EPILEPSY FOUNDATION OF WISCONSIN INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
EPILEPSY FOUNDATION OF WISCONSIN INC (EIN 39-1370658)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201901359349304830
Schema version
2017v2.3
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)
Return2019-05-15T10:59:41-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390747409PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REILLY PENNER & BENTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11233 NORTH MAYFAIR RD SUITE 302AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532263255ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391370658EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EPILEPSY FOUNDATION HEART OF WISCONSINBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEPILBusinessNameControlTxt
Phone6084425555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11302 MENDOTA STREETAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53714ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL GOMOLLPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6084425555PhoneNum
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOEL JOYCEPreparerPersonNm
PTINP01001488PTIN
Phone4142717800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.133.53.121IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-14IPDt
IP Tm16:38:39IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2960948A8C30176CC9B3FDFBB63916E38A1A1779AtSubmissionCreationDeviceId
At Submission Filing Device IdABAD72A40828CA7D885EE0A9D151F3C4094AFD79AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL GOMOLLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11302 MENDOTA STREETAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53714ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$415,858GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressEPILEPSYWISONSIN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers260TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$257,500PYContributionsGrantsAmt
CY Contributions Grants$282,431CYContributionsGrantsAmt
PY Program Service Revenue$7,833PYProgramServiceRevenueAmt
CY Program Service Revenue$5,650CYProgramServiceRevenueAmt
PY Investment Income$259PYInvestmentIncomeAmt
CY Investment Income$1,144CYInvestmentIncomeAmt
PY Other Revenue$99,170PYOtherRevenueAmt
CY Other Revenue$109,865CYOtherRevenueAmt
PY Total Revenue$364,762PYTotalRevenueAmt
CY Total Revenue$399,090CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,356PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$200,779CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$27,124CYTotalFundraisingExpenseAmt
PY Other Expenses$156,561PYOtherExpensesAmt
CY Other Expenses$157,645CYOtherExpensesAmt
PY Total Expenses$408,917PYTotalExpensesAmt
CY Total Expenses$358,424CYTotalExpensesAmt
PY Revenues Less Expenses-$44,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$40,666CYRevenuesLessExpensesAmt
Total Assets BOY$162,324TotalAssetsBOYAmt
Total Assets EOY$206,194TotalAssetsEOYAmt
Total Liabilities BOY$20,086TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,017TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$142,238NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$180,177NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$159,195ExpenseAmt
DescCLIENT SERVICES - THE FOUNDATION SERVED 2,967 DIRECT CLIENTS DURING THE YEAR ENDED 6/30/18. DURING THE YEAR, THE FOUNDATION SPONSORED 10 EDUCATIONAL DINNER MEETINGS THROUGHOUT THE SERVICE AREA WHICH WERE ATTENDED BY 360 CONSUMERS. THE FOUNDATION SERVED 1,476 CLIENTS THROUGH SUPPORT GROUPS DURING THE YEAR. IN SEPTEMBER AND OCTOBER, 2017, THE FOUNDATION CONDUCTED STUDIO E, A SIX-WEEK ART THERAPY PROGRAM, FOR 17 ADULTS WITH EPILEPSY. THE FOUNDATION CONDUCTED A WEEK-LONG RESIDENTIAL SUMMER CAMP FOR KIDS AND HAD 13 CHILDREN FROM OUR SERVICE AREA ATTEND, AN ADULT RETREAT WITH 44 ATTENDEES FROM OUR AREA, AND A DAY OF PROGRAMMING FOR BROTHERS AND SISTERS OF KIDS WITH DISABILITIES, WITH 20 IN ATTENDANCE. 88 PARENTS ATTENDED 3 PARENT AND CAREGIVER EDUCATION PROGRAMS AND 80 FAMILIES PARTICIPATED IN FAMILIAS UNIDOS CON NINOS CON NECESSIDADES ESPECIALIES INCLUDING MONTHLY SUPPORT GROUP MEETINGS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$78,402ExpenseAmt
