EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC (EIN 39-1372185)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-10-31
- IRS object ID
- 201913049349200026
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-10-31T11:19:53-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391277627 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAUMAN ASSOCIATES LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1225 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 547021225 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391372185 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPILEPSY FOUNDATION OF WESTERN | BusinessNameLine1Txt |
| Business Name Line2 | WISCONSIN INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EPIL | BusinessNameControlTxt |
| Phone | 7158344455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 BRACKETT AVENUE SUITE 5 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CURTIS DEPREY | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 7158344455 | PhoneNum |
| Signature | 2019-10-24 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN KALEPP CPA | PreparerPersonNm |
| PTIN | P01320467 | PTIN |
| Phone | 7158342001 | PhoneNum |
| Preparation | 2019-10-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.20.32.50 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-31 | IPDt |
| IP Tm | 11:19:53 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 05D91B70799F442564BD2AC10FA90385440F3FA2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A575C17639EF084057D8F1A6504EC962B5AF11A6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | WWW.EPILEPSYWESTERNWI.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $89,632 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $89,536 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $96 | ProgramServiceRevenueAmt |
| Special Events Direct Expenses | $8,963 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$8,963 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $80,669 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $6,360 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $40,045 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $1,840 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $12,580 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $18,254 | OtherExpensesTotalAmt |
| Total Expenses | $79,079 | TotalExpensesAmt |
| Excess Or Deficit For Year | $1,590 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $14,693 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,283 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,239 | BOYAmt |
| EOY | $17,395 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,840 | BOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,079 | BOYAmt |
| EOY | $17,395 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386 | BOYAmt |
| EOY | $1,112 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,693 | BOYAmt |
| EOY | $16,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE EPILEPSY FOUNDATION OF WESTERN WISCONSIN IS DEDICATED TO LEADING THE FIGHT TO STOP SEIZURES AND SUDEP, FINDING A CURE, AND OVERCOMING THE CHALLENGES CREATED BY EPILEPSY THROUGH EFFORTS INCLUDING EDUCATION, ADVOCACY, AND RESEARCH TO ACCELERATE NEW IDEAS INTO THERAPIES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| THE FOUNDATION IS ALWAYS LOOKING FOR WAYS TO BENEFIT OUR NEW CLIENTS. DEVELOPMENT AND GRANTS ARE USED TO DEVELOP NEW PROGRAMS AND TO ENHANCE EXISTING PROGRAMS. | $6,360 | $39,097 |
| OUR CLIENT SERVICES PROGRAM STRIVES TO RESOLVE SOME OF THE CHALLENGES ASSOCIATIED WITH EPILEPSY. INFORMATION, REFERRALS, SUPPORT, ADVOCACY AND OTHER CASE MANAGEMENT SERVICES PROVIDE INDIVIDUALS WITH THE TOOLS NEEDED TO MAKE INFORMED DECISIONS ON TREATMENT OPTIONS AND OTHER DECISIONS RELATED TO THEIR EPILEPSY. THE FOUNDATION ALSO TEACHES SKILLS IN COPING AND ACCEPTING THE DISORDER BY PROVIDING SUPPORT NOT ONLY FROM THE FOUNDATION BUT ALSO FROM PEERS. ADVOCACY ASSISTS CLIENTS TO LEARN THEIR RIGHTS WITH REGARD TO THEIR DISABILITY. CASE MANAGEMENT ALSO ASSISTS IN PROVIDING SERVICES TO THE PERSON AS A WHOLE INSTEAD OF JUST THE DISORDER. | $16,656 | |
