WELLSPRING: Form 990EZ, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WELLSPRING (EIN 71-0949569)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-17
IRS object ID
201821379349200412
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)
Return2018-05-17T10:31:59-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN270861346PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KELSEY OSBORNE LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18 WEST MAIN STREETAddressLine1Txt
CityMADELIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56062ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710949569EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSPRING FAITH IN ACTIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
Phone5073751276PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 8TH STREET SOUTH RM/STE 7AddressLine1Txt
CityST JAMESCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE MOHLENBROCKPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone5073751276PhoneNum
Signature2018-04-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARIN H TWEIT CPAPreparerPersonNm
PTINP00316864PTIN
Phone5076422800PhoneNum
Preparation2018-05-03PreparationDt
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
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$73,218GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$72,993ContributionsGiftsGrantsEtcAmt
Investment Income$225InvestmentIncomeAmt
Total Revenue$73,218TotalRevenueAmt
Salaries Other Comp Empl Bnft$46,059SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,060FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$25OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$742PrintingPublicationsPostageAmt
Other Expenses Total$23,767OtherExpensesTotalAmt
Total Expenses$71,653TotalExpensesAmt
Excess Or Deficit For Year$1,565ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$71,302NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$72,867NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$71,302BOYAmt
EOY$72,867EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$71,302BOYAmt
EOY$72,867EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$71,302BOYAmt
EOY$72,867EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeWORK WITH LOCAL FAITH COMMUNITIES AND CIVIC ORGANIZATIONS TO PROVIDE ASSISTANCE TO COMMUNITY MEMBERS LIVING IN DIFFICULT CIRCUMSTANCES AND PEOPLE DEALING WITH AGING ISSUES, CHRONIC ILLNESS, OR DISABILITIES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomASSIST INDIVIDUALS WITH DIFFICULTIES DUE TO AGING, ILLNESS OR DISABILITIES, MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE BY OFFERING NON MEDICAL SERVICES BY TRAINED VOLUNTEERS. WELLSPRING FAITH IN ACTION SERVED 1,380 PEOPLE IN 2017.DescriptionProgramSrvcAccomTxt
Program Service Expenses$71,653ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$71,653TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (15 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DAWN CAMPBELL
BOARD MEMBER0.25$0
LINDA BOCK
BOARD MEMBER0.25$0
MARGARET MAIRE
BOARD MEMBER0.25$0
GLENDA BECTHOLD
BOARD MEMBER0.25$0
ASHLEY WELLMAN
VICE-CHAIRPE0.25$0
LAURA MAYER
BOARD MEMBER0.25$0
GERALD ENGSTROM
BOARD MEMBER0.25$0
DENA GRESS
BOARD MEMBER0.25$0
MARY MALONEY
SECRETARY0.25$0
SAMANTHA PARIS
TREASURER0.25$0
MICHELLE MOHLENBROCK
CHAIRPERSON0.25$0
LUISA TRAPERO
BOARD MEMBER0.25$0
KATRINA BARRETT
BOARD MEMBER0.25$0
JIM BRANSTAD
BOARD MEMBER0.25$0
LAURA ROLOFF
BOARD MEMBER0.25$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

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 8TH STREET SOUTH RM/STE 7AddressLine1Txt
CityST JAMESCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56081ZIPCd
FieldValueIRS element (for citing)
Phone5073751276PhoneNum
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,645CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,760CurrentTaxYearMinus1YearAmt
Current Tax Year$72,993CurrentTaxYearAmt
Total$322,021TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$114CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$224CurrentTaxYearMinus1YearAmt
Current Tax Year$225CurrentTaxYearAmt
Total$563TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$477CurrentTaxYearMinus4YearsAmt
Total$477TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,122CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,984CurrentTaxYearMinus1YearAmt
Current Tax Year$73,218CurrentTaxYearAmt
Total$323,061TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$323,061PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$801CurrentTaxYearMinus4YearsAmt
Total$801TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$801CurrentTaxYearMinus4YearsAmt
Total$801TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,984CurrentTaxYearMinus1YearAmt
Current Tax Year$73,218CurrentTaxYearAmt
Total$323,862TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99750PublicSupportCY509Pct
Public Support PY5090.99620PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES BOOKS, SUBSCRIPTIONS, REFEREN 536 SUPPLIES 1,631 FACILITIES AND EQUIPMENT 641 TRAVEL AND MEETINGS 35 TELEPHONE, TELECOMMUNICAT 761 ADVERTISING EXPENSES 1,111 MEMBERSHIPS AND DUES 50 OTHER COSTS 260 TRAVEL 2,745 VOLUNTEER MILEAGE 2,152 FUNDRAISING FEES 311 CONTRACT SERVICES 1,703 INSURANCE - LIABILITY, D 3,941 EXERCISE CLASS SUPPLIES 122 STIPENDS 6,662 CONFERENCE, CONVENTION, M 1,106 TOTAL 23,767
FORM 990-EZ, PART II, LINE 24DEPRECIABLE OFFICE EQUIPMENT 6,199 6,199 LESS ACCUMULATED DEPRECIATION 6,199 6,199 SECURITY DEPOSITS ASSET 0 0 TOTAL 0 0
FORM 990-EZ, PART IIIWORK WITH LOCAL FAITH COMMUNITIES AND CIVIC ORGANIZATIONS TO PROVIDE ASSISTANCE TO COMMUNITY MEMBERS LIVING IN DIFFICULT CIRCUMSTANCES AND PEOPLE DEALING WITH AGING ISSUES, CHRONIC ILLNESS, OR DISABILITIES.
FORM 990-EZ, PART III, LINE 28ASSIST INDIVIDUALS WITH DIFFICULTIES DUE TO AGING, ILLNESS OR DISABILITIES, MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE BY OFFERING NON MEDICAL SERVICES BY TRAINED VOLUNTEERS. WELLSPRING FAITH IN ACTION SERVED 1,380 PEOPLE IN 2017.

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