Revenue$5,650RevenueAmt
DescPUBLIC HEALTH EDUCATION - THE FOUNDATION CONDUCTED PUBLIC HEALTH EDUCATION, WHICH REACHED 1,322 SCHOOL-AGED CHILDREN. THE FOUNDATION CONDUCTED EMPLOYER TRAINING PROGRAMS FOR 133 PEOPLE. 97 SCHOOL NURSES RECEIVED AT LEAST ONE HOUR OF SEIZURE AWARENESS AND FIRST AID TRAINING AND 258 SCHOOL PERSONNEL RECEIVED 1 HOUR OF SEIZURE RECOGNITION AND FIRST AID TRAINING. DURING THE YEAR ENDED 6/30/18, 77 SENIOR DAY CARE STAFF RECEIVED SEIZURE RECOGNITION AND FIRST AID TRAINING. THE FOUNDATION CONDUCTED OTHER SEIZURE RECOGNITION AND FIRST AID PRESENTATIONS REACHING 1,986 ADULTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$40,217ExpenseAmt
DescCOMMUNITY SERVICES - THE FOUNDATION PARTICIPATED IN COUNTY DISABILITY COALITIONS, DEVELOPMENTAL DISABILITIES COUNCILS, STATEWIDE SURVIVAL COALITION AND UNITED WAY AGENCY EXECUTIVE GROUPS IN DANE COUNTY, ROCK COUNTY, GREEN COUNTY AND DODGE COUNTY WHICH BENEFIT PEOPLE AND FAMILIES WITH EPILEPSY OR THE DISABILITY COMMUNITY IN GENERAL. COMMUNITY SERVICE INCLUDES ADVOCACY ON BEHALF OF THE WIDER DISABILITY COMMUNITY AND THAT WORK IS ACCOMPLISHED THROUGH COLLABORATION WITH OTHER DISABILITY GROUPS AND HUMAN SERVICE PROVIDERS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$37,403ExpenseAmt
Revenue$1,000RevenueAmt
DescDURING THE YEAR ENDED 6/30/18, THE FOUNDATION CONDUCTED THE ADVANCES IN EPILEPSY TREATMENT CONFERENCE ON THE CAMPUS OF THE MARSHFIELD CLINIC ATTENDED BY 91 PEOPLE. IN MARCH OF 2018 TWO STAFF ATTENDED A CDC SKILL BUILDING TRAINING CONFERENCE IN COLUMBUS, OH.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$37,403TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,000TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$315,217TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MELISSA CLARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7153415811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11004 FIRST STREET STE 5AddressLine1Txt
CitySTEVENS POINTCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54481ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEPHANIE WILLING
CHAIRPERSON0.80Yes (X)Yes (X)$0$0$0
TY WEIMER
VICE CHAIR0.80Yes (X)Yes (X)$0$0$0
JEREMIAH HASSELL
TREASURER0.80Yes (X)Yes (X)$0$0$0
JASON LONGMIER
SECRETARY0.80Yes (X)Yes (X)$0$0$0
LINDA BEST
DIRECTOR0.80Yes (X)$0$0$0
VICTORIA CARTER
DIRECTOR0.80Yes (X)$0$0$0
SHONDA CRAPP
DIRECTOR0.80Yes (X)$0$0$0
STEPHANIE CRIST
DIRECTOR0.80Yes (X)$0$0$0
TOM MCCARRIER
DIRECTOR0.80Yes (X)$0$0$0
WALTER KAO
DIRECTOR0.80Yes (X)$0$0$0
BARB MULLEN
DIRECTOR0.80Yes (X)$0$0$0
ZEKE REGAN
DIRECTOR0.80Yes (X)$0$0$0
JENNIFER STUCKERT
DIRECTOR0.80Yes (X)$0$0$0
LORI SORGE
DIRECTOR0.80Yes (X)$0$0$0
ART TAGGART
FORMER EXECUTIVE DIRECTOR40.00Yes (X)$48,000$0$0
DENNIS PERKINS
EXECUTIVE DIRECTOR40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,000TotalReportableCompFromOrgAmt
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
Federated Campaigns$38,219FederatedCampaignsAmt
Government Grants$113,955GovernmentGrantsAmt
All Other Contributions$130,257AllOtherContributionsAmt
Total Contributions$282,431TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEDUCATION CONFERENCEDesc
Business900099BusinessCd
Total Revenue Column$5,650TotalRevenueColumnAmt
Related Or Exempt Func Income$5,650RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,650TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$826TotalRevenueColumnAmt
Exclusion$826ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,858SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,540SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$318SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$318TotalRevenueColumnAmt
Exclusion$318ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$123,093FundraisingGrossIncomeAmt
Fundraising Direct Expenses$14,228FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,865TotalRevenueColumnAmt
Exclusion$108,865ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$1,000TotalRevenueColumnAmt
Related Or Exempt Func Income$1,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$399,090TotalRevenueColumnAmt
Related Or Exempt Func Income$6,650RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$110,009ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$44,400TotalAmt
