FURP.ORG / PUBLIC DATA EXPLORER

GREEN LAKE COUNTY BASIC NEEDS FOUNDATION INC: Form 990EZ, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
GREEN LAKE COUNTY BASIC NEEDS FOUNDATION INC (EIN 81-2788397)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-21
IRS object ID
201843259349200709
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)
Return2018-11-21T13:32:24-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391101571PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REMLEY & SENSENBRENNER SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1219 EAST WISCONSIN AVENUEAddressLine1Txt
CityNEENAHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54956ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812788397EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREEN LAKE COUNTY BASIC NEEDSBusinessNameLine1Txt
Business Name Line2FOUNDATIONINCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGREEBusinessNameControlTxt
Phone9202956477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1W5370 COUNTY ROAD YAddressLine1Txt
CityPRINCETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54968ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL LEHNERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9202956477PhoneNum
Signature2018-11-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW D BREHMERPreparerPersonNm
PTINP01790896PTIN
Phone9207252601PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.100.187.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-20IPDt
IP Tm15:15:54IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id450BD06C981124F4F1AC61B6D4D4FFCFC2E5B140AtSubmissionCreationDeviceId
At Submission Filing Device Id450BD06C981124F4F1AC61B6D4D4FFCFC2E5B140AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$154,667GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$154,667ContributionsGiftsGrantsEtcAmt
Total Revenue$154,667TotalRevenueAmt
Grants And Similar Amounts Paid$18,000GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$2,880FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$404PrintingPublicationsPostageAmt
Other Expenses Total$18,636OtherExpensesTotalAmt
Total Expenses$39,920TotalExpensesAmt
Excess Or Deficit For Year$114,747ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$168,929NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$283,676NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$168,929BOYAmt
EOY$283,676EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$168,929BOYAmt
EOY$283,676EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$168,929BOYAmt
EOY$283,676EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TO THE EXTENT CONSISTENT WITH THE ABOVE GENERAL PURPOSES, THE SPECIFIC PURPOSES OF THIS CORPORATION SHALL BE AS FOLLOWS:THIS ORGANIZATION'S PURPOSE IS TO EXIST AS A PRIVATE FOUNDATION ORGANIZED AND OPERATED EXCLUSIVELY TO SUPPORT THE RESIDENTS OF GREEN LAKE COUNTY, WISCONSIN AND THEIR BASIC NEEDS.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC. WAS FORMED ON APRIL 13, 2016 AS A NON-STOCK CORPORATION INTENDING TO BE A NON-PROFIT, TAX-EXEMPT, NON-PRIVATE FOUNDATION. THE INCORPORATORS, WHO ARE ALSO THE INITIAL DIRECTORS OF THE GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC., RECOGNIZED THAT THE RESIDENTS OF THE GREEN LAKE COUNTY COMMUNITY WERE IN NEED OF A FORMAL VEHICLE TO GENERATE FINANCIAL SUPPORT FOR THE BASIC NEEDS OF SOME OF THE COMMUNITY'S RESIDENTS. THE ONLY ACTIVITY AND FUNDRAISER ORGANIZED BY THE ORGANIZATION WAS ITS ANNUAL GOLF OUTING, WHERE ALL OF THE CONTRIBUTIONS WERE RAISED AND EXPENSES WERE INCURRED.$0$0
THE GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC. PLANS TO DISTRIBUTE FUNDS FOR THE BENEFIT OF INDIVIDUALS, AS WELL AS PROVIDE SERVICES AND GOODS TO INDIVIDUALS. THE FUNDS, GOODS AND SERVICES THAT WILL BE PROVIDED TO INDIVIDUALS WILL BE IN ACCORDANCE THE PURPOSES OF GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC., AS ENUMERATED IN ITS ARTICLES OF INCORPORATION; MORE SPECIFICALLY, TO SUPPORT THE BASIC NEEDS OF INDIVIDUALS WHO ARE RESIDENTS OF GREEN LAKE COUNTY, WISCONSIN.$0$0
THE GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC. PLANS TO DISTRIBUTE FUNDS TO OTHER SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS THAT BENEFIT OF INDIVIDUALS, AS WELL AS PROVIDE SERVICES AND GOODS TO INDIVIDUALS, IN ORDER TO SUPPORT THE BASIC NEEDS OF INDIVIDUALS WHO ARE RESIDENTS OF GREEN LAKE COUNTY, WISCONSIN. THE FUNDS, GOODS AND SERVICES THAT WILL BE PROVIDED TO OTHER SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS WILL BE IN ACCORDANCE THE PURPOSES OF GREEN LAKE COUNTY BASIC NEEDS FOUNDATION, INC., AS ENUMERATED IN ITS ARTICLES OF INCORPORATION; MORE SPECIFICALLY, TO SUPPORT THE BASIC NEEDS OF INDIVIDUALS WHO ARE RESIDENTS OF GREEN LAKE COUNTY, WISCONSIN.$0$0
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MICHAEL LEHNER
PRESIDENT1.00$0$0$0
DENNIS PLANTZ
VICE PRESIDENT/TREASURER1.00$0$0$0
DEANA CEMAN
SECRETARY1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREEN LAKE COUNTY BASIC NEEDS FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1W5370 COUNTY ROAD YAddressLine1Txt
CityPRINCETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54968ZIPCd
FieldValueIRS element (for citing)
Phone9202956477PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$20,056CurrentTaxYearMinus1YearAmt
Current Tax Year$154,667CurrentTaxYearAmt
Total$174,723TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$20,056CurrentTaxYearMinus1YearAmt
Current Tax Year$154,667CurrentTaxYearAmt
Total$174,723TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$174,723PublicSupportTotal170Amt
Total Support$174,723TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: SUPPORT FOR LOW INCOME INDIVIDUALS. GRANTEE NAME: ADVOCAP. GRANTEE ADDRESS: 2929 HARRISON ST OSHKOSH, WI 54901. PROPERTY DESCRIPTION: CASH. BOOK VALUE OF PROPERTY: 17,000. DATE OF GIFT: 01/23/17. AMOUNT GIVEN: 17,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: HEALTH AND HUMAN SERVICES. GRANTEE NAME: FOX RIVER INDUSTRIES. GRANTEE ADDRESS: 222 LEFFERT ST BERLIN, WI 54923. PROPERTY DESCRIPTION: CASH. BOOK VALUE OF PROPERTY: 1,000. DATE OF GIFT: 01/23/17. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 18,000.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: EXPENSES RELATED TO ANNUAL FUNDRAISING - GOLF OUTING. AMOUNT: 18,458. DESCRIPTION: BANK FEES. AMOUNT: 124. DESCRIPTION: WI DEPT FIN INSTITUTIONS. AMOUNT: 54. TOTAL TO FORM 990-EZ, LINE 16: 18,636.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc