2019-05-14T12:27:42-05:00 2018-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2018-01-01 391195540 CREATIVE COMMUNITY LIVING SERVICES INC CREA 9202611345 314 EAST MAIN STREET WATERTOWN WI 53094 JIM ZACHE CHIEF EXECUTIVE OFFICER 9202611345 2019-05-14 1 GLENN MILLER CPA P00086726 6082744020 66.222.124.178 2019-05-14 08:40:56 CD P 50C9C09D56ED613F9D7879BDC11063DCF385CB9F B169A553E6FC674180C4B0C62460B1C0CC916730 2018 2019-02-21 02:37:17Z JIM ZACHE 314 EAST MAIN STREET WATERTOWN WI 53094 20320062 0 X WWW.CCLSWI.ORG X 1973 WI CREATIVE COMMUNITY LIVING SERVICES IS A PROVIDER OF SERVICES AND SUPPORTS FOR INDICVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES, OR FUNCTIONAL LIMITATIONS OF ADVANCED AGING. OUR COMMUINITY SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED. WE WORK WITH THE INDIVIDUAL TO BUILD THE NECESSARY SUPPORTS BASED ON THEIR NEEDS, STRENGTHS, AND WISHES. 9 9 863 9 150832 -469 0 19569733 0 25261 0 -23589 0 150324 0 19721729 0 0 0 0 0 14864348 0 0 23225 0 4578944 0 19443292 0 278437 4341543 3502974 3794917 3138911 546626 364063 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 13232142 0 25261 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. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 1807422 0 0 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. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 15039564 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 88 0 863 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X DWAN SCHUCK 9202611345 314 EAST MAIN STREET WATERTOWN WI 53094 RANDY RADTKE CHAIR 1.00 X X 1250 0 0 KRIS LEONARD VICE CHAIR 1.00 X X 500 0 0 KAREN FOELKER SECRETARY 1.00 X X 1235 0 0 DAVID GLOBIG TREASURER 1.00 X X 0 0 0 DUANE FLOYD DIRECTOR 1.00 X 0 0 0 ELLEN HAINES DIRECTOR 1.00 X 0 0 0 DAVID MORSTAD DIRECTOR 1.00 X 1750 0 0 JON DAHLE DIRECTOR 1.00 X 400 0 0 BARB LEDUC DIRECTOR 1.00 X 0 0 0 JIM ZACHE CHIEF EXECUTIVE OFFICER 40.00 X 159994 0 8844 DWAN SCHUCK CHIEF FINANCIAL OFFICER 32.00 X 88868 0 661 SHERRY MARSHALL VICE PRESIDENT OF HUMAN RESOURCES 40.00 X 103074 0 8183 357071 0 17688 2 0 1 0 FIRST CALL MEDICAL STAFFING INC 2525 N MAYFAIR RD 60 WAUWATOSA WI 53226 TEMP STAFFING 163451 TEMPSPLUS TEMPORARY SERVICE INC 7017 WGREENFIELD AVE WEST ALLIS WI 53214 TEMP STAFFING 134095 2 1093786 18475947 19569733 TRAINING 623000 25261 25261 25261 80 80 3245 3753 -508 -508 -508 570911 594580 -23669 -23669 -23669 RESIDENTIAL MANAGEMENT FEES 623990 150832 150832 150832 19721729 25261 150832 -24097 258367 258367 11882063 9493044 2371360 17659 31722 24805 6871 46 1293745 1011626 280237 1882 1398451 1093500 302917 2034 57027 57027 53066 53066 451809 389078 62731 257577 139689 117787 101 59380 59380 2511468 1951604 559864 418268 354543 63211 514 3853 644 3209 30995 19879 11116 136041 83745 52296 61952 39531 22421 FOOD 425125 421883 3201 41 DUES AND FEES 61451 8324 52185 942 BAD DEBT EXPENSE 35508 35508 PROVISION FOR INCOME TA 5025 5025 10399 7669 2724 6 19443292 15039564 4380503 23225 158118 100159 0 352653 1537929 1623214 82351 35162 5994 23549 3812642 2508438 2035248 1304204 521903 64033 4341543 3502974 1376756 1278226 2418161 1860685 3794917 3138911 X 546626 364063 546626 364063 4341543 3502974 X 278437 -461000 X 0 1 X 1 0 X 19569733 19569733 19569733 19569733 19569733 3325 3325 150832 150832 19723890 25261 X 300717 300717 1904572 916097 988475 1112204 1098840 13364 495149 493501 1648 1304204 19749151 0 19749151 -27422 -27422 19721729 19931714 488422 488422 19443292 0 19443292 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF PROPERTY AND EQUIPMENT -23,669. BUILDING EXPENSES ALLOCABLE TO RENTAL INCOME -3,753. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF PROPERTY AND EQUIPMENT 23,669. BUILDING EXPENSES ALLOCABLE TO RENTAL INCOME 3,753. WRITE-OFF OF DEFERRED TAX ASSET 461,000. X X 0 0 0 0 0 0 0 0 0 JIM ZACHE CHIEF EXECUTIVE OFFICER 159994 0 0 0 0 0 585 0 8259 0 168838 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BEFORE THE RETURN IS FILED WITH THE IRS. 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 THE INDEPENDENT MEMBERS OF THE GOVERNING BODY DETERMINE THE CHIEF EXECUTIVE OFFICER'S AND CHIEF FINANCIAL OFFICER'S COMPENSATION USING DATA ON COMPENSATION PAID BY COMPARABLE ORGANIZATIONS IN THE SAME OR SIMILAR COMMUNITIES FOR SIMILAR SERVICES. THIS PROCESS WAS LAST UNDERTAKEN IN 2016. 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: WRITE-OFF OF DEFERRED TAX ASSET -461,000.