PREGNANCY HELP CENTER OF RICE LAKE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY HELP CENTER OF RICE LAKE (EIN 39-1981730)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-19
IRS object ID
202021719349300922
Schema version
2019v5.1
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)
Return2020-06-19T10:55:29-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391248105PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON HAGER & MOEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1827 HAMMOND AVEAddressLine1Txt
CityRICE LAKECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54868ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391981730EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY HELP CENTER OF RICE LAKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7157364357PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 334AddressLine1Txt
CityRICE LAKECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54868ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAYDIE GREENPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7157364357PhoneNum
Signature2020-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCURT J ROWE CPAPreparerPersonNm
PTINP01550076PTIN
Phone7152348419PhoneNum
Preparation2020-05-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.191.119.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-14IPDt
IP Tm08:38:35IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6984EA7E6763DA5861BC0865DEB72213CFC74ED0AtSubmissionCreationDeviceId
At Submission Filing Device Id6984EA7E6763DA5861BC0865DEB72213CFC74ED0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAYDIE GREENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1234 NORTH MAIN STAddressLine1Txt
CityRICE LAKECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54868ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$326,942GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPREGNANCYHELPRICELAKE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionHELPING FAMILIES CHOOSE LIFE. PREGNANCY AND PARENTING COUNSELING.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$117,145PYContributionsGrantsAmt
CY Contributions Grants$175,431CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,896PYInvestmentIncomeAmt
CY Investment Income$1,683CYInvestmentIncomeAmt
PY Other Revenue$138,293PYOtherRevenueAmt
CY Other Revenue$127,663CYOtherRevenueAmt
PY Total Revenue$258,334PYTotalRevenueAmt
CY Total Revenue$304,777CYTotalRevenueAmt
PY Grants And Similar Paid$2,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,502PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,857CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,659CYTotalFundraisingExpenseAmt
PY Other Expenses$51,196PYOtherExpensesAmt
CY Other Expenses$64,285CYOtherExpensesAmt
PY Total Expenses$142,698PYTotalExpensesAmt
CY Total Expenses$200,142CYTotalExpensesAmt
PY Revenues Less Expenses$115,636PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$104,635CYRevenuesLessExpensesAmt
Total Assets BOY$516,077TotalAssetsBOYAmt
Total Assets EOY$623,039TotalAssetsEOYAmt
Total Liabilities BOY$1,014TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,341TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$515,063NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$619,698NetAssetsOrFundBalancesEOYAmt
MissionTO ASSIST WOMEN AND FAMILIES IN AN UNPLANNED PREGNANCY BY ENCOURAGING ALTERNATIVES TO ABORTION AND MINISTER TO PHYSICAL AND SPIRITUAL NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$115,064ExpenseAmt
DescPREGNANCY AND PARENTING CLASSES. SERVED 82 CLIENTS IN 2019.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,097ExpenseAmt
DescABSTINENCE EDUCATION AND TESTING. SERVED 47 CLIENTS IN 2019.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,632ExpenseAmt
DescFREE PREGNANCY TESTS AND ULTRASOUNDS. SERVED 28 CLIENTS IN 2019.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$124,793TotalProgramServiceExpensesAmt
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 Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTIE SCHEUBELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7157364357PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 334AddressLine1Txt
CityRICE LAKECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54868ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT ANDERSON
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
GARY HENDRICKS
VICE-PRESIDENT0.50Yes (X)Yes (X)$0$0$0
SUSAN RAETHER
SECRETARY0.50Yes (X)Yes (X)$0$0$0
RICHARD BOL
BOARD MEMBER0.50Yes (X)$0$0$0
MARJORIE PETERSON
BOARD MEMBER0.50Yes (X)$0$0$0
KAYDIE GREEN
EXECUTIVE DIRECTOR40.00Yes (X)$0$0$0
ERIN HERINGER
BOARD MEMBER0.50Yes (X)$0$0$0
STEPHANIE BIXLER
BOARD MEMBER0.50Yes (X)$0$0$0
JOY GROTBERG
TREASURER0.50Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$51,471FundraisingAmt
All Other Contributions$123,960AllOtherContributionsAmt
Total Contributions$175,431TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,683TotalRevenueColumnAmt
Exclusion$1,683ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,015RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,527RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,488RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,488TotalRevenueColumnAmt
Exclusion$7,488ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$139,913FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$51,471ContriRptFundraisingEventAmt
Fundraising Direct Expenses$20,638FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$119,275TotalRevenueColumnAmt
Exclusion$119,275ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REFUNDS/Desc
Business900099BusinessCd
Total Revenue Column$900TotalRevenueColumnAmt
Exclusion$900ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$900OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,777TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$129,346ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$52,613TotalAmt
Program Services$5,261ProgramServicesAmt
Management And General$23,676ManagementAndGeneralAmt
Fundraising$23,676FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,161TotalAmt
Program Services$57,686ProgramServicesAmt
