ENDEAVORS ADULT DEVELOPMENT CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ENDEAVORS ADULT DEVELOPMENT CENTER (EIN 39-1101553)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-02-18
- IRS object ID
- 202230499349300228
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-18T11:55:50-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200011874 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KYLE D OVERBY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 433 3RD AVE - PO BOX 385 | AddressLine1Txt |
| City | CLEAR LAKE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391101553 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ENDEAVORS ADULT DEVELOPMENT CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ENDE | BusinessNameControlTxt |
| Phone | 7154858770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 150TH STREET | AddressLine1Txt |
| City | BALSAM LAKE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54810 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLIE LARSON | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 7154858770 | PhoneNum |
| Signature | 2022-02-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBRA | PersonFirstNm |
| Person Last | KUTINA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KYLE STAFF | PreparerPersonNm |
| PTIN | P01793300 | PTIN |
| Phone | 7152634111 | PhoneNum |
| Preparation | 2022-02-18 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LESLIE LARSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1598 180TH STREET | AddressLine1Txt |
| City | CENTURIA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54824 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,330,282 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ENDEAVORSADC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE ADULT DEVELOPMENT CENTER IS A COMMUNITY BASED NOT FOR PROFIT AGENCY. WE PROVIDE SERVICES WITHOUT REGARDS TO RACE, COLOR, SEX, OR RELIGION TO DISABLED CITIZENS. WE BELEIVE THAT EACH INDIVIDUAL IS CAPABLE OF CHANGE, LEARNING, GROWING, AND MATURING, REGARDLESS OF DISABILITY OR CHALLENGE. OUR MISSION IS TO BE MENTORS FOR DISABLED ADULTS, TEACHING LIFE SKILLS AND TO PROVIDE THEM WITH MEANINGFUL EMPLOYMENT. WE BELEIVE ALL INDIVIDUALS HAVE A PURPOSE IN LIFE TO LEARN, TO GROW AND TO REACH THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 97 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $793,190 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,786 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,268,726 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,279,006 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,719 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,148 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,074,635 | PYTotalRevenueAmt |
| CY Total Revenue | $1,329,940 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,106,132 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,145,871 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $745 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $567,718 | PYOtherExpensesAmt |
| CY Other Expenses | $544,711 | CYOtherExpensesAmt |
| PY Total Expenses | $1,673,850 | PYTotalExpensesAmt |
| CY Total Expenses | $1,690,582 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $400,785 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$360,642 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,127,467 | TotalAssetsBOYAmt |
| Total Assets EOY | $772,217 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $350,265 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $355,551 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $777,202 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $416,666 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ADULT DEVELOPMENT CENTER IS A COMMUNITY BASED NOT FOR PROFIT AGENCY. WE PROVIDE SERVICES WITHOUT REGARDS TO RACE, COLOR, SEX, OR RELIGION TO DISABLED CITIZENS. WE BELEIVE THAT EACH INDIVIDUAL IS CAPABLE OF CHANGE, LEARNING, GROWING, AND MATURING, REGARDLESS OF DISABILITY OR CHALLENGE. OUR MISSION IS TO BE MENTORS FOR DISABLED ADULTS, TEACHING LIFE SKILLS AND TO PROVIDE THEM WITH MEANINGFUL EMPLOYMENT. WE BELEIVE ALL INDIVIDUALS HAVE A PURPOSE IN LIFE TO LEARN, TO GROW AND TO REACH THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,547,937 | ExpenseAmt |
