FURP.ORG / PUBLIC DATA EXPLORER

CHAMPIONS4KIDS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHAMPIONS4KIDS INC (EIN 20-5779146)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349323090
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)
Return2022-11-15T16:08:12-06:00ReturnTs
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)
EIN205779146EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHAMPIONS4KIDS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHAMBusinessNameControlTxt
Phone6084677113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonASHLYN MEHLHAFFPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6084677113PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstASHLYNPersonFirstNm
Person LastMEHLHAFFPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT HAUMERSEN CPAPreparerPersonNm
PTINP00084908PTIN
Phone6082744020PhoneNum
Preparation2022-11-15PreparationDt

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)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FIRST TEE - SOUTH CENTRAL WISCONSINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerASHLYN MEHLHAFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$682,318GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFIRSTTEESCW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE OPPORTUNITIES FOR AT-RISK CHILDREN IN THE CITY OF MADISON, WISCONSIN & SURROUNDING AREAS TO PARTICIPATE IN THE GAME OF GOLF BY PROVIDING ADULT MENTORS, FREE PROFESSIONAL INSTRUCTION, EQUIPMENT & GOLF COURSE & RANGE ACCESS; TO COMBAT JUVENILE DELINQUENCY & ENCOURAGE THE DEVELOPMENT OF LIFE SKILLS BY PROVIDING A RECREATIONAL OUTLET TO SUCH AT-RISK CHILDREN THROUGH THE PROMOTION OF THE GAME OF GOLF.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$374,554PYContributionsGrantsAmt
CY Contributions Grants$578,858CYContributionsGrantsAmt
PY Program Service Revenue$32,013PYProgramServiceRevenueAmt
CY Program Service Revenue$16,822CYProgramServiceRevenueAmt
PY Investment Income$166PYInvestmentIncomeAmt
CY Investment Income$245CYInvestmentIncomeAmt
PY Other Revenue$19,246PYOtherRevenueAmt
CY Other Revenue$51,760CYOtherRevenueAmt
PY Total Revenue$425,979PYTotalRevenueAmt
CY Total Revenue$647,685CYTotalRevenueAmt
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$328,297PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$448,630CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$1,170PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$129,878CYTotalFundraisingExpenseAmt
PY Other Expenses$156,047PYOtherExpensesAmt
CY Other Expenses$199,072CYOtherExpensesAmt
PY Total Expenses$485,514PYTotalExpensesAmt
CY Total Expenses$647,702CYTotalExpensesAmt
PY Revenues Less Expenses-$59,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17CYRevenuesLessExpensesAmt
Total Assets BOY$657,146TotalAssetsBOYAmt
Total Assets EOY$745,237TotalAssetsEOYAmt
Total Liabilities BOY$40,019TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,879TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$617,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$651,358NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE FIRST TEE - SOUTH CENTRAL WISCONSIN IS TO IMPACT THE LIVES OF YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING EDUCATIONAL PROGRAMS FOR YOUTH THAT BUILDS CHARACTER, INSTILL LIFE-ENHANCING VALUES AND PROMOTE HEALTHY CHOICES THROUGH THE GAME OF GOLF.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$387,843ExpenseAmt
Grant$0GrantAmt
Revenue$16,822RevenueAmt
DescTHE FIRST TEE TEACHING SKILLS - TO IMPACT THE LIVES OF YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING EDUCATIONAL PROGRAMS FOR YOUTH THAT BUILD CHARACTER, INSTILL LIFE-ENHANCING VALUES, AND PROMOTE HEALTHY CHOICES THROUGH THE GAME OF GOLF.2021 STILL SAW THE EFFECTS FROM THE COVID PANDEMIC BUT WE PUSHED THROUGH TO STILL HOST EVENTS TO BE ABLE TO SHARE OUR PROGRAMMING MESSAGING AND FUNDRAISE FOR OUR YOUTH. WE WENT BACK TO BASIC LEARNING CENTERS, STRICTLY AFTER-SCHOOL PROGRAMMING, BUT ENCORPORATED SOCIAL AND EMOTIONAL GROWTH, ADDED SCHOLASTIC AS A PARTNER AND HAD A LIBRARY OF BOOKS THROUGH THEIR PARTNERSHIP, AND ALSO BROUGHT IN OUR FIRST TRANSPORTATION SPONSOR. WE KEPT SIMILAR NUMBERS FOR GREEN GRASS PROGRAMMING, AS THE CONSITUENTS ENJOYED THE SMALLER CLASS SIZES.Desc
Total Program Service Expenses$387,843TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee21EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Other0CompensationProcessOtherInd
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)
PersonJIM KROGSTADPersonNm
Phone6084677113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15511 ODANA ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53719ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAMES METZ
CHAIR5.00Yes (X)Yes (X)$0$0$0
JEFF CRESSMAN
VICE-CHAIR5.00Yes (X)Yes (X)$0$0$0
TONY BALISTRERI
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JIM KROGSTAD
TREASURER2.00Yes (X)Yes (X)$0$0$0
DAVE BRUNS
DIRECTOR1.00Yes (X)$0$0$0
BRIAN BURNS
DIRECTOR1.00Yes (X)$0$0$0
LISA BECHTOLDT
DIRECTOR1.00Yes (X)$0$0$0
SARAH DEKRAAY
DIRECTOR1.00Yes (X)$0$0$0
AMY FLESCH
DIRECTOR1.00Yes (X)$0$0$0
JONI DYE
FOUNDER1.00Yes (X)Yes (X)$0$0$0
WILLIAM BISSETT
PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
MIKE MCKENNA
DIRECTOR1.00Yes (X)$0$0$0
DR LAURA CLIFTON
DIRECTOR1.00Yes (X)$0$0$0
ALISON PRANGE
DIRECTOR1.00Yes (X)$0$0$0
CHRIS YESBECK
DIRECTOR1.00Yes (X)$0$0$0
DON DAVIDSON
DIRECTOR1.00Yes (X)$0$0$0
GREG NEWMAN
DIRECTOR1.00Yes (X)$0$0$0
KAREN MOSER
DIRECTOR1.00Yes (X)$0$0$0
BRIAN NIEBUHR
DIRECTOR1.00Yes (X)$0$0$0
BRETT ROTH
DIRECTOR1.00Yes (X)$0$0$0
ALAN STEINHAUER
DIRECTOR1.00Yes (X)$0$0$0
LINDSAY KOTH
VICE-CHAIR5.00Yes (X)Yes (X)$0$0$0
BENJAMIN WRIGHT
VICE-CHAIR5.00Yes (X)Yes (X)$0$0$0
SHERRI STEINHAUER
HONORARY DIRECTOR1.00Yes (X)$0$0$0
ASHLYN MEHLHAFF
EXECUTIVE DIRECTOR40.00Yes (X)$114,231$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,231TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$38,850FundraisingAmt
All Other Contributions$540,008AllOtherContributionsAmt
Total Contributions$578,858TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPARTICIPANT FEESDesc
Business611620BusinessCd
Total Revenue Column$16,822TotalRevenueColumnAmt
Related Or Exempt Func Income$16,822RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,822TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$245TotalRevenueColumnAmt
Exclusion$245ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$81,765FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$38,850ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,608FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,157TotalRevenueColumnAmt
Exclusion$48,157ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$97GamingGrossIncomeAmt
Gaming Direct Expenses$1,025GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$928TotalRevenueColumnAmt
Exclusion-$928ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,531TotalRevenueColumnAmt
Exclusion$4,531ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,531OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$647,685TotalRevenueColumnAmt
Related Or Exempt Func Income$16,822RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$52,005ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$114,231TotalAmt
Program Services$28,558ProgramServicesAmt
Management And General$11,423ManagementAndGeneralAmt
Fundraising$74,250FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$244,952TotalAmt
Program Services$185,321ProgramServicesAmt
Management And General$36,043ManagementAndGeneralAmt
Fundraising$23,588FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$89,447TotalAmt
Program Services$53,262ProgramServicesAmt
Management And General$11,820ManagementAndGeneralAmt
Fundraising$24,365FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,750TotalAmt
Management And General$7,750ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,510TotalAmt
Management And General$6,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,622TotalAmt
Program Services$14,947ProgramServicesAmt
Fundraising$7,675FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,511TotalAmt
Program Services$6,547ProgramServicesAmt
Management And General$9,964ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,399TotalAmt
Program Services$4,692ProgramServicesAmt
Management And General$707ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,109TotalAmt
Program Services$3,359ProgramServicesAmt
Management And General$14,750ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,363TotalAmt
Program Services$6,363ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,287TotalAmt
Program Services$9,287ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$6,952TotalAmt
Program Services$6,952ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,570TotalAmt
Management And General$2,570ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,533TotalAmt
Management And General$22,533ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
GOLF COURSE FEES$40,162$40,162
GOLF INSTRUCTION$27,726$27,726

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,578TotalAmt
Program Services$667ProgramServicesAmt
Management And General$5,911ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$647,702TotalAmt
Program Services$387,843ProgramServicesAmt
Management And General$129,981ManagementAndGeneralAmt
Fundraising$129,878FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$94,593BOYAmt
EOY$210,596EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$275,129BOYAmt
EOY$269,723EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,700BOYAmt
EOY$4,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,180BOYAmt
EOY$8,497EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,130LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,570BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,587BOYAmt
EOY$29,661EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$194,387BOYAmt
EOY$222,260EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$657,146BOYAmt
EOY$745,237EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,019BOYAmt
EOY$93,879EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,019BOYAmt
EOY$93,879EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$337,876BOYAmt
EOY$362,835EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$279,251BOYAmt
EOY$288,523EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$617,127BOYAmt
EOY$651,358EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$657,146BOYAmt
EOY$745,237EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$17ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$34,248OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Minus4 Years$446,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$828,891CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$356,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$374,554CurrentTaxYearMinus1YearAmt
Current Tax Year$583,008CurrentTaxYearAmt
Total$2,589,236TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$446,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$828,891CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$356,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$374,554CurrentTaxYearMinus1YearAmt