Program Services$38,917ProgramServicesAmt
Management And General$2,038ManagementAndGeneralAmt
Fundraising$3,445FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$141,217TotalAmt
Program Services$123,776ProgramServicesAmt
Management And General$6,482ManagementAndGeneralAmt
Fundraising$10,959FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$850TotalAmt
Program Services$745ProgramServicesAmt
Management And General$39ManagementAndGeneralAmt
Fundraising$66FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,312TotalAmt
Program Services$12,544ProgramServicesAmt
Management And General$657ManagementAndGeneralAmt
Fundraising$1,111FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,482TotalAmt
Program Services$10,940ProgramServicesAmt
Management And General$573ManagementAndGeneralAmt
Fundraising$969FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,329TotalAmt
Program Services$1,165ProgramServicesAmt
Management And General$61ManagementAndGeneralAmt
Fundraising$103FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,471TotalAmt
Program Services$12,684ProgramServicesAmt
Management And General$664ManagementAndGeneralAmt
Fundraising$1,123FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,842TotalAmt
Program Services$33,168ProgramServicesAmt
Management And General$1,737ManagementAndGeneralAmt
Fundraising$2,937FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,726TotalAmt
Program Services$9,401ProgramServicesAmt
Management And General$492ManagementAndGeneralAmt
Fundraising$833FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,690TotalAmt
Program Services$9,370ProgramServicesAmt
Management And General$491ManagementAndGeneralAmt
Fundraising$829FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$48TotalAmt
Management And General$48ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$9,734TotalAmt
Program Services$8,532ProgramServicesAmt
Management And General$447ManagementAndGeneralAmt
Fundraising$755FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,615TotalAmt
Program Services$3,169ProgramServicesAmt
Management And General$166ManagementAndGeneralAmt
Fundraising$280FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,807TotalAmt
Program Services$5,967ProgramServicesAmt
Management And General$312ManagementAndGeneralAmt
Fundraising$528FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MISCELLANEOUS$19,906$19,906$0
CLIENT SERVICES$14,469$12,682$664$1,123
RESPITE CARE$12,195$12,195
LICENSES & PERMITS$64$56$3$5

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,267TotalAmt
Management And General$1,209ManagementAndGeneralAmt
Fundraising$2,058FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$358,424TotalAmt
Program Services$315,217ProgramServicesAmt
Management And General$16,083ManagementAndGeneralAmt
Fundraising$27,124FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,793BOYAmt
EOY$45,076EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$62,656BOYAmt
EOY$90,725EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,977BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,832BOYAmt
EOY$59,563EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,188BOYAmt
EOY$1,188EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,871BOYAmt
EOY$1,029EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$125,533LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$116,920LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,407BOYAmt
EOY$8,613EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,600BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$162,324BOYAmt
EOY$206,194EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,761BOYAmt
EOY$26,017EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,325BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,086BOYAmt
EOY$26,017EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$121,619BOYAmt
EOY$180,177EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,619BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$142,238BOYAmt
EOY$180,177EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$162,324BOYAmt