| Revenue | $1,279,006 | RevenueAmt |
| Desc | THE INDEPENDENT LIVING SKILLS ASSESSMENT SERVICES ASSISTS IN IDENTIFYING AN INDIVIDUAL'S STRENGTHS AND LIMITATIONS/NEEDS AS THEY PERTAIN TO THE ABILITY TO LIVE INDEPENDENTLY AS POSSIBLE. PERSONS REFERRED FOR AN ILSA WILL WORK IN AN APARTMENT LOCATED AT THE PCADC FOR FOUR DAYS. STAFF PROVIDES: 1:1 SUPERVISION. SOME OF THE AREAS ASSESSED INCLUDED: MENU PLANNING; GROCERY SHOPPING; MEAL PREPARATION; HOUSEHOLD CLEANING; PERSONAL CARE; NUTRITION; HOME SAFETY/EMERGENCY SITUATIONS; BUDGETING AND FINANCIAL MANAGEMENT; RECREATION/LEISURE; LANDRY SKILLS; ETC. N.E.T.W.O.R.C. (NEW EXPERIENCES THROUGH A WEALTH OF OPPORTUNITY AND RESOURCES IN THE COMMUNITY) IS A GOAL-ORIENTED PROGRAM WHICH INTEGRATES DEVELOPMENTALLY DISABLED INDIVIDUALS INTO THE COMMUNITY. EACH INDIVIDUAL HAS SPECIFIC GOALS TO WORK ON WITH THEIR ACTIVITY COMPANION. GOAL CAN INCLUDE BUT ARE NOT LIMITED TO: SOCIALIZATION SKILLS, INDEPENDENT LIVING SKILLS; NUTRITIONAL AWARENESS; WEIGHT MANAGEMENT; SELF-CONFIDENCE. ETC. TO BECOME PART OF THE NETWORC PROGRAM INDIVIDUALS MUST BE REFERRED TO THE PCADC BY THEIR COUNTY CASE MANAGER OR OTHER THIRD-PARTY PAYEE. THE INDIVIDUAL WILL BE ASSIGNED AN ACTIVITY COMPANION WHO WILL ASSIST THE INDIVIDUAL WITH THEIR GOALS. THE ACTIVITY COMPANION WILL PROVIDE TRANSPORTATION FOR ACTIVITIES. INDIVIDUALS WILL BE RESPONSIBLE FOR PAYING FOR THEIR OWN EXPENSES (I.E. MEALS, BOWLING, MOVIE TICKETS, ETC.) WORK ADJUSTMENT IS A SYSTEM OF GOAL DIRECTED SERVICES FOCUSING ON THE ENHANCEMENT/REMEDIATION OF AN INDIVIDUALS EMPLOYABILITY SKILLS. IT PROVIDES TRAINING IN THE MEANING, VALUE AND DEMANDS OF WORK, AS WELL AS THE DEVELOPMENT OF POSITIVE ATTITUDES TOWARD WORK. WORK ADJUSTMENT SERVICES CAN INCLUDE BUT ARE NOT LIMITED TO: INCREASING PRODUCTIVITY; IMPROVING INTERACTIONS WITH SUPERVISORS AND CO-WORKERS; IMPROVING PUNCTUALITY AND ATTENDANCE AND INCREASING STAMINA AND ENDURANCE. VOCATIONAL EVALUATION SERVICES PROVIDE AND INDIVIDUALIZED, TIMELY AND SYSTEMATIC PROCESS BY WHICH A PERSON WITH A DISABILITY WHO IS SEEKING EMPLOYMENT, IN PARTNERSHIP WITH AN EVALUATOR, LEARNS TO IDENTIFY VIABLE VACATIONAL OPTIONS AND DEVELOP EMPLOYMENT GOALS AND OBJECTIVES. VOCATIONAL EVALUATIONS INCORPORATE DATA TO ASSIST IN THE IDENTIFICATION OF VOCATIONAL AND/OR TRAINING OPTIONS AND THE RESOURCES NEEDED TO MEET THOSE GOALS. THIS INCLUDES MEDICAL, PSYCHOLOGICAL, EDUCATIONAL, VOCATIONAL AND ECONOMIC DATA. THE POLK COUNTY ADULT DEVELOPMENT CENTER UTILIZES REFERRAL SOURCE INFORMATION, INTERVIEWS WITH CLIENTS, PSYCHOMETRIC TESTING, CAREEER EXPLORATION AND REAL OR SIMULATED WORK TO MEET THE GOALS OF THE VOCATIONAL EVALUATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,547,937 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,279,006 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,547,937 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 97 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVE MULLER | PersonNm |
| Phone | 7154858770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1872 120TH ST | AddressLine1Txt |
| City | BALSAM LAKE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|
| LESLIE LARSON | |||||
| DIRECTOR | Yes (X) | $39,805 | $0 | $0 | |
| JAN CARLSON | |||||
| CHAIRPERSON | Yes (X) | $0 | $0 | $0 | |
| JOAN LILLIE | |||||
| CHAIRPERSON | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAVE MULLER | |||||
| TREASURER | Yes (X) | $0 | $0 | $0 | |
| AMBER OGREN | |||||
| CHAIRPERSON | Yes (X) | $0 | $0 | $0 | |
| LUANN WHITE | |||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $39,805 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $49,786 | AllOtherContributionsAmt |
| Total Contributions | $49,786 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PRODUCTION SUPPORT | $361,175 | $361,175 |
| DAY SERVICE PROGRAM | $299,343 | $299,343 |
| TRANSPORTATION SUPPORT | $232,808 | $232,808 |
| CONTRACTED SERVICES | $217,459 | $217,459 |
