2018-10-11T11:44:33-05:00 2017-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2017-12-29 391195540 CREATIVE COMMUNITY LIVING SERVICES INC CREA 9202611345 314 E MAIN ST WATERTOWN WI 530943749 DWAN SCHUCK CHIEF FINANCIAL OFFICER 9202611345 2018-10-10 1 GLENN MILLER CPA P00086726 6082744020 2017 2022-09-23 18:48:47Z X DWAN SCHUCK 314 E MAIN ST WATERTOWN WI 530943749 0 0 X WWW.CCLSINC.COM X 1973 WI OUR MISSION IS TO ESTABLISH INDIVIDUALIZED COMMUNITY SUPPORTS THAT WILL PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 9 9 948 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4341543 3794917 546626 OUR MISSION IS TO ESTABLISH INDIVIDUALIZED COMMUNITY SUPPORTS THAT WILL PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 0 0 CREATIVE COMMUNITY LIVING SERVICES (CCLS) PROVIDES RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES AS WELL AS MENTAL HEALTH NEEDS, PHYSICAL DISABILITIES, AND TRAUMATIC BRAIN INJURIES, AS WELL AS FRAIL ELDERS. ALL TOLD, CCLS PROVIDES RESIDENTIAL CARE FOR APPROXIMATELY 600 INDIVIDUALS. ABOUT 55 INDIVIDUALS ARE ELDERLY WHILE THE REMAINDER ARE DISABLED. CREATIVE COMMUNITY LIVING SERVICES ALSO PROVIDES NONRESIDENTIAL SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES, OR FUNCTIONAL LIMITATIONS OF ADVANCED AGING. OUR COMMUNITY SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED. OUR SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SUPPORTIVE HOME CARE, SKILLS TEACHING, INDEPENDENT LIVING PROGRAMS, COMPREHENSIVE COMMUNITY SERVICES, RESPITE, NON-MEDICAL TRANSPORTATION, SUPPORTED EMPLOYMENT, PRE-VOCATIONS, RECREATIONAL, NURSE, AND DAY SERVICES. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 104 0 1 948 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 1 1 0 X DWAN SCHUCK 9202611345 314 E MAIN ST WATERTOWN WI 530943749 RANDY RADTKE CHAIR 1.00 X X 1381 0 0 KRIS LEONARD VICE CHAIR 1.00 X X 620 0 0 KAREN FOELKER SECRETARY 1.00 X X 1150 0 0 DAVE GLOBIG TREASURER 1.00 X X 0 0 0 DUANE FLOYD DIRECTOR 1.00 X 250 0 0 ELLEN HAINES DIRECTOR 1.00 X 0 0 0 DAVID MORSTAD DIRECTOR 1.00 X 350 0 0 JON DAHLE DIRECTOR 1.00 X 300 0 0 BARB LEDUC DIRECTOR 1.00 X 0 0 0 JIM ZACHE CHIEF EXECUTIVE OFFICER 40.00 X 159994 0 23536 DWAN SCHUCK CHIEF FINANCIAL OFFICER 40.00 X 90000 0 12698 254045 0 36234 1 0 1 0 0 0 0 0 0 0 0 0 0 158118 1537929 82351 5994 4818482 2783234 0 2035248 0 521903 0 4341543 1376756 2418161 0 3794917 X 546626 0 546626 0 4341543 X 0 546626 X 0 0 0 X 0 0 X SCHEDULE A, PART III: THE 2017 COLUMN ON SCHEDULE A, PART III REPRESENTS THE SHORT TAX YEAR BEGINNING DECEMBER 29, 2017 AND ENDING DECEMBER 31, 2017. 343617 343617 2746164 1126024 1620140 1212568 1170314 42254 516133 486896 29237 2035248 SECURITY DEPOSITS 60903 DEFERRED TAX ASSET 461000 521903 X X X 0 0 0 0 0 0 0 0 0 JIM ZACHE CHIEF EXECUTIVE OFFICER 159994 0 0 0 0 0 0 0 23536 0 183530 0 0 0 FORM 990, ITEM B, INITIAL RETURN: UNDER REG. 1.337(D)-4, IF A TAXABLE CORPORATION CONVERTS TO A TAX-EXEMPT ORGANIZATION, THE TAXABLE CORPORATION MUST PAY THE CORPORATE TAXES. THE ACT OF CONVERSION IS REFERRED AS THE CHANGE IN STATUS RULE UNDER REG. 1.337(D)-4(A)(2). EFFECTIVE DECEMBER 28, 2017, CREATIVE COMMUNITY LIVING SERVICES, INC., A C CORPORATION, CONVERTED TO A TAX-EXEMPT ORGANIZATION SUCH THAT THE FINAL C CORPORATION INCOME TAX RETURN WILL REFLECT A TAX YEAR ENDED DECEMBER 28, 2017. THE INITIAL FORM 990 WILL BE FOR THE SHORT TAX YEAR BEGINNING DECEMBER 29, 2017, AND ENDING DECEMBER 31, 2017. THE IRS GRANTED THE ORGANIZATION TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) ON JULY 12, 2018. FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT MEMBERS OF THE GOVERNING BODY DETERMINE THE CHIEF EXECUTIVE OFFICER'S AND CHIEF FINANCIAL OFFICER'S COMPENSATION USING DATA ON COMPENSATION PAID BY COMPARABLE ORGANIZATIONS IN THE SAME OR SIMILAR COMMUNITIES FOR SIMILAR SERVICES. THIS PROCESS WAS LAST UNDERTAKEN IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN STATUS UNDER REG. 1.337(D)-4 546,626.