| OUR COMMUNITY EDUCATION PROGRAM PROVIDES EPILEPSY SPECIFIC INFORMATION TO EMPLOYERS, SCHOOLS, CAREGIVERS, AND PROFESSIONALS. COMMUNITY EDUCATION PROGRAMS OFFER IN-SERVICE TRAINING TO TEACHERS, POLICE, EMTS, BUSINESSES, SCHOOL MEDICAL PROFESSIONALS, AND TO THE COMMUNITY. WE ALSO OFFER WORKPLACE EDUCATION SEMINARS TO ASSIST EMPLOYERS IN THEIR UNDERSTANDING OF EPILEPSY AND EMPLOYEES WITH SEIZURE DISORDERS. | $8,040 | |
| ALL OTHER PROGRAMS ARE USED TO FURTHER SUPPORT OUR ORGANIZATION'S MISSION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $63,793 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| RICK WALLIN | ||
| EXEC DIRECT- | 40.00 | $2,693 |
| CURTIS DEPREY | ||
| VICE PRESIDE | 5.00 | $0 |
| JOY PAUL | ||
| DIRECTOR | 0.50 | $0 |
| DOUG PICHLER | ||
| DIRECTOR | 0.50 | $0 |
| MATT LIND | ||
| SECRETARY | 0.50 | $0 |
| JANICE WALBERG | ||
| PRESIDENT | 10.00 | $0 |
| SHELBY SIVERTSON | ||
| TREASURER | 0.50 | $0 |
| DEBRA NICHOLS | ||
| EXEC DIRECT | 40.00 | $12,229 |
| 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 | JANICE WALBERG | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 BRACKETT AVE STE 5 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 547014677 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7158344455 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,241 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,215 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $89,536 | CurrentTaxYearAmt |
| Total | $475,454 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,241 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,215 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $89,536 | CurrentTaxYearAmt |
| Total | $475,454 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $475,454 | PublicSupportTotal170Amt |
| Total Support | $475,454 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $53,834 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | STROLL IN THE P | Event1Nm |
| Gross Receipts Event1 | $35,757 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $35,757 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $8,963 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $35,757 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $35,757 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $8,963 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,963 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$8,963 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 10 | CASH CONTRIBUTION: 6,360 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSE 3,177 TRAVEL EXPENSE 7,490 INSURANCE 2,155 MISCELLANEOUS 1,737 SUPPLIES 1,770 EQUIP RENT, MAIN 1,905 FUNDRAISING - OTHER 20 TOTAL 18,254 |
| FORM 990-EZ, PART II, LINE 24 | PROMISES TO GIVE 3,840 0 PREPAID INSURANCE 0 0 TOTAL 3,840 0 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 386 1,112 |
| FORM 990-EZ, PART III | THE EPILEPSY FOUNDATION OF WESTERN WISCONSIN IS DEDICATED TO LEADING THE FIGHT TO STOP SEIZURES AND SUDEP, FINDING A CURE, AND OVERCOMING THE CHALLENGES CREATED BY EPILEPSY THROUGH EFFORTS INCLUDING EDUCATION, ADVOCACY, AND RESEARCH TO ACCELERATE NEW IDEAS INTO THERAPIES. |
| FORM 990-EZ, PART III, LINE 29 | OUR CLIENT SERVICES PROGRAM STRIVES TO RESOLVE SOME OF THE CHALLENGES ASSOCIATIED WITH EPILEPSY. INFORMATION, REFERRALS, SUPPORT, ADVOCACY AND OTHER CASE MANAGEMENT SERVICES PROVIDE INDIVIDUALS WITH THE TOOLS NEEDED TO MAKE INFORMED DECISIONS ON TREATMENT OPTIONS AND OTHER DECISIONS RELATED TO THEIR EPILEPSY. THE FOUNDATION ALSO TEACHES SKILLS IN COPING AND ACCEPTING THE DISORDER BY PROVIDING SUPPORT NOT ONLY FROM THE FOUNDATION BUT ALSO FROM PEERS. ADVOCACY ASSISTS CLIENTS TO LEARN THEIR RIGHTS WITH REGARD TO THEIR DISABILITY. CASE MANAGEMENT ALSO ASSISTS IN PROVIDING SERVICES TO THE PERSON AS A WHOLE INSTEAD OF JUST THE DISORDER. |
| FORM 990-EZ, PART III, LINE 30 | OUR COMMUNITY EDUCATION PROGRAM PROVIDES EPILEPSY SPECIFIC INFORMATION TO EMPLOYERS, SCHOOLS, CAREGIVERS, AND PROFESSIONALS. COMMUNITY EDUCATION PROGRAMS OFFER IN-SERVICE TRAINING TO TEACHERS, POLICE, EMTS, BUSINESSES, SCHOOL MEDICAL PROFESSIONALS, AND TO THE COMMUNITY. WE ALSO OFFER WORKPLACE EDUCATION SEMINARS TO ASSIST EMPLOYERS IN THEIR UNDERSTANDING OF EPILEPSY AND EMPLOYEES WITH SEIZURE DISORDERS. |
| FORM 990-EZ, PART III, LINE 31 | ALL OTHER PROGRAMS ARE USED TO FURTHER SUPPORT OUR ORGANIZATION'S MISSION. |
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