| DAY FRIENDS PROGRAM | $122,933 | $122,933 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,288 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,279,006 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $990 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $990 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $342 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $158 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $158 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $158 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,329,940 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,280,154 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,805 | TotalAmt |
| Management And General | $39,805 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $941,534 | TotalAmt |
| Program Services | $877,651 | ProgramServicesAmt |
| Management And General | $63,883 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,619 | TotalAmt |
| Program Services | $62,338 | ProgramServicesAmt |
| Management And General | $3,281 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,913 | TotalAmt |
| Program Services | $93,967 | ProgramServicesAmt |
| Management And General | $4,946 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,451 | TotalAmt |
| Management And General | $28,451 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,656 | TotalAmt |
| Program Services | $68,656 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,204 | TotalAmt |
| Program Services | $10,204 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,790 | TotalAmt |
| Program Services | $132,790 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,684 | TotalAmt |
| Program Services | $29,150 | ProgramServicesAmt |
| Management And General | $1,534 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| TRANSPORTATION PROGRAM | $155,776 | $155,776 |
| GREENHOUSE PROGRAM | $59,736 | $59,736 |
| GRANT EXPENSE | $20,519 | $20,519 |
| DAY FRIEND PROGRAM | $8,292 | $8,292 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,603 | TotalAmt |
| Program Services | $28,858 | ProgramServicesAmt |
| Fundraising | $745 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,690,582 | TotalAmt |
| Program Services | $1,547,937 | ProgramServicesAmt |
| Management And General | $141,900 | ManagementAndGeneralAmt |
| Fundraising | $745 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $574,236 | BOYAmt |
| EOY | $164,905 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,667 | BOYAmt |
| EOY | $275,990 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,390 | BOYAmt |
| EOY | $29,228 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,543 | BOYAmt |
| EOY | $5,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,760,798 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,471,577 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,214 | BOYAmt |
| EOY | $289,221 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,417 | BOYAmt |
| EOY | $7,417 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,467 | BOYAmt |
| EOY | $772,217 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,732 | BOYAmt |
| EOY | $13,029 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,319 | BOYAmt |
| EOY | $255,923 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,214 | BOYAmt |
| EOY | $86,599 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,265 | BOYAmt |
| EOY | $355,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,202 | BOYAmt |
| EOY | $416,666 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,202 | BOYAmt |
| EOY | $416,666 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,467 | BOYAmt |
| EOY | $772,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$360,642 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $106 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $154,672 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,786 | CurrentTaxYearAmt |
| Total | $545,981 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $154,672 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,786 | CurrentTaxYearAmt |
| Total | $545,981 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $545,981 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $298 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $761 | CurrentTaxYearMinus1YearAmt |
