PAYNESVILLE FIRE DEPARTMENT RELIEF ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PAYNESVILLE FIRE DEPARTMENT RELIEF ASSOCIATION (EIN 41-1319602)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-24
IRS object ID
202231449349300118
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)
Return2022-05-24T09:41:11-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411781145PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIANSON PLLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1302 5TH ST SWAddressLine1Txt
CityWILLMARCityNm
State AbbreviationMNStateAbbreviationCd
ZIP562013214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411319602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAYNESVILLE FIRE DEPARTMENT RELIEFBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPAYNBusinessNameControlTxt
Phone3204923365PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW NIENABERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3203331102PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastNIENABERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHRYN MUELLERPreparerPersonNm
PTINP01571778PTIN
Phone3202355937PhoneNum
Preparation2022-05-16PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW NIENABERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$108,772GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE FIRE, RESCUE, AND COMMUNITY SUPPORT SERVICES FOR THE SURROUNDING PAYNESVILLE AREAActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$52,414PYContributionsGrantsAmt
CY Contributions Grants$48,595CYContributionsGrantsAmt
PY Program Service Revenue$130PYProgramServiceRevenueAmt
CY Program Service Revenue$145CYProgramServiceRevenueAmt
PY Investment Income$11,856PYInvestmentIncomeAmt
CY Investment Income$13,378CYInvestmentIncomeAmt
PY Other Revenue$19,705PYOtherRevenueAmt
CY Other Revenue$37,844CYOtherRevenueAmt
PY Total Revenue$84,105PYTotalRevenueAmt
CY Total Revenue$99,962CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$51,667PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$38,191PYOtherExpensesAmt
CY Other Expenses$24,647CYOtherExpensesAmt
PY Total Expenses$89,858PYTotalExpensesAmt
CY Total Expenses$24,647CYTotalExpensesAmt
PY Revenues Less Expenses-$5,753PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$75,315CYRevenuesLessExpensesAmt
Total Assets BOY$707,536TotalAssetsBOYAmt
Total Assets EOY$834,733TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$707,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$834,733NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FIRE, RESCUE, AND COMMUNITY SUPPORT SERVICES FOR THE SURROUNDING PAYNESVILLE AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,612ExpenseAmt
Revenue$145RevenueAmt
DescFIRE RESCUE AND COMMUNITY SERVICESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPENSION PAYOUTSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,612TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
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 StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD MEHLHOPBusinessNameLine1Txt
Business Name Line2PAYNESVILLE FIRE DEPT RELIEF ASSOCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone3203331102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 305AddressLine1Txt
CityPAYNESVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56362ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANDREW NIENABER
PRESIDENTYes (X)Yes (X)$0$0$0
MICHAEL HEMMESCH
VICE PRESIDEYes (X)Yes (X)$0$0$0
CHRISTOPHER PRICE
SECRETARYYes (X)Yes (X)$0$0$0
BRADLEY MEHLHOP
TREASURERYes (X)Yes (X)$0$0$0
TOM FORDYCE
TRUSTEEYes (X)$0$0$0
GRANT LIESER
TRUSTEEYes (X)$0$0$0
SHAWN REINKE
MAYORYes (X)$0$0$0
ANDREW SOINE
FIRE CHEIFYes (X)$0$0$0
TARIQ AL-RIFAI
CITY ADMINISYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$48,595GovernmentGrantsAmt
Total Contributions$48,595TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDUES REVENUE - SPECIAL FUNDDesc
Total Revenue Column$145TotalRevenueColumnAmt
Related Or Exempt Func Income$145RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$145TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,378TotalRevenueColumnAmt
Related Or Exempt Func Income$13,378RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,659FundraisingGrossIncomeAmt
Fundraising Direct Expenses$8,810FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,849TotalRevenueColumnAmt
Exclusion$30,849ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$6,995TotalRevenueColumnAmt
Related Or Exempt Func Income$6,995RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,995OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$99,962TotalRevenueColumnAmt
Related Or Exempt Func Income$20,518RelatedOrExemptFuncIncomeAmt
Exclusion$30,849ExclusionAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,520TotalAmt
Management And General$7,520ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT EXPENSE - GENER$7,029$7,029
ADMINISTRATIVE EXPENSE$6,529$6,529
SUPPLIES EXPENSE$1,583$1,583
OTHER$1,463$1,463

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$523TotalAmt
Management And General$523ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,647TotalAmt
Program Services$8,612ProgramServicesAmt
Management And General$16,035ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$101,560BOYAmt
EOY$155,170EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$604,976BOYAmt
EOY$679,563EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$707,536BOYAmt
EOY$834,733EOYAmt

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$27,936BOYAmt
EOY$52,624EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$679,600BOYAmt
EOY$782,109EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$707,536BOYAmt
EOY$834,733EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$707,536BOYAmt
EOY$834,733EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$75,315ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$52,882NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,000OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$99,962TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$99,962RevenueSubtotalAmt
Total Revenue Per Form990$99,962TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,647TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$24,647ExpensesSubtotalAmt
Total Expenses Per Form990$24,647TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISINGEvent1Nm
Gross Receipts Event1$39,659GrossReceiptsEvent1Amt
Gross Revenue Event1$39,659GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,810OtherDirectExpensesEvent1Amt
Gross Receipts Total$39,659GrossReceiptsTotalAmt
Gross Revenue Total Events$39,659GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,810OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,810DirectExpenseSummaryEventsAmt
Net Income Summary$30,849NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9ACCRUAL TO CASH ADJUSTMENT -1,000

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