Current Tax Year$583,008CurrentTaxYearAmt
Total$2,589,236TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$331,511SubstantialContributorsTotAmt
Public Support Total170$2,257,725PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$788CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,199CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543CurrentTaxYearMinus1YearAmt
Current Tax Year$245CurrentTaxYearAmt
Total$6,092TotalAmt
FieldValueIRS element (for citing)
Total Support$2,595,328TotalSupportAmt
Gross Receipts Rltd Activities$384,033GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86990PublicSupportCY170Pct
Public Support PY1700.86760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$223,974BeginningYearBalanceAmt
Contributions$420ContributionsAmt
Investment Earnings Or Losses$29,927InvestmentEarningsOrLossesAmt
Administrative Expenses$2,400AdministrativeExpensesAmt
End Year Balance$251,921EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$174,358BeginningYearBalanceAmt
Contributions$1,284ContributionsAmt
Investment Earnings Or Losses$50,737InvestmentEarningsOrLossesAmt
Administrative Expenses$2,405AdministrativeExpensesAmt
End Year Balance$223,974EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$189,380BeginningYearBalanceAmt
Contributions$10,250ContributionsAmt
Investment Earnings Or Losses-$19,242InvestmentEarningsOrLossesAmt
Other Expenditures$6,030OtherExpendituresAmt
End Year Balance$174,358EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$197,698BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses-$2,861InvestmentEarningsOrLossesAmt
Other Expenditures$5,557OtherExpendituresAmt
End Year Balance$189,380EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$158,284BeginningYearBalanceAmt
Contributions$20,258ContributionsAmt
Investment Earnings Or Losses$19,156InvestmentEarningsOrLossesAmt
End Year Balance$197,698EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65370PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.34630TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,130OtherCostOrOtherBasisAmt
Depreciation$34,130DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN ASSETS HELD BY MADISON COMMUNITY FOUNDATIONDesc
Book Value$222,260BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$222,260TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$681,537TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$681,537RevenueSubtotalAmt
Other Revenues Not Included-$33,852OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$33,852RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$647,685TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$681,554TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,852OtherExpensesIncludedAmt
Expenses Not Reported$33,852ExpensesNotReportedAmt
Expenses Subtotal$647,702ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$647,702TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT CONSIST OF TWO INDIVIDUAL FUNDS ESTABLISHED TO HELP THE ORGANIZATION CARRY OUT ITS EXEMPT PURPOSE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VII, LINE 8B -32,827. DIRECT EXPENSES REPORTED ON FORM 990, PART VII, LINE 9B -1,025.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VII, LINE 8B 32,827. DIRECT EXPENSES REPORTED ON FORM 990, PART VII, LINE 9B 1,025.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$100,615GrossReceiptsEvent1Amt
Charitable Contri Event1$18,850CharitableContriEvent1Amt
Gross Revenue Event1$81,765GrossRevenueEvent1Amt
Rent Facility Costs Event1$31,477RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$2,131OtherDirectExpensesEvent1Amt
Event2NINE HEALTH HABITS CHALLENGEEvent2Nm
Gross Receipts Event2$20,000GrossReceiptsEvent2Amt
Charitable Contri Event2$20,000CharitableContriEvent2Amt
Gross Receipts Total$120,615GrossReceiptsTotalAmt
Charitable Contributions Tot$38,850CharitableContributionsTotAmt
Gross Revenue Total Events$81,765GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$31,477RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$2,131OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,608DirectExpenseSummaryEventsAmt
Net Income Summary$48,157NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2ALAN STEINHAUER AND SHERRI STEINHAUER HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARED FORM 990 IS REVIEWED BY THE ORGANIZATION'S GOVERNING BODY AND MANAGEMENT BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE REPORTED CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BODY DELEGATED POWERS. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON SHALL LEAVE THE GOVERNING BODY OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING DIRECTORS OR COMMITTEE MEMBERS. THE GOVERNING BODY OR DESIGNATED COMMITTEE CONDUCTS PERIODIC REVIEWS TO ENSURE THAT THE ORGANIZATION DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
FORM 990, PART VI, SECTION B, LINE 15ATHE INDEPENDENT MEMBERSHIP OF THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE ANNUALLY CONDUCTS A PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND COMPARED TO PUBLIC INFORMATION ABOUT COMPENSATION IN POSITIONS AT SIMILAR ORGANIZATIONS. THE BOARD PRESIDENT APPROVES COMPENSATION FOR THE EXECUTIVE DIRECTOR AFTER CONSULTATION WITH THE EXECUTIVE COMMITTEE.
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:CHANGE IN VALUE OF BENEFICIAL INTEREST IN ASSETS HELD BY MADISON COMMUNITY FOUNDATION 34,248.