EOY$206,194EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$40,666ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$2,727PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$295,172CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$267,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$294,348CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,500CurrentTaxYearMinus1YearAmt
Current Tax Year$282,431CurrentTaxYearAmt
Total$1,397,369TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,172CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$267,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$294,348CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,500CurrentTaxYearMinus1YearAmt
Current Tax Year$282,431CurrentTaxYearAmt
Total$1,397,369TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,397,369PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$132CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$148CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$259CurrentTaxYearMinus1YearAmt
Current Tax Year$826CurrentTaxYearAmt
Total$1,485TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$9,070CurrentTaxYearMinus2YearsAmt
Current Tax Year$1,000CurrentTaxYearAmt
Total$11,214TotalAmt
FieldValueIRS element (for citing)
Total Support$1,410,068TotalSupportAmt
Public Support CY1700.99100PublicSupportCY170Pct
Public Support PY1700.99040PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,533OtherCostOrOtherBasisAmt
Depreciation$116,920DepreciationAmt
Book Value$8,613BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,613TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SUMMER STROLL - WAUSAUEvent1Nm
Gross Receipts Event1$20,668GrossReceiptsEvent1Amt
Gross Revenue Event1$20,668GrossRevenueEvent1Amt
Other Direct Expenses Event1$1,817OtherDirectExpensesEvent1Amt
Event2BOWLING EVENTEvent2Nm
Gross Receipts Event2$20,869GrossReceiptsEvent2Amt
Gross Revenue Event2$20,869GrossRevenueEvent2Amt
Other Direct Expenses Event2$175OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$81,556GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$81,556GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$12,236OthDirectExpnssOtherEventsAmt
Gross Receipts Total$123,093GrossReceiptsTotalAmt
Gross Revenue Total Events$123,093GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$14,228OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,228DirectExpenseSummaryEventsAmt
Net Income Summary$108,865NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE AUDIT COMMITTEE AND THE BOARD CHAIR. THE ENTIRE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY STATES THAT NO MEMBER OF THE BOARD OF DIRECTORS OR THEIR IMMEDIATE FAMILY MAY ENGAGE IN BUSINESS TRANSACTIONS WITH THE EPILEPSY FOUNDATION HEART OF WISCONSIN FOR PROFIT, THAT PAID MEMBERS OF THE EPILEPSY FOUNDATION HEART OF WISCONSIN'S STAFF MAY NOT SERVE ON THE BOARD OF DIRECTORS, AND THAT MEMBERS OF THE BOARD OF DIRECTORS RECEIVE NO COMPENSATION, EXCEPT FOR REIMBURSEMENT OF EXPENSES INCURRED ON BOARD OF DIRECTOR BUSINESS. THE POLICY IS ANNUALLY REVIEWED AT THE FIRST MEETING OF THE YEAR. IF A CONFLICT OF INTEREST ARISES, THE CONFLICTED BOARD MEMBER IS ASKED TO RESIGN FROM HIS/HER POSITION.
FORM 990, PART VI, SECTION B, LINE 15AIN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR, THE ORGANIZATION PARTICIPATES IN A UNITED WAY WAGE AND BENEFITS SURVEY OF DANE COUNTY NONPROFIT ORGANIZATIONS. IT ALSO USES OTHER COMPARATIVE DATA THAT MAY BE AVAILABLE THROUGH THE NATIONAL OFFICE OR THE ASSOCIATION OF FUNDRAISING PROFESSIONALS. THE GOVERNANCE COMMITTEE CONDUCTS THIS REVIEW ANNUALLY AND RECOMMENDS TO THE BOARD OF DIRECTORS CHANGES OR INCREASES TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE GOVERNANCE COMMITTEE MEMBERS DECIDE ON AN EVALUATION FORM AND CONTACT INDIVIDUAL BOARD MEMBERS TO COLLECT EVERYONE'S EVALUATION. THESE ARE COMPILED INTO AN EVALUATION DOCUMENT FOR PRESENTATION TO THE EXECUTIVE DIRECTOR AND INCLUSION INTO HIS EMPLOYMENT FILE. THE BOARD'S RECOMMENDATION FOR SALARY ADJUSTMENTS IS MADE IN THIS DOCUMENT AND AGREED TO BY THE EXECUTIVE DIRECTOR AT A REGULARLY SCHEDULED BOARD MEETING. THE BOARD MAY GO INTO EXECUTIVE SESSION BRIEFLY TO MAKE ANY NECESSARY DELIBERATIONS. THE LAST SALARY REVIEW FOR THE EXECUTIVE DIRECTOR WAS OCTOBER 18, 2012.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.