2017-11-14T14:14:13-06:00 2016-12-31 391173131 SCHENCK SC PO BOX 23819 GREEN BAY WI 543053819 990 2016-01-01 391087412 ST JOSEPH RESIDENCE INC STJO 9209825354 107 E BECKERT ROAD NEW LONDON WI 54961 GIDGET BLANK EXECUTIVE DIRECTOR 9209825354 2017-11-13 1 PAUL G DENIS P00240969 9204367800 2017-11-13 74.142.163.66 2017-11-13 07:38:59 CS P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 9475B8F64D5A719E781C043AAC9DC26B2B2E8E16 2016 2017-02-10 21:41:12Z ROGER STEINGRABER 107 E BECKERT ROAD NEW LONDON WI 54961 7762958 0 0928 X WWW.STJOSEPHRESIDENCE.COM X 1965 WI TO PROVIDE ELDERLY HEALTHCARE AND HOUSING 11 11 303 50 0 0 4615 3851 7405725 7515682 19711 7514 36252 41968 7466303 7569015 0 0 0 0 4344661 4118940 0 0 0 2971054 2819925 7315715 6938865 150588 630150 8743174 9270948 2219611 2070024 6523563 7200924 TO PROVIDE ELDERLY HEALTHCARE AND HOUSING. 0 0 5046208 6198095 SKILLED NURSING FACILITY PROVIDED 26,542 DAYS OF CARE IN 2016. 1010584 1317587 COMMUNITY BASED RESIDENTIAL FACILITY AND ASSISTED LIVING PROVIDED 9,383 DAYS OF CARE DURING 2016. INDEPENDENT NON-LICENSED APARTMENT COMPLEX: 26 UNITS 6056792 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 303 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 0 0 WI X SUE WOLFE 9209825354 107 E BECKERT ROAD NEW LONDON WI 54961 MARK HEISE BOARD MEMBER 1.00 X 0 0 0 DAVID SCHNEIDER BOARD MEMBER 1.00 X 0 0 0 WILLIAM KREJCAREK BOARD MEMBER 1.00 X 0 0 0 KENNETH BILGRIEN BOARD MEMBER 1.00 X 0 0 0 MARK GROSSMAN BOARD MEMBER 1.00 X 0 0 0 STEVE DYRESON BOARD MEMBER 1.00 X 0 0 0 DAVID RUSCH BOARD MEMBER 1.00 X 0 0 0 CHARLES HARTZHEIM BOARD MEMBER 1.00 X 0 0 0 ROGER STEINGRABER PRESIDENT 1.00 X X 0 0 0 RITA THIEL VICE PRESIDENT 1.00 X X 0 0 0 ANTHONY VAN KAMPEN SEC-TREASURER 1.00 X X 0 0 0 GIDGET BLANK EXECUTIVE DIRECTOR 40.00 X 94940 0 12000 SUSAN WOLFE DIRECTOR OF FINANCIAL SERV 40.00 X 62006 0 6806 156946 0 18806 0 0 0 0 0 3851 3851 PATIENT/RESIDENT SERVI 623000 7515682 7515682 7515682 22858 22858 178599 193943 -15344 -15344 -15344 MISCELLANEOUS REVENUES 623000 41968 41968 41968 7569015 7515682 0 49482 175752 19333 156419 3582033 3399543 182490 5196 5196 109995 107858 2137 245964 224744 21220 27 27 8037 8037 269329 183851 85478 46589 1963 44626 67653 18217 49436 48919 48919 327537 320074 7463 25776 4648 21128 5927 5927 308245 308245 39704 33433 6271 THERAPY SUPPLIES 534283 534283 LAUNDRY SUPPLIES 300564 300564 NURSING HOME BED ASSESS 197880 197880 DIETARY SUPPLIES 189199 189199 450256 356722 93534 6938865 6056792 882073 0 14643 18168 1746182 2647041 767900 516056 30118 36453 17351 19600 9090947 6453242 2732103 2637705 719843 631098 2715034 2764827 8743174 9270948 363963 395409 1157581 1105598 698067 569017 2219611 2070024 X 6418646 7096007 104917 104917 6523563 7200924 8743174 9270948 630150 47211 0 X X 0 1 X 1 0 X 61677 6760 8330 4615 3851 85233 8196156 7594824 7569523 7405725 7515682 38281910 8257833 7601584 7577853 7410340 7519533 38367143 0 0 0 38367143 30910 16244 29107 19711 22858 118830 30910 16244 29107 19711 22858 118830 910 50043 34412 36252 41968 163585 8289653 7667871 7641372 7466303 7584359 38649558 0.99270 0.99420 0.00310 0.00260 X 33972 148070 182042 5104009 3603782 1500227 164081 128720 35361 3640815 2720740 920075 2637705 RESIDENT TRUST FUND 16351 DUE FROM RELATED COMPANY 2728956 BENEFICIAL INTEREST IN COMMUNITY FOUNDATION 19520 2764827 SECURITY DEPOSITS 569017 569017 X 7608549 47211 47211 7561338 7677 7677 7569015 6931188 0 6931188 7677 7677 6938865 PART X, LINE 2: ST. JOSEPH RESIDENCE, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION ON UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(II) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE ORGANIZATION IS ALSO EXEMPT FROM WISCONSIN INCOME TAX. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN MANAGEMENT AND GENERAL EXPENSES, IF APPLICABLE. THE ORGANIZATION HAD NO INTEREST OR PENALTIES RELATED TO INCOME TAXES FOR THE YEAR ENDED DECEMBER 31, 2016. THE ORGANIZATION'S FEDERAL RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED AND ITS STATE RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR FOUR YEARS AFTER THEY ARE FILED. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS STATE-LAW MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS AND AMEND THE ARTICLES AND BYLAWS OF THE ORGANIZATION, AMONG OTHER RIGHTS AND RESPONSIBILITIES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS AND AMEND THE ARTICLES AND BYLAWS OF THE ORGANIZATION, AMONG OTHER RIGHTS AND RESPONSIBILITIES. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 IN DRAFT FORMAT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REQUIRES AN ANNUAL CONFLICT OF INTEREST STATEMENT. IT REQUIRES THE BOARD MEMBERS TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION FOLLOWS THE LEADING AGE WAGE SURVEY TO ALIGN THEIR COMPENSATION PLAN FOR OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE RECORDS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR THE PROCESS USED TO SELECT AN INDEPENDENT ACCOUNTANT. THE WASHINGTON CENTER INC 500 W WASHINGTON NEW LONDON WI 54961 200349479 ASSISTED LIVING, ADULT DAY CARE, SENIOR CENTER WI 501 (C) 3 509(A)(2) 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 THE WASHINGTON CENTER INC D 2728956 COST