Management And General$10,705ManagementAndGeneralAmt
Fundraising$2,770FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$808TotalAmt
Program Services$411ProgramServicesAmt
Management And General$224ManagementAndGeneralAmt
Fundraising$173FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,275TotalAmt
Program Services$5,734ProgramServicesAmt
Management And General$3,132ManagementAndGeneralAmt
Fundraising$2,409FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,100TotalAmt
Management And General$3,100ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,135TotalAmt
Program Services$1,135ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,861TotalAmt
Program Services$2,472ProgramServicesAmt
Management And General$1,350ManagementAndGeneralAmt
Fundraising$1,039FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,322TotalAmt
Program Services$16,283ProgramServicesAmt
Management And General$1,039ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,545TotalAmt
Program Services$1,545ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,870TotalAmt
Program Services$1,870ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,569TotalAmt
Program Services$10,875ProgramServicesAmt
Management And General$694ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MATERNITY HOME$11,930$11,930
SUPPLIES$4,308$4,308
TELEPHONE$2,771$1,409$770$592
ADMINISTRATIVE$1,956$1,956

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,918TotalAmt
Program Services$1,918ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$200,142TotalAmt
Program Services$124,793ProgramServicesAmt
Management And General$44,690ManagementAndGeneralAmt
Fundraising$30,659FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$83,052BOYAmt
EOY$36,148EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$162,975BOYAmt
EOY$247,626EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$408,597LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$69,332LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$270,050BOYAmt
EOY$339,265EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$516,077BOYAmt
EOY$623,039EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,014BOYAmt
EOY$3,341EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,014BOYAmt
EOY$3,341EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$515,063BOYAmt
EOY$619,698EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$515,063BOYAmt
EOY$619,698EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$516,077BOYAmt
EOY$623,039EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$104,635ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$119,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$111,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$117,145CurrentTaxYearMinus1YearAmt
Current Tax Year$175,431CurrentTaxYearAmt
Total$658,281TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$119,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$111,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$117,145CurrentTaxYearMinus1YearAmt
Current Tax Year$175,431CurrentTaxYearAmt
Total$658,281TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$658,281PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,974CurrentTaxYearMinus1YearAmt
Current Tax Year$9,171CurrentTaxYearAmt
Total$48,351TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,974CurrentTaxYearMinus1YearAmt
Current Tax Year$9,171CurrentTaxYearAmt
Total$48,351TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$251CurrentTaxYearMinus1YearAmt
Current Tax Year$900CurrentTaxYearAmt
Total$1,698TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$129,707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,182CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,370CurrentTaxYearMinus1YearAmt
Current Tax Year$185,502CurrentTaxYearAmt
Total$708,330TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92930PublicSupportCY509Pct
Public Support PY5090.92740PublicSupportPY509Pct
Investment Income CY0.06830InvestmentIncomeCYPct
Investment Income PY0.07060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$357,953OtherCostOrOtherBasisAmt
Depreciation$38,638DepreciationAmt
Book Value$319,315BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,644OtherCostOrOtherBasisAmt
Depreciation$29,644DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,000OtherCostOrOtherBasisAmt
Depreciation$1,050DepreciationAmt
Book Value$19,950BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$339,265TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RENTAL SECURITY DEPOSITS$400
PAYROLL LIABILITIES$2,941
FieldValueIRS element (for citing)
Total Liability$3,341TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Reference990 PART X, BALANCE SHEET, LINE 25FormAndLineReferenceDesc
ExplanationRENTAL SECURITY DEPOSITSExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SLICE OF LIFEEvent1Nm
Gross Receipts Event1$39,996GrossReceiptsEvent1Amt
Gross Revenue Event1$39,996GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,070OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$99,917GrossReceiptsEvent2Amt
Gross Revenue Event2$99,917GrossRevenueEvent2Amt
Other Direct Expenses Event2$17,119OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$51,471GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$51,471CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events$1,449OthDirectExpnssOtherEventsAmt
Gross Receipts Total$191,384GrossReceiptsTotalAmt
Charitable Contributions Tot$51,471CharitableContributionsTotAmt
Gross Revenue Total Events$139,913GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$20,638OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,638DirectExpenseSummaryEventsAmt
Net Income Summary$119,275NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY IS PROVIDED TO BOARD MEMBERS TO REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL REVIEW BY BOARD; MONTHLY REVIEW OF FINANCIAL REPORTS BY BOARD; ANNUAL REVIEW OF STAFF BY DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS REVIEWED/DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST, AT IT'S PHYSICAL LOCATION AT 234 NORTH MAIN STREET, RICE LAKE, WISCONSIN.

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