SENIOR CITIZENS FOUNDATION OF DOUGLAS: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SENIOR CITIZENS FOUNDATION OF DOUGLAS (EIN 83-0255422)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2022-11-21
- IRS object ID
- 202203259349201025
- 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 | 2022-11-21T17:08:14-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 260875911 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PISACKA BAKER & MCFARLAND LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3227 S TIMBERLINE STE A | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 805255746 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830255422 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SENIOR CITIZENS FOUNDATION OF | BusinessNameLine1Txt |
| Business Name Line2 | DOUGLAS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SENI | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 N 6TH STREET | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82633 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE HAGEMANN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Signature | 2022-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHANIE | PersonFirstNm |
| Person Last | HAGEMANN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CODY L PISACKA | PreparerPersonNm |
| PTIN | P00681569 | PTIN |
| Phone | 9704881888 | PhoneNum |
| Preparation | 2022-11-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $14,744 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $11,967 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $2,777 | InvestmentIncomeAmt |
| Total Revenue | $14,744 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $883 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $14,590 | OtherExpensesTotalAmt |
| Total Expenses | $15,473 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$729 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $334,551 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $333,822 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,562 | BOYAmt |
| EOY | $333,822 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989 | BOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,551 | BOYAmt |
| EOY | $333,822 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,551 | BOYAmt |
| EOY | $333,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | SERVICES AND PROGRAMS FOR THE ELDERLY IN THE DOUGLAS, WYOMING AREA. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SERVICES FOR THE LOW INCOME ELDERLY IN THE DOUGLAS WYOMING AREA. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $14,590 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $14,590 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| STEPHANIE HAGEMANN | ||
| PRESIDENT | 1.00 | $0 |
| KAREN SMITH | ||
| SECRETARY | 1.00 | $0 |
| LARRY CRUMMER | ||
| VICE PRESIDE | 1.00 | $0 |
| BRAD SISHC | ||
| MEMBER | 1.00 | $0 |
| LAURA BOYNTON | ||
| MEMBER | 1.00 | $0 |
| PERRY HERSHBERGER | ||
| MEMBER | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE BOYNTON | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 WEST GRANT STREET | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3073582550 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,967 | CurrentTaxYearAmt |
| Total | $72,300 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,646 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,435 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,635 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,809 | CurrentTaxYearMinus1YearAmt |
| Total | $16,525 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,499 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,967 | CurrentTaxYearAmt |
| Total | $88,825 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,825 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,646 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,435 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,635 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $2,777 | CurrentTaxYearAmt |
| Total | $14,493 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,646 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,435 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,635 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $2,777 | CurrentTaxYearAmt |
| Total | $14,493 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,512 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,934 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,744 | CurrentTaxYearAmt |
| Total | $103,318 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.85970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90580 | PublicSupportPY509Pct |
| Investment Income CY | 0.14000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.09000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES INSURANCE 1,450 MISC EXPENSES 2,940 TRANSPORTATION 3,600 NURSING PROGRAM 6,600 TOTAL 14,590 |
| FORM 990-EZ, PART II, LINE 24 | ACCOUNTS RECEIVABLE 989 0 TOTAL 989 0 |
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