LAKE MILLS FOOD PANTRY INC: Form 990EZ, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LAKE MILLS FOOD PANTRY INC (EIN 39-1786689)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-02
IRS object ID
201821229349200712
Schema version
2017v2.2
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)
Return2018-05-02T07:10:18-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Cherie L Miller CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1316 N Main StAddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391786689EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lake Mills Food Pantry IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone9206483572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 East Lake St PO Box 527AddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN HANSENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9206483572PhoneNum
Signature2018-04-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERIE L MILLER CPAPreparerPersonNm
PTINP00033932PTIN
Phone9206484456PhoneNum
Preparation2018-05-02PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$57,495GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$57,292ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$203InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$57,495TotalRevenueAmt
Grants And Similar Amounts Paid$33,977GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$3,000SalariesOtherCompEmplBnftAmt
Printing Publications Postage$947PrintingPublicationsPostageAmt
Other Expenses Total$785OtherExpensesTotalAmt
Total Expenses$38,709TotalExpensesAmt
Excess Or Deficit For Year$18,786ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$127,302NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$146,088NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$127,052BOYAmt
EOY$146,088EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$250BOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$127,302BOYAmt
EOY$146,088EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$127,302BOYAmt
EOY$146,088EOYAmt
FieldValueIRS element (for citing)
Primary Exempt Purposeprovide food for those in needPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROVIDED FOOD AND OTHER NECESSARY PERISHABLES TO THOSE IN NEED IN THE AREADescriptionProgramSrvcAccomTxt
Grants And Allocations$33,977GrantsAndAllocationsAmt
Program Service Expenses$33,977ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$33,977TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
KATHLEEN HANSEN
President10.00$2,400
SHARON NELSON
Vice President5.00$200
RENEE FLOYD
Secretary5.00$200
NANCY VAIL
Treasurer10.00$200
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

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHLEEN HANSENPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 E Lake St PO Box 527AddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd
FieldValueIRS element (for citing)
Phone9206483572PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,686CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,690CurrentTaxYearMinus1YearAmt
Current Tax Year$57,292CurrentTaxYearAmt
Total$270,338TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,686CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,690CurrentTaxYearMinus1YearAmt
Current Tax Year$57,292CurrentTaxYearAmt
Total$270,338TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$270,338PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$187CurrentTaxYearMinus1YearAmt
Current Tax Year$203CurrentTaxYearAmt
Total$789TotalAmt
FieldValueIRS element (for citing)
Total Support$271,127TotalSupportAmt
Public Support CY1700.99710PublicSupportCY170Pct
Public Support PY1700.99700PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990EZ, Part I, Line 10provide food and other necessary perishables to those in need in the area; need; : , , , ; , 33977.
Form 990EZ, Part I, Line 16Insurance 250.
Form 990EZ, Part I, Line 16General 285.
Form 990EZ, Part I, Line 16Depreciation 250.
Form 990EZ, Part II, Line 24Net book value of equipment 250.

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