CREATIVE COMMUNITY LIVING SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CREATIVE COMMUNITY LIVING SERVICES INC (EIN 39-1195540)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-21
IRS object ID
202242649349300634
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)
Return2022-09-21T14:28:13-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12921 LANDMARK PL STE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134236ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391195540EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CREATIVE COMMUNITY LIVING SERVICESBusinessNameLine1Txt
Business Name Line2INCORPORATEDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCREABusinessNameControlTxt
Phone8002362257PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 EAST MAIN STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53094ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES ZACHEPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8002362257PhoneNum
Signature2022-09-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAMESPersonFirstNm
Person LastZACHEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIM SEIDEL CPAPreparerPersonNm
PTINP01284559PTIN
Phone6082744020PhoneNum
Preparation2022-09-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
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)
Principal OfficerJAMES ZACHEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 EAST MAIN STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53094ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,345,989GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCCLSWI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionCREATIVE COMMUNITY LIVING SERVICES IS A PROVIDER OF SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES, OR FUNCTIONAL LIMITATIONS OF ADVANCED AGING. OUR COMMUINITY SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED. WE WORK WITH THE INDIVIDUAL TO BUILD THE NECESSARY SUPPORTS BASED ON THEIR NEEDS, STRENGTHS, AND WISHES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee623TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$954,129TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,015NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,607,815PYContributionsGrantsAmt
CY Contributions Grants$3,218,455CYContributionsGrantsAmt
PY Program Service Revenue$15,557,095PYProgramServiceRevenueAmt
CY Program Service Revenue$17,159,140CYProgramServiceRevenueAmt
PY Investment Income$21,340PYInvestmentIncomeAmt
CY Investment Income$10,885CYInvestmentIncomeAmt
PY Other Revenue$821,190PYOtherRevenueAmt
CY Other Revenue$956,005CYOtherRevenueAmt
PY Total Revenue$18,007,440PYTotalRevenueAmt
CY Total Revenue$21,344,485CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,998,347PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,856,123CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$48,160CYTotalFundraisingExpenseAmt
PY Other Expenses$4,312,543PYOtherExpensesAmt
CY Other Expenses$4,558,033CYOtherExpensesAmt
PY Total Expenses$17,310,890PYTotalExpensesAmt
CY Total Expenses$18,414,156CYTotalExpensesAmt
PY Revenues Less Expenses$696,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,930,329CYRevenuesLessExpensesAmt
Total Assets BOY$7,254,591TotalAssetsBOYAmt
Total Assets EOY$7,269,281TotalAssetsEOYAmt
Total Liabilities BOY$6,033,232TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,074,019TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,221,359NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,195,262NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO ESTABLISH INDIVIDUALIZED COMMUNITY SUPPORTS THAT WILL PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,261,615ExpenseAmt
Grant$0GrantAmt
Revenue$14,003,198RevenueAmt
DescDEVELOPMENTALLY DISABLED CARE - PROVIDING RESIDENTIAL HOUSING AND NONRESIDENTIAL SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES AND/OR TRAUMATIC BRAIN INJURIES. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SUPPORTIVE HOME CARE, SKILLS TEACHING/TRAINING, INDEPENDENT LIVING PROGRAMS, RESPITE, NON-MEDICAL TRANSPORTATION, SUPPORTED EMPLOYMENT, AND PRE-VOCATION, RECREATIONAL, NURSE AND DAY SERVICES. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,414,697ExpenseAmt
Grant$0GrantAmt
Revenue$3,155,942RevenueAmt
DescELDER CARE - PROVIDING RESIDENTIAL HOUSING AND SUPPORTS FOR INDIVIDUALS WITH FUNCTIONAL LIMITATIONS OF ADVANCED AGING. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SKILLS RE-TEACHING/RE-TRAINING, NON-MEDICAL TRANSPORTATION, AND NURSE. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,676,312TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee623EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDWAN SCHUCKPersonNm
Phone8002362257PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 EAST MAIN STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53094ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RANDY RADTKE
CHAIR/INTERIM TREASURER0.750.50Yes (X)Yes (X)$1,500$0$0
DAVE MORSTAD
VICE CHAIR0.50Yes (X)Yes (X)$1,300$0$0
KAREN FOELKER
SECRETARY0.50Yes (X)Yes (X)$1,450$0$0
