CHISAGO COUNTY LIFE CARE CENTER: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CHISAGO COUNTY LIFE CARE CENTER (EIN 41-1921727)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201813189349203276
- Schema version
- 2017v2.0
- 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 | 2018-11-14T14:37:03-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411921727 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHISAGO COUNTY LIFE CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Ann Olson | InCareOfNm |
| Business Name Control | CHIS | BusinessNameControlTxt |
| Phone | 6516742121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 516 | AddressLine1Txt |
| City | North Branch | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55056 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Betty Mitchell | PersonNm |
| Person Title | Secretary Treasurer | PersonTitleTxt |
| Phone | 6516742121 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.228.246.52 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Timezone | ES | IPTimezoneCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | www.chisagolifecare.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $124,751 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $124,727 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $4 | InvestmentIncomeAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $1,804 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$1,804 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $20 | OtherRevenueTotalAmt |
| Total Revenue | $122,947 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $51,988 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $9,110 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $6,399 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $335 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $24,339 | OtherExpensesTotalAmt |
| Total Expenses | $92,171 | TotalExpensesAmt |
| Excess Or Deficit For Year | $30,776 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $33,210 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $63,986 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,873 | BOYAmt |
| EOY | $35,095 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,991 | BOYAmt |
| EOY | $87,964 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,485 | BOYAmt |
| EOY | $7,277 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,349 | BOYAmt |
| EOY | $130,336 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,139 | BOYAmt |
| EOY | $66,350 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,210 | BOYAmt |
| EOY | $63,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Support and Education Resource Center | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program 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 | $32,269 |
| 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 | $7,037 |
| 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 | $21,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $60,766 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Ann Olson | ||||
| President | 4 | $0 | $0 | $0 |
| Jackie Scheldorf | ||||
| Vice President | 2 | $0 | $0 | $0 |
| Betty Mitchell | ||||
| Secretary Treasurer | 20 | $7,400 | $0 | $0 |
| Scott Johnson | ||||
| Executive Director Sept through Dec | 30 | $7,200 | $0 | $0 |
| Kori Schmidt | ||||
| Director of Client Services | 30 | $19,531 | $0 | $0 |
| Cindy Hagen | ||||
| Client Services Assistant | 20 | $11,291 | $0 | $0 |
| Leah Lackas | ||||
| Board Director | 0.5 | $0 | $0 | $0 |
| Daniel Gnau | ||||
| Board Director | 0.2 | $0 | $0 | $0 |
| Angie Gnau | ||||
| Board Director | 0.2 | $0 | $0 | $0 |
| 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 |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Betty Mitchell | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6344 Elm St | AddressLine1Txt |
| City | North Branch | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6516742121 | 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 |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,596 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,727 | CurrentTaxYearAmt |
| Total | $173,323 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,596 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,727 | CurrentTaxYearAmt |
| Total | $173,323 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $173,323 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $601 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $601 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20 | CurrentTaxYearAmt |
| Total | $20 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,747 | CurrentTaxYearAmt |
| Total | $173,944 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99643 | PublicSupportCY509Pct |
| Public Support PY509 | 0.00 | PublicSupportPY509Pct |
| Investment Income CY | 0.00346 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III, line 12 | FormAndLineReferenceDesc |
| Explanation | | S.No:, Amount:, Description:| 1, $20, Miscellaneous Revenue| | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Miscellaneous Events | Event1Nm |
| Gross Receipts Event1 | $16,173 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $16,173 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $0 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $0 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,025 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $200 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $579 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $16,173 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $16,173 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $0 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $0 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,025 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $579 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,804 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,804 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Miscellaneous Revenue, $20| |
| Part I, line 16 | | Other Expenses:, Amount:| Office/General Administrative Expenses, $3405.00| Outreach Expenses, $12146.00| Mileage for Travel, $135.00| Depreciation, $1307.00| Miscellaneous Expense, $40.00| Client Services, $2803.00| Property Insurances/taxes, $838.00| Mortgage Interest, $3665.00| |
| Part II, line 24 | | Asset Name:, BOY Amount:, EOY Amount:| Grant Receivable, $7485, $7277| |
| Part II, line 26 | | Liabilities Name:, BOY Amount:, EOY Amount:| Payroll Taxes Payable, $1109, $1422| TLC Loan Payable, $9000, $6000| Accounts Payable, $1168, $251| Mortgages or other loans payable, $61862, $58677| |
Comments