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INTERFAITH CAREGIVERS OF POLK CNTY: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
INTERFAITH CAREGIVERS OF POLK CNTY (EIN 39-1837906)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-21
IRS object ID
201721729349200002
Schema version
2016v3.0
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)
Return2017-06-21T03:27:08-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1C Beseler Tax & Accounting ServicesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1131 E 1st StreetAddressLine1Txt
CityDresserCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54009ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391837906EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERFAITH CAREGIVERS OF POLK COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone7158259500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 Eider St PO Box 65AddressLine1Txt
CityMilltownCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54858ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPam DeShawPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-06-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCheryl BeselerPreparerPersonNm
PTINP01074971PTIN
Phone6514976918PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addressinterfaithpolk.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$196,492GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$194,704ContributionsGiftsGrantsEtcAmt
Investment Income$1,788InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$196,492TotalRevenueAmt
Salaries Other Comp Empl Bnft$150,547SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$150FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$9,504OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$2,648PrintingPublicationsPostageAmt
Other Expenses Total$39,847OtherExpensesTotalAmt
Total Expenses$202,696TotalExpensesAmt
Excess Or Deficit For Year-$6,204ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$174,948NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$168,744NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$174,948BOYAmt
EOY$172,509EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$174,948BOYAmt
EOY$172,509EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$3,765EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$174,948BOYAmt
EOY$168,744EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeCoordinating volunteers to help seniors & disabled adults stay at home.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
Staff provides support, education, referrals & coordination of volunteer services for senior, adults with disabilities & their caregivers. These non-medical services are provided at no cost to 481 residents of Polk County WI. Our services allow adults to maintain their independence, dignity & quality of life at home.$131,086
Coordination of volunteers to provide 4,196 rides for access to food, medical, government services & other local & regional trips - including groceries, dialysis, cancer, medical, dental, counseling, errands, food shelf, hair cuts, tax prep & more. Our volunteers donated 4,154 hrs & 72,339 miles at no charge.
Coordination of volunteers to provide 2,648 services, including friendly visits, respite care, phone support, minor repairs, light housekeeping, seasonal yard work, delivery of food boxes & medications, errands, reading & more. Our volunteers donated 5,161 hours & 31,576 miles at no charge to help people age in place at home.
FieldValueIRS element (for citing)
Total Program Service Expenses$131,086TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
KAREN KRUPA
Executive Dir.28.00$36,500
Pam DeShaw
President2.00$0
Jeff Peterson
Vice President1.00$0
Carol Mattson
Secretary2.00$0
Peter Raye
Treasurer2.00$0
Marilyn Berg
Director1.00$0
Bonnie Leonard
Director1.00$0
Jean Brown
Director2.00$0
Sue Bjelland
Treasurer1.00$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKaren KrupaPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 Eider St PO Box 65AddressLine1Txt
CityMilltownCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54858ZIPCd
FieldValueIRS element (for citing)
Phone7158259500PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
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$144,376CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,391CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,423CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$214,338CurrentTaxYearMinus1YearAmt
Current Tax Year$194,705CurrentTaxYearAmt
Total$922,233TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$144,376CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,391CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,423CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$214,338CurrentTaxYearMinus1YearAmt
Current Tax Year$194,705CurrentTaxYearAmt
Total$922,233TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$922,233PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$919CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$884CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762CurrentTaxYearMinus1YearAmt
Current Tax Year$1,255CurrentTaxYearAmt
Total$4,707TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$919CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$884CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762CurrentTaxYearMinus1YearAmt
Current Tax Year$1,255CurrentTaxYearAmt
Total$4,707TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$145,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$174,310CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$196,307CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,100CurrentTaxYearMinus1YearAmt
Current Tax Year$195,960CurrentTaxYearAmt
Total$926,940TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99490PublicSupportCY509Pct
Public Support PY5090.99490PublicSupportPY509Pct
Investment Income CY0.00510InvestmentIncomeCYPct
Investment Income PY0.00510InvestmentIncomePYPct
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 (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $8861
Other Expenses.1002Office Expenses $1155
Other Expenses.1003Information Technology $7900
Other Expenses.1005Travel $583
Other Expenses.1007Conferences, Conventions, and Meetings $374
Other Expenses.1012Insurance $3175
Other Expenses.1fundraising expenses $6727
Other Expenses.2Telephone $3844
Other Expenses.3payroll expenses $3296
Other Expenses.5Fees $1354
Other Expenses.6volunteer retention $882
Other Expenses.7equip maint $823
Other Expenses.8Meeting Expense $344
Other Expenses.9equip $282
Other Expenses.10leased equip $194
Other Expenses.11office furn/phones $53
Total Liabilities.1941 PR TAXES - Beginning $0 941 PR TAXES - Ending $3248
Total Liabilities.2WI PR WH - Beginning $0 WI PR WH - Ending $517

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