| Total | $1,995 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $547,976 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,549,483 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99640 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,800 | OtherCostOrOtherBasisAmt |
| Book Value | $114,800 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,645,998 | OtherCostOrOtherBasisAmt |
| Book Value | $1,645,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,760,798 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amt | $86,599 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $86,599 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ADULT DEVELOPMENT CENTER IS A COMMUNITY BASED NOT FOR PROFIT AGENCY. WE PROVIDE SERVICES WITHOUT REGARDS TO RACE, COLOR, SEX, OR RELIGION TO DISABLED CITIZENS. WE BELEIVE THAT EACH INDIVIDUAL IS CAPABLE OF CHANGE, LEARNING, GROWING, AND MATURING, REGARDLESS OF DISABILITY OR CHALLENGE. OUR MISSION IS TO BE MENTORS FOR DISABLED ADULTS, TEACHING LIFE SKILLS AND TO PROVIDE THEM WITH MEANINGFUL EMPLOYMENT. WE BELEIVE ALL INDIVIDUALS HAVE A PURPOSE IN LIFE TO LEARN, TO GROW AND TO REACH THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE. |
| FORM 990, PAGE 2, PART III, LINE 4D | THE INDEPENDENT LIVING SKILLS ASSESSMENT SERVICES ASSISTS IN IDENTIFYING AN INDIVIDUAL'S STRENGTHS AND LIMITATIONS/NEEDS AS THEY PERTAIN TO THE ABILITY TO LIVE INDEPENDENTLY AS POSSIBLE. PERSONS REFERRED FOR AN ILSA WILL WORK IN AN APARTMENT LOCATED AT THE PCADC FOR FOUR DAYS. STAFF PROVIDES: 1:1 SUPERVISION. SOME OF THE AREAS ASSESSED INCLUDED: MENU PLANNING; GROCERY SHOPPING; MEAL PREPARATION; HOUSEHOLD CLEANING; PERSONAL CARE; NUTRITION; HOME SAFETY/EMERGENCY SITUATIONS; BUDGETING AND FINANCIAL MANAGEMENT; RECREATION/LEISURE; LANDRY SKILLS; ETC. N.E.T.W.O.R.C. (NEW EXPERIENCES THROUGH A WEALTH OF OPPORTUNITY AND RESOURCES IN THE COMMUNITY) IS A GOAL-ORIENTED PROGRAM WHICH INTEGRATES DEVELOPMENTALLY DISABLED INDIVIDUALS INTO THE COMMUNITY. EACH INDIVIDUAL HAS SPECIFIC GOALS TO WORK ON WITH THEIR ACTIVITY COMPANION. GOAL CAN INCLUDE BUT ARE NOT LIMITED TO: SOCIALIZATION SKILLS, INDEPENDENT LIVING SKILLS; NUTRITIONAL AWARENESS; WEIGHT MANAGEMENT; SELF-CONFIDENCE. ETC. TO BECOME PART OF THE NETWORC PROGRAM INDIVIDUALS MUST BE REFERRED TO THE PCADC BY THEIR COUNTY CASE MANAGER OR OTHER THIRD-PARTY PAYEE. THE INDIVIDUAL WILL BE ASSIGNED AN ACTIVITY COMPANION WHO WILL ASSIST THE INDIVIDUAL WITH THEIR GOALS. THE ACTIVITY COMPANION WILL PROVIDE TRANSPORTATION FOR ACTIVITIES. INDIVIDUALS WILL BE RESPONSIBLE FOR PAYING FOR THEIR OWN EXPENSES (I.E. MEALS, BOWLING, MOVIE TICKETS, ETC.) WORK ADJUSTMENT IS A SYSTEM OF GOAL DIRECTED SERVICES FOCUSING ON THE ENHANCEMENT/REMEDIATION OF AN INDIVIDUALS EMPLOYABILITY SKILLS. IT PROVIDES TRAINING IN THE MEANING, VALUE AND DEMANDS OF WORK, AS WELL AS THE DEVELOPMENT OF POSITIVE ATTITUDES TOWARD WORK. WORK ADJUSTMENT SERVICES CAN INCLUDE BUT ARE NOT LIMITED TO: INCREASING PRODUCTIVITY; IMPROVING INTERACTIONS WITH SUPERVISORS AND CO-WORKERS; IMPROVING PUNCTUALITY AND ATTENDANCE AND INCREASING STAMINA AND ENDURANCE. VOCATIONAL EVALUATION SERVICES PROVIDE AND INDIVIDUALIZED, TIMELY AND SYSTEMATIC PROCESS BY WHICH A PERSON WITH A DISABILITY WHO IS SEEKING EMPLOYMENT, IN PARTNERSHIP WITH AN EVALUATOR, LEARNS TO IDENTIFY VIABLE VACATIONAL OPTIONS AND DEVELOP EMPLOYMENT GOALS AND OBJECTIVES. VOCATIONAL EVALUATIONS INCORPORATE DATA TO ASSIST IN THE IDENTIFICATION OF VOCATIONAL AND/OR TRAINING OPTIONS AND THE RESOURCES NEEDED TO MEET THOSE GOALS. THIS INCLUDES MEDICAL, PSYCHOLOGICAL, EDUCATIONAL, VOCATIONAL AND ECONOMIC DATA. THE POLK COUNTY ADULT DEVELOPMENT CENTER UTILIZES REFERRAL SOURCE INFORMATION, INTERVIEWS WITH CLIENTS, PSYCHOMETRIC TESTING, CAREEER EXPLORATION AND REAL OR SIMULATED WORK TO MEET THE GOALS OF THE VOCATIONAL EVALUATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION FOR REVIEW BY THE BOARD OF DIRECTORS FOR APPROVAL AND SIGNATURE PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS ANNUALLY REVIEWS ITS EMPLOYEES PERFORMANCE AND COMP ENSATION PACKAGES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL RECORDS ARE MADE AVAILABLE UPO N REQUEST. |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE 106 |
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