WELLSPRING: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WELLSPRING (EIN 71-0949569)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-13
IRS object ID
202221339349201742
Schema version
2021v4.0
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)
Return2022-05-13T09:07:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN873535945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KELSEY ARNDT & TWEIT PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18 W MAIN STAddressLine1Txt
CityMADELIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56062ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710949569EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSPRING FAITH IN ACTIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
Phone5073751276PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 8TH STREET S SUITE 7AddressLine1Txt
CityST JAMESCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE MOHLENBROCKPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone5073751276PhoneNum
Signature2022-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastMOHLENBROCKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARIN H TWEIT CPAPreparerPersonNm
PTINP00316864PTIN
Phone5076422800PhoneNum
Preparation2022-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$68,772GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$68,216ContributionsGiftsGrantsEtcAmt
Investment Income$257InvestmentIncomeAmt
Other Revenue Total$299OtherRevenueTotalAmt
Total Revenue$68,772TotalRevenueAmt
Salaries Other Comp Empl Bnft$55,583SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,381FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$725OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$637PrintingPublicationsPostageAmt
Other Expenses Total$16,868OtherExpensesTotalAmt
Total Expenses$75,194TotalExpensesAmt
Excess Or Deficit For Year-$6,422ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$78,511NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$72,089NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$78,511BOYAmt
EOY$72,089EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,511BOYAmt
EOY$72,089EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$78,511BOYAmt
EOY$72,089EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeWORK WITH LOCAL FAITH COMMUNITIES AND CIVIC ORGANIZATIONS TO PROVIDE ASSISTANCE TO COMMUNITY MEMBERS LIVING IN DIFFICULT CIRCUMSTANCES AND PEOPLE DEALING WITH AGING ISSUES, CHRONIC ILLNESS, OR DISABILITIES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomASSIST INDIVIDUALS WITH DIFFICULTIES DUE TO AGING, ILLNESS OR DISABILITIES, MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE BY OFFERING NON MEDICAL SERVICES BY TRAINED VOLUNTEERS. WELLSPRING FAITH IN ACTION SERVED 1037 PEOPLE IN 2021.DescriptionProgramSrvcAccomTxt
Program Service Expenses$74,584ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$74,584TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MICHELLE MOHLENBROCK
CHAIRPERSON0.25$0
ASHLEY WELLMAN
VICE-CHAIRPE0.25$0
LUISA TRAPERO
SECRETARY0.25$0
HEATHER EISCHEN
TREASURER0.25$0
MARGARET MAIRE
BOARD MEMBER0.25$0
JIM BRANSTAD
BOARD MEMBER0.25$0
LISA BARBER-GUERDET
BOARD MEMBER0.25$0
KATHY RATHMAN
BOARD MEMBER0.25$0
KATY GOLDSCHMIDT
BOARD MEMBER0.25$0
JAZMINE FLORES
BOARD MEMBER0.25$0
BRIANNA FORSTNER
BOARD MEMBER0.25$0
HOLLY WALLACE
BOARD MEMBER0.25$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 8TH STREET SOUTH RM/STE 7AddressLine1Txt
CityST JAMESCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56081ZIPCd
FieldValueIRS element (for citing)
Phone5073751276PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$72,993CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,679CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,536CurrentTaxYearMinus1YearAmt
Current Tax Year$68,216CurrentTaxYearAmt
Total$376,030TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$561CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$291CurrentTaxYearMinus1YearAmt
Current Tax Year$556CurrentTaxYearAmt
Total$2,108TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,081CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,827CurrentTaxYearMinus1YearAmt
Current Tax Year$68,772CurrentTaxYearAmt
Total$378,138TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$378,138PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,081CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,827CurrentTaxYearMinus1YearAmt
Current Tax Year$68,772CurrentTaxYearAmt
Total$378,138TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 8REIMBURSEMENTS 299 TOTAL 299
FORM 990-EZ, PART I, LINE 16EXPENSES BOOKS, SUBSCRIPTIONS, REFEREN 391 SUPPLIES 1,026 TELEPHONE, TELECOMMUNICAT 151 ADVERTISING EXPENSES 3,351 MEMBERSHIPS AND DUES 75 OTHER COSTS 260 TRAVEL 1,311 VOLUNTEER MILEAGE 904 MISCELLANEOUS 1,222 INSURANCE - LIABILITY, D 3,319 STAFF DEVELOPMENT 765 BUSINESS EXPENSES 100 FUNDRAISING FEES 34 EXERCISE CLASS SUPPLIES 111 STIPENDS 3,814 CONFERENCE, CONVENTION, M 34 TOTAL 16,868
FORM 990-EZ, PART II, LINE 24DEPRECIABLE OFFICE EQUIPMENT 6,199 6,199 LESS ACCUMULATED DEPRECIATION 6,199 6,199 TOTAL 0 0
FORM 990-EZ, PART IIIWORK WITH LOCAL FAITH COMMUNITIES AND CIVIC ORGANIZATIONS TO PROVIDE ASSISTANCE TO COMMUNITY MEMBERS LIVING IN DIFFICULT CIRCUMSTANCES AND PEOPLE DEALING WITH AGING ISSUES, CHRONIC ILLNESS, OR DISABILITIES.
FORM 990-EZ, PART III, LINE 28ASSIST INDIVIDUALS WITH DIFFICULTIES DUE TO AGING, ILLNESS OR DISABILITIES, MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE BY OFFERING NON MEDICAL SERVICES BY TRAINED VOLUNTEERS. WELLSPRING FAITH IN ACTION SERVED 1037 PEOPLE IN 2021.

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