ELLEN HAINES
DIRECTOR0.50Yes (X)$1,550$0$0
BARB LEDUC
DIRECTOR0.500.50Yes (X)$1,450$0$0
SHERI BERG
DIRECTOR0.50Yes (X)$1,100$0$0
JAMES ZACHE
CHIEF EXECUTIVE OFFICER34.006.00Yes (X)$167,167$0$1,016
DWAN SCHUCK
CHIEF FINANCIAL OFFICER34.006.00Yes (X)$125,596$0$673
SHERYL MARSHALL
VICE PRESIDENT OF HUMAN RESOURCES34.006.00$119,144$0$8,561Yes (X)
TAMMY BINKLEY
PROGRAM DIRECTOR40.00$154,754$0$15,158Yes (X)
MARGARET HIBBARD
PROGRAM LEAD40.00$131,479$0$476Yes (X)
RYAN FARKAS
PROGRAM MANAGER40.00$120,981$0$9,074Yes (X)
BRICE WEIGEL
PROGRAM MANAGER40.00$108,741$0$9,024Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$936,212TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$43,982TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$3,199,447GovernmentGrantsAmt
All Other Contributions$19,008AllOtherContributionsAmt
Total Contributions$3,218,455TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT INCOME624100$16,932,268$16,932,268
TRAINING611430$226,872$226,872
FieldValueIRS element (for citing)
Total Program Service Revenue$17,159,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,295TotalRevenueColumnAmt
Exclusion$6,295ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,380RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,504RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,876RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,876TotalRevenueColumnAmt
Exclusion$1,876ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,590OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$4,590OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,590TotalRevenueColumnAmt
Exclusion$4,590ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRESIDENTIAL MANAGEMENT FEESDesc
Business623990BusinessCd
Total Revenue Column$954,129TotalRevenueColumnAmt
Unrelated Business Revenue$954,129UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$954,129OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,344,485TotalRevenueColumnAmt
Related Or Exempt Func Income$17,159,140RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$954,129UnrelatedBusinessRevenueAmt
Exclusion$12,761ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$294,452TotalAmt
Management And General$294,452ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,380,157TotalAmt
Program Services$8,610,806ProgramServicesAmt
Management And General$2,740,120ManagementAndGeneralAmt
Fundraising$29,231FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$30,681TotalAmt
Program Services$23,658ProgramServicesAmt
Management And General$6,943ManagementAndGeneralAmt
Fundraising$80FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,353,794TotalAmt
Program Services$997,691ProgramServicesAmt
Management And General$352,712ManagementAndGeneralAmt
Fundraising$3,391FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$797,039TotalAmt
Program Services$587,272ProgramServicesAmt
Management And General$207,771ManagementAndGeneralAmt
Fundraising$1,996FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,984TotalAmt
Management And General$13,984ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,796TotalAmt
Management And General$57,796ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$922,615TotalAmt
Program Services$763,140ProgramServicesAmt
Management And General$159,400ManagementAndGeneralAmt
Fundraising$75FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$346,623TotalAmt
Program Services$266,989ProgramServicesAmt
Management And General$78,392ManagementAndGeneralAmt
Fundraising$1,242FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$203,378TotalAmt
Program Services$104,593ProgramServicesAmt
Management And General$98,527ManagementAndGeneralAmt
Fundraising$258FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,860,105TotalAmt
Program Services$1,477,993ProgramServicesAmt
Management And General$376,454ManagementAndGeneralAmt
Fundraising$5,658FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$307,450TotalAmt
Program Services$260,558ProgramServicesAmt
Management And General$46,838ManagementAndGeneralAmt
Fundraising$54FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,188TotalAmt
Program Services$735ProgramServicesAmt
Management And General$1,124ManagementAndGeneralAmt
Fundraising$329FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$33,736TotalAmt
Program Services$12,533ProgramServicesAmt
Management And General$21,203ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$138,436TotalAmt
Program Services$100,209ProgramServicesAmt
Management And General$38,227ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$161,999TotalAmt
Program Services$83,164ProgramServicesAmt
Management And General$78,835ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOOD$361,526$356,559$4,967
DUES, FEES, SUBSCRIPTIO$118,502$20,439$96,685$1,378
BAD DEBT EXPENSE$1,022$1,022

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$28,673TotalAmt
Program Services$9,973ProgramServicesAmt
Management And General$14,232ManagementAndGeneralAmt
Fundraising$4,468FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,414,156TotalAmt
Program Services$13,676,312ProgramServicesAmt
