LAKESHORE COMMUNITY PANTRY: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LAKESHORE COMMUNITY PANTRY (EIN 47-2138790)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-12-26
- IRS object ID
- 202203609349200200
- 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 | 2022-12-26T00:49:24-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472138790 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKESHORE COMMUNITY PANTRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Donna Moran | InCareOfNm |
| Business Name Control | LAKE | BusinessNameControlTxt |
| Foreign Phone | 9203667620 | ForeignPhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 104 | AddressLine1Txt |
| City | KEWAUNEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donna Moran | PersonNm |
| Person Title | Director | PersonTitleTxt |
| Signature | 2022-12-26 | SignatureDt |
| 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 | Lakeshore Community Pantry Inc | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $92,451 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $50,627 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $41,270 | ProgramServiceRevenueAmt |
| Investment Income | $554 | InvestmentIncomeAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $92,451 | TotalRevenueAmt |
| Occupancy Rent Utlts And Maint | $17,954 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $106 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $30,898 | OtherExpensesTotalAmt |
| Total Expenses | $48,958 | TotalExpensesAmt |
| Excess Or Deficit For Year | $43,493 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $94,695 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $138,188 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,695 | BOYAmt |
| EOY | $138,188 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,695 | BOYAmt |
| EOY | $138,188 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,695 | BOYAmt |
| EOY | $138,188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | Foodpantryandclothingcloset | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Foodpantry:ProvidefoodandhouseholditemstoneedyfamiliesinKewauneeCounty.OpeneveryWednesdayfrom1:00PMtill3:00PM.Served5138peoplein2021 | $50,627 | $33,480 |
| ClothingCloset:Offerlowcostclothingandhouseholdgoodstopeopleinneed.Nochargetopeoplewhocannotaffordtopay.Allitemsaredonatedattheclothingcloset.Opensixdaysaweekandoperatedbyvolunteers | $41,270 | $15,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $48,958 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Donna Moran | ||||
| Officer-director | 5.00 | $0 | $0 | $0 |
| Rebecca Paplham | ||||
| Officer-Assistant Director | 3.00 | $0 | $0 | $0 |
| Nancy Lamack | ||||
| Officer-Secretary | 8.00 | $0 | $0 | $0 |
| Daniel Balch | ||||
| Officer-Treasurer | 10.00 | $0 | $0 | $0 |
| Julie Janicsek | ||||
| Director | 0 | $0 | $0 | $0 |
| Mary Halbur | ||||
| Director | 6.00 | $0 | $0 | $0 |
| Gail Herlache | ||||
| Director | 14.00 | $0 | $0 | $0 |
| Toni Charles | ||||
| Director | 1.00 | $0 | $0 | $0 |
| Lind a Berkovitz | ||||
| Director | 20.00 | $0 | $0 | $0 |
| Marge Parmenter | ||||
| Director | 20.00 | $0 | $0 | $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 | Daniel Balch | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N8204 LaCroix RD | AddressLine1Txt |
| City | Casco | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9203667620 | 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 | $24,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,511 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,978 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,627 | CurrentTaxYearAmt |
| Total | $187,081 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,069 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,768 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,076 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,271 | CurrentTaxYearAmt |
| Total | $114,529 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,580 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,054 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $91,898 | CurrentTaxYearAmt |
| Total | $301,610 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $301,610 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $554 | CurrentTaxYearAmt |
| Total | $3,230 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $554 | CurrentTaxYearAmt |
| Total | $3,230 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,474 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,802 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,132 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,980 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,452 | CurrentTaxYearAmt |
| Total | $304,840 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99 | PublicSupportCY509Pct |
| Public Support PY509 | 0.00 | PublicSupportPY509Pct |
| Investment Income CY | 0.01 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III - Line 12 | FormAndLineReferenceDesc |
| Explanation | | Year:, Amount:, Description:| 2017, , | 2018, | 2019, | 2020, | 2021, | | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, line 16 | | Other Expenses:, Amount:| Other expenses, $30898| |
| Part I, Line 16898 | | Explanation:| Food |
| Part I, Line 1656 | | Explanation:| Insurance |
| Part I, Line 1478 | | Explanation:| Miscellaneous thrift shop |
| Part I, Line 64 | | Explanation:| WI state fees |
| Part I, Line 84 | | Explanation:| Bank charges |
| Part I, Line 3100 | | Explanation:| Gas gift cards |
| Part I, Line 379 | | Explanation:| Utility carts |
| Part I, Line 4575 | | Explanation:| Food gift cards |
| Part I, Line 990 | | Explanation:| Butchering |
| Part I, Line 500 | | Explanation:| Veterans |
| Part I, Line 734 | | Explanation:| Website |
| Part I, Line 365 | | Explanation:| volunteer event |
| Part I, Line 75 | | Explanation:| Chamber dues |
| Part IV, Line Sherri Heidel | | Explanation:| Director Worked 6 hrs per week No compensation |
| Part IV, Line Mary Wolske | | Explanation:| Director Worked 6 hrs per week No compensation |
| Part IV, Line Oscar Moran | | Explanation:| Director Worked 8 hours per week No compensation |
| Part IV, Line Scott Wiley | | Explanation:| Directoe Worked 8 hours per week No compensation |
Comments