855 39855 481 2806 39855 39855 481 2806 3287 -3287 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE AUDIT COMMITTEE AND THE BOARD CHAIR. THE ENTIRE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY STATES THAT NO MEMBER OF THE BOARD OF DIRECTORS OR THEIR IMMEDIATE FAMILY MAY ENGAGE IN BUSINESS TRANSACTIONS WITH THE EPILEPSY FOUNDATION OF WISCONSIN FOR PROFIT, THAT PAID MEMBERS OF THE EPILEPSY FOUNDATION OF WISCONSIN'S STAFF MAY NOT SERVE ON THE BOARD OF DIRECTORS, AND THAT MEMBERS OF THE BOARD OF DIRECTORS RECEIVE NO COMPENSATION, EXCEPT FOR REIMBURSEMENT OF EXPENSES INCURRED ON BOARD OF DIRECTOR BUSINESS. THE POLICY IS ANNUALLY REVIEWED AT THE FIRST MEETING OF THE YEAR IF A CONFLICT OF INTEREST ARISES, THE CONFLICTED BOARD MEMBER IS ASKED TO RESIGN FROM HIS/HER POSITION. FORM 990, PART VI, SECTION B, LINE 15A IN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR, THE ORGANIZATION PARTICIPATES IN A UNITED WAY WAGE AND BENEFITS SURVEY OF DANE COUNTY NONPROFIT ORGANIZATIONS. IT ALSO USES OTHER COMPARATIVE DATA THAT MAY BE AVAILABLE THROUGH THE NATIONAL OFFICE OR THE ASSOCIATION OF FUNDRAISING PROFESSIONALS. THE GOVERNANCE COMMITTEE CONDUCTS THIS REVIEW ANNUALLY AND RECOMMENDS TO THE BOARD OF DIRECTORS CHANGES OR INCREASES TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE GOVERNANCE COMMITTEE MEMBERS DECIDE ON AN EVALUATION FORM AND CONTACT INDIVIDUAL BOARD MEMBERS TO COLLECT EVERYONE'S EVALUATION. THESE ARE COMPILED INTO AN EVALUATION DOCUMENT FOR PRESENTATION TO THE EXECUTIVE DIRECTOR AND INCLUSION INTO HIS EMPLOYMENT FILE. THE BOARD'S RECOMMENDATION FOR SALARY ADJUSTMENTS IS MADE IN THIS DOCUMENT AND AGREED TO BY THE EXECUTIVE DIRECTOR AT A REGULARLY SCHEDULED BOARD MEETING. THE BOARD MAY GO INTO EXECUTIVE SESSION BRIEFLY TO MAKE ANY NECESSARY DELIBERATIONS. 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. EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC 1812 BRACKETT AVENUE STE 5 EAU CLAIRE WI 54701 391372185 EDUCATION AND RELIEF TO PERSONS WITH EPILEPSY AND THEIR FAMILIES. WI 501(C)(3) LINE 7 EPILEPSY FOUNDATION OF WISCONSIN INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0