AMERY AREA FOOD PANTRY INC: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- AMERY AREA FOOD PANTRY INC (EIN 27-1111360)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-10
- IRS object ID
- 201821309349202287
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-10T16:55:42-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411562398 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLSONSV LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 KELLER AVE S | AddressLine1Txt |
| City | AMERY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 540011283 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271111360 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERY AREA FOOD PANTRY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMER | BusinessNameControlTxt |
| Phone | 7152687560 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 64 | AddressLine1Txt |
| City | AMERY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAY KLOPOTEK | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7152687560 | PhoneNum |
| Signature | 2018-04-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD A DAVIS CPA | PreparerPersonNm |
| PTIN | P00132449 | PTIN |
| Phone | 7152687999 | PhoneNum |
| Preparation | 2018-04-24 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $59,583 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $59,494 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $89 | InvestmentIncomeAmt |
| Total Revenue | $59,583 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $537 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $221 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $50,306 | OtherExpensesTotalAmt |
| Total Expenses | $51,064 | TotalExpensesAmt |
| Excess Or Deficit For Year | $8,519 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $75,822 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,341 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,256 | BOYAmt |
| EOY | $74,594 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,566 | BOYAmt |
| EOY | $9,747 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,822 | BOYAmt |
| EOY | $84,341 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,822 | BOYAmt |
| EOY | $84,341 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | IT IS THE PURPOSE OF THE AMERY AREA FOOD PANTRY TO PROVIDE A FOOD BANK THAT SERVES THE AMERY AREA SCHOOL DISTRICT WISCONSIN POPULATION OF NEEDY PEOPLE WHO ARE UNABLE TO AFFORD TO PUT FOOD ON THEIR TABLE FOR THEMSELVES OR FAMILY. THE FOOD PANTRY PROVIDES FOOD TO THESE INDIVIDUALS WHO MEET THE FEDERAL GUIDELINES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE AMERY AREA FOOD PANTRY PROVIDED FOOD TO NEEDY INDIVIDUALS AND FAMILIES IN THE AREA WHO WERE NOT ABLE TO PUT FOOD ON THEIR TABLE FORM THEMSELVES OR FAMILY. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $49,892 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $49,892 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| PATRICIA WATERMAN | ||
| PRESIDENT CH | 1.00 | $0 |
| RAY KLOPOTEK | ||
| TREASURER | 1.00 | $0 |
| MARGARET PEG BAVIN | ||
| SECRETARY | 1.00 | $0 |
| SHIRLEY KLOPOTEK | ||
| CO EXEC DIR | 0.50 | $0 |
| CHERYL BOWMAN | ||
| CO EXEC DIRE | 0.50 | $0 |
| GLORIA LANSIN | ||
| DIRECTOR | 0.50 | $0 |
| JOANN BUSS | ||
| DIRECTOR | 0.50 | $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 | WI | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAY KLOPOTEK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 2ND ST | AddressLine1Txt |
| City | AMERY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7152687560 | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| 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 | $43,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,494 | CurrentTaxYearAmt |
| Total | $257,658 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,494 | CurrentTaxYearAmt |
| Total | $257,658 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $257,658 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $89 | CurrentTaxYearAmt |
| Total | $267 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $89 | CurrentTaxYearAmt |
| Total | $267 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,084 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,583 | CurrentTaxYearAmt |
| Total | $257,925 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99900 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES PROMOTION 333 OFFICE SUPPLIES 477 WI ANNUAL REGISTRATION 64 TELEPHONE 668 INSURANCE 487 FOOD PANTRY FOOD SUPPLIES 35,602 FOOD PANTRY IN KIND FOOD 7,800 SUPPLIES 2,111 NON-INVESTMENT DEPRECIATION 2,764 TOTAL 50,306 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT AND FIXTRUES 5,327 15,272 LESS ACCUMULATED DEPRECIATION 2,761 5,525 TOTAL 2,566 9,747 |
| FORM 990-EZ, PART III | IT IS THE PURPOSE OF THE AMERY AREA FOOD PANTRY TO PROVIDE A FOOD BANK THAT SERVES THE AMERY AREA SCHOOL DISTRICT WISCONSIN POPULATION OF NEEDY PEOPLE WHO ARE UNABLE TO AFFORD TO PUT FOOD ON THEIR TABLE FOR THEMSELVES OR FAMILY. THE FOOD PANTRY PROVIDES FOOD TO THESE INDIVIDUALS WHO MEET THE FEDERAL GUIDELINES. |
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