Management And General$4,689,684ManagementAndGeneralAmt
Fundraising$48,160FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,898,911BOYAmt
EOY$46,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$473,130BOYAmt
EOY$3,050,417EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$546,553BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,488,573BOYAmt
EOY$1,819,287EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,524BOYAmt
EOY$28,678EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,050,308LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,501,332LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,485,423BOYAmt
EOY$1,548,976EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$329,477BOYAmt
EOY$775,223EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,254,591BOYAmt
EOY$7,269,281EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,235,032BOYAmt
EOY$984,004EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$262,949EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,491,514BOYAmt
EOY$1,296,167EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,685,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$621,686BOYAmt
EOY$530,899EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,033,232BOYAmt
EOY$3,074,019EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,100,863BOYAmt
EOY$4,075,966EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,496BOYAmt
EOY$119,296EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,221,359BOYAmt
EOY$4,195,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,254,591BOYAmt
EOY$7,269,281EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,930,329ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$43,574OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$2,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,607,815CurrentTaxYearMinus1YearAmt
Current Tax Year$3,218,455CurrentTaxYearAmt
Total$4,950,701TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$2,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,607,815CurrentTaxYearMinus1YearAmt
Current Tax Year$3,218,455CurrentTaxYearAmt
Total$4,950,701TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,950,701PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,510CurrentTaxYearMinus1YearAmt
Current Tax Year$9,675CurrentTaxYearAmt
Total$28,809TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,814CurrentTaxYearAmt
Total$1,814TotalAmt
FieldValueIRS element (for citing)
Total Support$4,981,324TotalSupportAmt
Gross Receipts Rltd Activities$69,948,626GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind

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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,717OtherCostOrOtherBasisAmt
Book Value$300,717BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,081,140OtherCostOrOtherBasisAmt
Depreciation$1,098,006DepreciationAmt
Book Value$983,134BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,174,950OtherCostOrOtherBasisAmt
Depreciation$909,825DepreciationAmt
Book Value$265,125BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$493,501OtherCostOrOtherBasisAmt
Depreciation$493,501DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,548,976TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$49,493
DUE FROM FAST PACE MEDICAL STAFFING, INC.$725,730
FieldValueIRS element (for citing)
Total Book Value Other Assets$775,223TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFICIENCY IN ASSETS OF SUBSIDIARY$181,417
CAPITAL LEASE OBLIGATION$272,552
PROVISION FOR CONTRACT REPAYMENTS$76,930
FieldValueIRS element (for citing)
Total Liability$530,899TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TAMMY BINKLEY
PROGRAM DIRECTOR$152,519$0$2,235$0$0$0$622$0$14,536$0$169,912$0$0$0
JAMES ZACHE
CHIEF EXECUTIVE OFFICER$165,777$0$1,390$0$0$0$831$0$185$0$168,183$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BCCLS HIRES A CPA FIRM TO COMPILE FORM 990. THE CFO AND CEO REVIEW FOR ACCURACY BEFORE SIGNATURE AND SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15MARKET DATA ANALYSIS FOR SIMILAR INDUSTRIES/CPA FIRM INPUT. HUMAN RESOURCES, CEO, AND REGIONAL DIRECTOR DISCUSS AND DECIDE AFTER 1ST AND 2ND PANEL INTERVIEWS (AND RECOMMENDATIONS) WHAT TO OFFER. INTERVIEW PANEL OFTEN INCLUDES A BOARD MEMBER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY IN NET INCOME OF FAST PACE MEDICAL STAFFING, INC. 43,574.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAST PACE MEDICAL STAFFING INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 EAST MAIN STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53094ZIPCd
FieldValueIRS element (for citing)
EIN842704067EIN
Primary ActivitiesTEMPORARY STAFFINGPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CREATIVE COMMUNITY LIVING SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$2,405,443ShareOfTotalIncomeAmt
Share Of EOY Assets$636,779ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAST PACE MEDICAL STAFFING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$725,730InvolvedAmt
Method Of Amount DeterminationFACE AMOUNTMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.