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CHISAGO COUNTY LIFE CARE CENTER: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CHISAGO COUNTY LIFE CARE CENTER (EIN 41-1921727)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-07-16
IRS object ID
201941979349200404
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

FieldValueIRS element (for citing)
Return2019-07-16T10:12:50-04:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411921727EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHISAGO COUNTY LIFE CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Ann OlsonInCareOfNm
Business Name ControlCHISBusinessNameControlTxt
Phone6516742121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 516AddressLine1Txt
CityNorth BranchCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55056ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBetty MitchellPersonNm
Person TitleSecretary TreasurerPersonTitleTxt
Phone6516742121PhoneNum
Signature2019-07-16SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.228.246.52IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-16IPDt
IP TimezoneESIPTimezoneCd
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addresswww.chisagolifecare.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$120,749GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$120,730ContributionsGiftsGrantsEtcAmt
Investment Income$19InvestmentIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$2,673SpecialEventsDirectExpensesAmt
Special Events Net Income Loss-$2,673SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$118,076TotalRevenueAmt
Salaries Other Comp Empl Bnft$67,566SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$7,400FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$10,484OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$437PrintingPublicationsPostageAmt
Other Expenses Total$18,439OtherExpensesTotalAmt
Total Expenses$104,326TotalExpensesAmt
Excess Or Deficit For Year$13,750ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$63,986NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$77,736NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$35,095BOYAmt
EOY$39,449EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$87,964BOYAmt
EOY$86,937EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$7,277BOYAmt
EOY$11,094EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$130,336BOYAmt
EOY$137,480EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,350BOYAmt
EOY$59,744EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$63,986BOYAmt
EOY$77,736EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSupport and Education Resource CenterPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
Education & Earn While You Learn Mentoring Program: Provide one-on-one mentoring to pregnant and parenting women & men on topics such as prenatal & postnatal infant development, healthy life choices, practical life skills such as budgeting & nutrition. Information on STIs & healthy reproductive and sexual decision-making.$0$31,119
Social service (Baby Boutique) & community program referrals: Provide intake assessments to determine need. Provide practical & material assistance such as clothing, diapers and baby equipment. Utilize resource database to provide information and referrals$0$6,351
Outreach: Strengthen relationships with existing community partners and identify new community partners in order to identify potential referral sources for clients and increase capacity of programming.$0$29,536
FieldValueIRS element (for citing)
Total Program Service Expenses$67,006TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (13 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Ann Olson
President4$0$0$0
Jackie Scheldorf
Vice President2$0$0$0
Betty Mitchell
Secretary Treasurer20$2,052$0$0
Scott Johnson
Executive Director Sept through Dec30$31,500$0$0
Kori Schmidt
Director of Client Services30$16,028$0$0
Cindy Hagen
Client Services Assistant20$6,622$0$0
Leah Lackas
Board Director0.5$0$0$0
Daniel Gnau
Board Director0.2$0$0$0
Angie Gnau
Board Director0.2$0$0$0
Rachel Hosch
Client Advocate20$2,384$0$0
Sandra Blake
Client Advocate Asst20$1,790$0$0
Anne Weihsmann
Sub5$303$0$0
Stacy Johnson
Sub5$121$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Betty MitchellBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16344 Elm StAddressLine1Txt
CityNorth BranchCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55056ZIPCd
FieldValueIRS element (for citing)
Phone6516742121PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,596CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,727CurrentTaxYearMinus1YearAmt
Current Tax Year$120,730CurrentTaxYearAmt
Total$294,053TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,596CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,727CurrentTaxYearMinus1YearAmt
Current Tax Year$120,730CurrentTaxYearAmt
Total$294,053TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$294,053PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$601TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$601TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$20TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,197CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,747CurrentTaxYearMinus1YearAmt
Current Tax Year$120,730CurrentTaxYearAmt
Total$294,674TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99789PublicSupportCY509Pct
Public Support PY5090.00666PublicSupportPY509Pct
Investment Income CY0.00204InvestmentIncomeCYPct
Investment Income PY0.0035InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Various FundraisersEvent1Nm
Gross Receipts Event1$15,495GrossReceiptsEvent1Amt
Charitable Contri Event1$15,495CharitableContriEvent1Amt
Gross Revenue Event1$0GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$113RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,601FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$959OtherDirectExpensesEvent1Amt
Gross Receipts Total$15,495GrossReceiptsTotalAmt
Charitable Contributions Tot$15,495CharitableContributionsTotAmt
Gross Revenue Total Events$0GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$113RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,601FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$959OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,673DirectExpenseSummaryEventsAmt
Net Income Summary-$2,673NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Doing Business As NamesOptions for Women of Chisago County
Part I, line 16| Other Expenses:, Amount:| Office/General Administrative Expenses, $4686.00| Outreach Expenses, $1536.00| Mileage for Travel, $622.00| Depreciation, $1027.00| Miscellaneous Expense, $25.00| Client Services, $4378.00| Property Insurance/taxes, $965.00| Mortgage Interest, $3389.00| Capital Campaign Program, $108.00| Meals for Meetings etc, $115.00| Ultra Sound Table, $100.00| Officer & Director Liability Insurance, $1000.00| Workers Comp Insurance, $259.00| Staff Training, $229.00|
Part II, line 24| Asset Name:, BOY Amount:, EOY Amount:| Grant Receivable, $7277, $11094|
Part II, line 26| Liabilities Name:, BOY Amount:, EOY Amount:| Payroll Taxes Payable, $1422, $1291| TLC Loan Payable, $6000, $3000| Accounts Payable, $251, $236| Mortgages or other loans payable, $58677, $55217|

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