WELLSPRING: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WELLSPRING (EIN 71-0949569)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-10
IRS object ID
201711309349202101
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)
Return2017-05-10T13:29:40-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARIN H TWEIT CPAPreparerPersonNm
PTINP00316864PTIN
Phone5076422800PhoneNum
Preparation2017-05-05PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdFD35D3361013BECD5074789C6704DD616CC57F25AtSubmissionCreationDeviceId
At Submission Filing Device Id24EE6C22EAD48E369D099071F3F4655F8DDD45CDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$70,984GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$70,760ContributionsGiftsGrantsEtcAmt
Investment Income$224InvestmentIncomeAmt
Total Revenue$70,984TotalRevenueAmt
Salaries Other Comp Empl Bnft$41,549SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,045FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,477OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$674PrintingPublicationsPostageAmt
Other Expenses Total$16,627OtherExpensesTotalAmt
Total Expenses$61,372TotalExpensesAmt
Excess Or Deficit For Year$9,612ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$61,690NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$71,302NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$61,018BOYAmt
EOY$71,302EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$672BOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,690BOYAmt
EOY$71,302EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$61,690BOYAmt
EOY$71,302EOYAmt
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 1,366 PEOPLE IN 2016.DescriptionProgramSrvcAccomTxt
Program Service Expenses$61,347ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$61,347TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (14 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
DAVE HOLMGREN
BOARD MEMBER0.25$0
ASHLEY WELLMAN
VICE-CHAIRPE0.25$0
LAURA MAYER
BOARD MEMBER0.25$0
GERALD ENGSTROM
BOARD MEMBER0.25$0
DEEANN GIESEKE
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
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$48,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,385CurrentTaxYearMinus1YearAmt
Current Tax Year$70,760CurrentTaxYearAmt
Total$297,882TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$114CurrentTaxYearMinus1YearAmt
Current Tax Year$224CurrentTaxYearAmt
Total$338TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$477CurrentTaxYearMinus3YearsAmt
Total$877TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,122CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,499CurrentTaxYearMinus1YearAmt
Current Tax Year$70,984CurrentTaxYearAmt
Total$299,097TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$299,097PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$347CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$801CurrentTaxYearMinus3YearsAmt
Total$1,148TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$347CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$801CurrentTaxYearMinus3YearsAmt
Total$1,148TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,499CurrentTaxYearMinus1YearAmt
Current Tax Year$70,984CurrentTaxYearAmt
Total$300,245TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99620PublicSupportCY509Pct
Public Support PY5090.99490PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
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 906 SUPPLIES 1,416 TRAVEL AND MEETINGS 92 TELEPHONE, TELECOMMUNICAT 847 ADVERTISING EXPENSES 1,146 MEMBERSHIPS AND DUES 50 OTHER COSTS 270 STAFF DEVELOPMENT 155 TRAVEL 2,687 VOLUNTEER MILEAGE 1,353 FUNDRAISING FEES 280 STIPENDS 4,277 CONTRACT SERVICES 1,040 INSURANCE - LIABILITY, D 1,836 EXERCISE CLASS SUPPLIES 257 NON-INVESTMENT DEPRECIATION 15 TOTAL 16,627
FORM 990-EZ, PART II, LINE 24DEPRECIABLE OFFICE EQUIPMENT 6,199 6,199 LESS ACCUMULATED DEPRECIATION 6,184 6,199 SECURITY DEPOSITS ASSET 657 0 TOTAL 672 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 1,366 PEOPLE IN 2016.

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