SAFE HARBOR OF SHEBOYGAN COUNTY INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAFE HARBOR OF SHEBOYGAN COUNTY INC (EIN 39-1690041)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-27
IRS object ID
201722089349300917
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)
Return2017-07-27T14:15:57-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390912608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HAWKINS ASH CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE EAST WALDO BOULEVARD SUITE 5AddressLine1Txt
CityMANITOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP542202912ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391690041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAFE HARBOR OF SHEBOYGAN COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAFEBusinessNameControlTxt
Phone9204528611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1929 NIAGARA AVE/ PO BOX 582AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP530820582ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTI JANKOWSKIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9204528611PhoneNum
Signature2017-07-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY DVORACHEKPreparerPersonNm
PTINP00964591PTIN
Phone9206847128PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.179.106.126IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-17IPDt
IP Tm14:21:09IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA1E7F2D5EBD5D79AC3D0B66C2CAA188C5C53C7E3AtSubmissionCreationDeviceId
At Submission Filing Device Id56953BABF8918447F832D0DD0B090CEDF594084CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTI JANKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1929 NIAGARA AVE/ PO BOX 582AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP530820582ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,237,383GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHEBOYGANSAFEHARBOR.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionSAFE HARBOR PROVIDES PREVENTION, INTERVENTION, EDUCATION, AND OUTREACH SERVICES TO EMPOWER INDIVIDUALS, FAMILIES AND THE COMMUNITY TO END ALL FORMS OF DOMESTIC ABUSE AND SEXUAL ASSAULT.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee29TotalEmployeeCnt
Total Volunteers211TotalVolunteersCnt
Total Gross UBI$9,420TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$730,620PYContributionsGrantsAmt
CY Contributions Grants$1,019,040CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$26,724PYInvestmentIncomeAmt
CY Investment Income-$2,921CYInvestmentIncomeAmt
PY Other Revenue$170,994PYOtherRevenueAmt
CY Other Revenue$181,863CYOtherRevenueAmt
PY Total Revenue$874,890PYTotalRevenueAmt
CY Total Revenue$1,197,982CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$572,453PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$706,979CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$28,168CYTotalFundraisingExpenseAmt
PY Other Expenses$306,880PYOtherExpensesAmt
CY Other Expenses$313,037CYOtherExpensesAmt
PY Total Expenses$879,333PYTotalExpensesAmt
CY Total Expenses$1,020,016CYTotalExpensesAmt
PY Revenues Less Expenses-$4,443PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$177,966CYRevenuesLessExpensesAmt
Total Assets BOY$1,937,691TotalAssetsBOYAmt
Total Assets EOY$2,155,328TotalAssetsEOYAmt
Total Liabilities BOY$226,715TotalLiabilitiesBOYAmt
Total Liabilities EOY$228,978TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,710,976NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,926,350NetAssetsOrFundBalancesEOYAmt
MissionSAFE HARBOR PROVIDES PREVENTION, INTERVENTION, EDUCATION, AND OUTREACH SERVICES TO EMPOWER INDIVIDUALS, FAMILIES AND THE COMMUNITY TO END ALL FORMS OF DOMESTIC ABUSE AND SEXUAL ASSAULT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$428,408ExpenseAmt
DescCRISIS INTERVENTION SERVICES: IN ADDITION TO THE 24-HOUR CRISIS LINE, AND 15 BED TEMPORARY EMERGENCY SHELTER WITH AN AVERAGE STAY OF 29 DAYS, WE OFFER CRISIS ADVOCACY, THERAPY, LEGAL ADVOCACY, HOSPITAL ADVOCACY, COURT ACCOMPANIMENT, ASSISTANCE IN LOCATING AND ACCESSING COMMUNITY RESOURCES, FINANCIAL ASSISTANCE, AND SUPPORT GROUPS FREE OF CHARGE TO ANY VICTIM - PRIMARY OR SECONDARY. DURING THE 2016 TAX YEAR, SAFE HARBOR PROVIDED SERVICES IN THE FOLLOWING NUMBERS; RESPONDED TO OVER 4900 CRISIS LINE CALLS - 81% WERE SUPPORTING INDIVIDUALS IN CRISIS AND 19% WERE FOR INFORMATION AND REFERRAL FOR SERVICES. WE PROVIDED 6558 BEDNIGHTS IN OUR SHELTER TO 112 ADULTS AND 78 CHILDREN, ASSISTED 755 VICTIMS OF DOMESTIC AND SEXUAL ASSAULT, AND PROVIDED SUPPORT ADVOCACY FOR OVER 73 FORENSIC EXAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$85,682ExpenseAmt
