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CHISAGO COUNTY LIFE CARE CENTER: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHISAGO COUNTY LIFE CARE CENTER (EIN 41-1921727)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-07-12
IRS object ID
202101939349200400
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-07-12T03:29:27-04:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411921727EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHISAGO COUNTY LIFE CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Ann OlsonInCareOfNm
Business Name ControlCHISBusinessNameControlTxt
Foreign Phone6516742121ForeignPhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 516AddressLine1Txt
CityNorth BranchCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55056ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBetty MitchellPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2021-07-12SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addresswww.chisagolifecare.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$148,093GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$133,062ContributionsGiftsGrantsEtcAmt
Investment Income$31InvestmentIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$3,250SpecialEventsDirectExpensesAmt
Special Events Net Income Loss-$3,250SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$15,000OtherRevenueTotalAmt
Total Revenue$144,843TotalRevenueAmt
Salaries Other Comp Empl Bnft$81,206SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$10,043FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$42,083OccupancyRentUtltsAndMaintAmt
Other Expenses Total$21,311OtherExpensesTotalAmt
Total Expenses$154,643TotalExpensesAmt
Excess Or Deficit For Year-$9,800ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$85,783NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$80OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$75,903NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$45,778BOYAmt
EOY$61,332EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$85,910BOYAmt
EOY$84,883EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$6,740BOYAmt
EOY$14,940EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$138,428BOYAmt
EOY$161,155EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,645BOYAmt
EOY$85,252EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$85,783BOYAmt
EOY$75,903EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeProvide one-on-one mentoring to pregnant and parenting women & men on topics such as prenatal & postnatal infant development healthy life choices practical life skills such as budgeting & nutrition information on STDs & healthy reproductive and sexual decision making.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
Education & Earn While You Learn Mentoring Program: Provide one-on-one mentoring to pregnant and parenting women & men on topics such as prenatal & postnatal infant development healthy life choices practical life skills such as budgeting & nutrition information on STDs & healthy reproductive and sexual decision-making$0$46,442
Social Service (Baby Boutique) & community program referrals: Provide intake assessments to determine the need. Provide practical & material assistance such as clothing diapers and baby equipment. Utilize resource database to provide information and referrals.$0$37,283
Outreach: Strengthen relationships with existing community partners and identify new community partners in order to identify potential referral sources for clients and increase capacity of programming.$0$39,193
FieldValueIRS element (for citing)
Total Program Service Expenses$122,918TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Scott Johnson
Executive Director40$42,080$0$0
Ann Olson
President4$0$0$0
Jackie Scheldorf
Vice President2$0$0$0
Betty Mitchell
Treasurer20$0$0$0
Leah Lackas Anderson
Director0.2$0$0$0
Angie Gnau
Director0.2$0$0$0
Theresa Williams
Director0.2$0$0$0
Bob Williams
Director0.2$0$0$0
Sandra Blake
Director0.2$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Betty MitchellBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16344 Elm StAddressLine1Txt
CityNorth BranchCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55056ZIPCd
FieldValueIRS element (for citing)
Phone6516742121PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$68,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,730CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$125,973CurrentTaxYearMinus1YearAmt
Current Tax Year$123,062CurrentTaxYearAmt
Total$563,305TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,730CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$125,973CurrentTaxYearMinus1YearAmt
Current Tax Year$123,062CurrentTaxYearAmt
Total$563,305TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$563,305PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33CurrentTaxYearMinus1YearAmt
Current Tax Year$31CurrentTaxYearAmt
Total$688TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$15,000CurrentTaxYearAmt
Total$15,000TotalAmt
FieldValueIRS element (for citing)
Total Support$578,993TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.9729PublicSupportCY170Pct
Public Support PY1700.9985PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IWe rely on contributions from individuals and businesses. We had a State Grant that ended 12-31-21
Part II - Line 1, Unusual Grant Lists| Name of the Contributor:, Date of Grant:, Year:, Amount:, Description:| Donor, 10 30 2020, "2020", $10000, COVID Relief grant from the county|
Part II, line 10| S.No:, Amount:, Description:| 1, $15000, PPP Loan forgiven|

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Annual BanquetEvent1Nm
Gross Receipts Event1$21,943GrossReceiptsEvent1Amt
Charitable Contri Event1$21,943CharitableContriEvent1Amt
Gross Revenue Event1$0GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,330FoodAndBeverageEvent1Amt
Entertainment Event1$500EntertainmentEvent1Amt
Other Direct Expenses Event1$1,075OtherDirectExpensesEvent1Amt
Gross Receipts Total$21,943GrossReceiptsTotalAmt
Charitable Contributions Tot$21,943CharitableContributionsTotAmt
Gross Revenue Total Events$0GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$0RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,330FoodAndBeverageTotalEventsAmt
Entertainment Total Events$500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,075OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,905DirectExpenseSummaryEventsAmt
Net Income Summary-$2,905NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Doing Business As NamesOptions for Women of Chisago County
Part I, line 8| Other Revenues:, Amount:| PPP Loan forgiven, $15000|
Part I, line 16| Other Expenses:, Amount:| Closing costs on mortgage, $1684.00| Depreciation, $1027.00| Miscellaneous Expense, $221.00| Grant Client Services, $9469.00| Meals for Meetings, $198.00| Newsletter & Postage, $662.00| Outreach Advertising, $3181.00| Office General Administrative Expenses, $4869.00|
Part I, line 20| Description:, Explanation:, Amount:| voided check from previous year, voided check from previous year-and reinstated, $-80|
Part II, line 24| Asset Name:, BOY Amount:, EOY Amount:| Grant Miscellaneous Receivables, $6664, $14920| Petty Cash, $76, $20|
Part II, line 26| Liabilities Name:, BOY Amount:, EOY Amount:| Payroll Taxes Payable, $903, $1640| SBA Loan Payable, 0, $3000| Accounts Payable, $249, $1411| Mortgages or other loans payable, $51493, $79201|

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