2025-08-04T08:56:58-05:00 2024-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2024-01-01 391195540 CREATIVE COMMUNITY LIVING SERVICES INCORPORATED CREA 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 KATHLEEN ROACH PRESIDENT/CEO 8002362257 2025-07-01 1 1 TIM SEIDEL CPA P01284559 6082744020 2025-06-25 2024 2025-03-06 01:10:19Z KATHLEEN ROACH 500 EAST MAIN STREET WATERTOWN WI 53094 16944988 0 X CCLSWI.ORG X 1973 WI TO ESTABLISH AND FURTHER 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. 7 7 487 9 0 0 94795 121613 16251320 16329128 126304 100806 424 100 16472843 16551647 0 0 0 0 12294630 11858710 0 0 66005 4203223 4098479 16497853 15957189 -25010 594458 7219854 7122554 3283523 2803261 3936331 4319293 OUR 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. 0 0 9491966 0 13360252 DEVELOPMENTALLY 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. 1959054 0 2968876 ELDER 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. 11451020 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 41 0 487 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X DWAN SCHUCK 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 DAVE MORSTAD CHAIR 0.75 X X 0 0 0 JEFF KAPHENGST VICE-CHAIR 0.50 X X 0 0 0 BARB LEDUC DIRECTOR 0.50 0.50 X 0 0 0 RANDY RADTKE TREASURER (THRU APRIL) 0.50 0.50 X X 0 0 0 JO ANNE BEHLING DIRECTOR 0.50 X 0 0 0 VINCENT HEIN DIRECTOR 0.50 X 0 0 0 KRISTI SCHEUNEMANN DIRECTOR 0.50 X 0 0 0 ERIN SMITH SECRETARY (THRU OCT) 0.50 X X 0 0 0 RUSSELL ROBERS TREASURER (BEG MAY) 0.50 X X 0 0 0 KATHLEEN ROACH PRESIDENT/CEO 40.00 2.00 X 186534 0 12503 DWAN SCHUCK CHIEF FINANCIAL OFFICER 32.00 8.00 X 133258 0 2645 SHERYL MARSHALL CHIEF HUMAN RESOURCES OFFICER 40.00 3.50 X 128777 0 10412 KRISTY BAUM CHIEF NURSING OFFICER 40.00 X 104057 0 14474 RUTH NANSAMBA PROGRAM DIRECTOR 40.00 X 126309 0 8707 678935 0 48741 5 0 1 0 FAST PACE MEDICAL STAFFING 500 E MAIN STREET WATERTOWN WI 53094 TEMPORARY STAFFING 593185 2 12828 108785 121613 CONTRACT INCOME 624100 16080816 16080816 TRAINING 611430 248312 248312 16329128 64099 64099 415000 8900 387193 0 27807 8900 36707 36707 3153 12828 6148 -2995 -2995 3095 0 3095 3095 16551647 16329128 0 100906 474129 474129 9585488 7046474 2502030 36984 60650 42484 17943 223 990614 693897 293075 3642 747829 523833 221247 2749 7516 7516 38488 38488 2521 2521 752385 617716 134669 298694 211784 84473 2437 200253 66490 133341 422 1490109 1283693 205038 1378 369246 301446 67800 6139 777 2577 2785 19835 17760 2075 214717 186940 27777 214229 104804 109425 FOOD 322412 320772 1640 DUES AND SUBSCRIPTIONS 118826 26057 88652 4117 BAD DEBT EXPENSE 4886 4886 38223 6093 20862 11268 15957189 11451020 4440164 66005 45775 506104 1432505 694110 1768533 2118686 24776 24443 3389790 1822345 1548858 1567445 1137761 756279 0 9525 1261646 1445962 7219854 7122554 981927 840574 1009743 897241 1291853 1065446 3283523 2803261 X 3883373 4281039 52958 38254 3936331 4319293 7219854 7122554 X 594458 -22035 -189461 X 0 1 X 1 0 X 1607815 3218455 86145 94795 121613 5128823 1607815 3218455 86145 94795 121613 5128823 5128823 9510 9675 16983 63326 64099 163593 1814 1814 5294230 82033235 0.96880 0.97950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 293022 293022 2147130 981103 1166027 450465 382235 68230 499173 459007 40166 1567445 SECURITY DEPOSITS 41081 OPERATING LEASE RIGHT-OF-USE ASSETS 498064 FINANCING LEASE RIGHT-OF-USE ASSETS 293314 DUE FROM FAST PACE MEDICAL STAFFING, INC. 613503 1445962 DEFICIENCY IN ASSETS OF SUBSIDIARY 198168 PROVISION FOR CONTRACT REPAYMENTS 49791 OPERATING LEASE LIABILITIES 509841 FINANCING LEASE LIABILITIES 307646 1065446 DUELING PIANOS 15981 12828 3153 1772 4000 376 15981 12828 3153 1772 4000 376 6148 -2995 X X X 0 0 0 0 0 0 0 0 0 KATHLEEN ROACH PRESIDENT/CEO 186534 0 0 0 0 0 4816 0 7687 0 199037 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A CPA FIRM PREPARES THE FORM 990. THE PRESIDENT/CEO AND CFO REVIEWS FOR ACCURACY BEFORE SIGNATURE AND SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY 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 15 MARKET DATA ANALYSIS FOR SIMILAR INDUSTRIES/CPA FIRM INPUT. HUMAN RESOURCES, PRESIDENT/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 19 THE 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 EQUITY OF A SUBSIDIARY -189,461. FAST PACE MEDICAL STAFFING INC 500 EAST MAIN STREET WATERTOWN WI 53094 842704067 TEMPORARY STAFFING WI CREATIVE COMMUNITY LIVING SERVICES INC C 2386912 417602 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 FAST PACE MEDICAL STAFFING INC O 593184 BOOK VALUE FAST PACE MEDICAL STAFFING INC Q 613503 BOOK VALUE