DescPREVENTION EDUCATION SERVICES: THESE SERVICES PROVIDE COMMUNITY MEMBERS WITH INFORMATION AND EDUCATION TO FOSTER VALUES, SKILLS AND BEHAVIORS FOCUSING ON RESPECT, EQUALITY AND CONSENT THAT WILL ASSIST HELPING PREVENT THEM FROM BECOMING A VICTIM OR PERPETRATOR OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, HARASSMENT, OR BULLYING. DURING THE 2016 TAX YEAR, SAFE HARBOR PREVENTION ACTIVITIES PROVIDED INFORMATION, EDUCATION AND ADVOCACY TO OVER 7600 COMMUNITY MEMBERS. WE PRESENTED TO 2800 ADULTS AND 4865 YOUTHS IN BOTH COMMUNITY AND SCHOOL LOCATIONS. WE GAVE OVER 200 PRESENTATIONS IN OUR COMMUNITY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$342,726ExpenseAmt
DescTRANSITIONAL SERVICES: WE OFFER SERVICES THAT ARE NOT CRISIS ORIENTED FOR VICTIMS WHO ARE READY AND WORKING ON STABILIZING THEIR LIVES FROM VIOLENCE. THESE SERVICES INCLUDE SUPPORT GROUPS, THERAPY, LEGAL ADVOCACY AND OUR TRANSITIONAL LIVING PROGRAM. WE SERVED 122 PEOPLE WITH THERAPY SERVICES, 189 PEOPLE WITH LEGAL / CRIMINAL JUSTICE ADVOCACY. IN OUR TRANSITIONAL LIVING PROGRAM (TLP) WE PROVIDE TRANSITIONAL SERVICES TO MAKE THE CHANGE TO LIVING A LIFE FREE OF VIOLENCE. WE OFFERED, THREE FAMILIES, 8 PEOPLE, SAFE, SUSTAINABLE HOUSING IN THIS PROGRAM. INCLUDED IN THIS PROGRAM IS SAFE HOUSING, FINANCIAL ASSISTANCE, ON-GOING CASE MANAGEMENT, AND OUTREACH SUPPORTIVE SERVICES. THESE SERVICES PROVIDE RESOURCES, INFORMATION AND EDUCATION TO ACHIEVE SAFETY AND SELF-SUFFICIENCY FOR THE LONG TERM.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$856,816TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee29EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURA BERCHEMPersonNm
Phone9204528611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1929 NIAGARA AVE/ PO BOX 582AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53082ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
AMEE SALZWEDEL
BOARD MEMBER1.00Yes (X)$0$0$0
JON BEMIS
BOARD MEMBER1.00Yes (X)$0$0$0
DIANA TORRES
BOARD MEMBER1.00Yes (X)$0$0$0
GARY DULMES
BOARD MEMBER1.00Yes (X)$0$0$0
DEANNA GRUNDL
BOARD MEMBER1.00Yes (X)$0$0$0
JULIA LOO-SUTCLIFFE
BOARD MEMBER1.00Yes (X)$0$0$0
ANDY NOVAK
BOARD MEMBER1.00Yes (X)$0$0$0
CHAD RENZELMANN
BOARD MEMBER1.00Yes (X)$0$0$0
LAURA CONKLIN
BOARD MEMBER1.00Yes (X)$0$0$0
HEATHER TORKE
BOARD MEMBER1.00Yes (X)$0$0$0
JUDY DEMARS
SECRETARY1.00$0$0$0Yes (X)
TINA KREIDLER
TREASURER1.00$0$0$0Yes (X)
KRISTI JANKOWSKI
PRESIDENT1.00$0$0$0Yes (X)
LAURA ROENITZ
EXECUTIVE DIRECTOR40.00$67,327$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$67,327TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$470,141GovernmentGrantsAmt
All Other Contributions$548,899AllOtherContributionsAmt
Noncash Contributions$54,336NoncashContributionsAmt
Total Contributions$1,019,040TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,225TotalRevenueColumnAmt
Exclusion$12,225ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,420RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,420RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,420TotalRevenueColumnAmt
Unrelated Business Revenue$9,420UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,146SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$15,146SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,146TotalRevenueColumnAmt
Exclusion-$15,146ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$194,142FundraisingGrossIncomeAmt
Fundraising Direct Expenses$24,255FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$169,887TotalRevenueColumnAmt
Exclusion$169,887ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$2,556TotalRevenueColumnAmt
Exclusion$2,556ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,556OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,197,982TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,420UnrelatedBusinessRevenueAmt
Exclusion$169,522ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$67,327TotalAmt
Program Services$57,034ProgramServicesAmt
Management And General$7,611ManagementAndGeneralAmt
Fundraising$2,682FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$536,844TotalAmt
Program Services$454,770ProgramServicesAmt
Management And General$60,684ManagementAndGeneralAmt
Fundraising$21,390FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$57,161TotalAmt
Program Services$48,423ProgramServicesAmt
Management And General$6,461ManagementAndGeneralAmt
Fundraising$2,277FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$45,647TotalAmt
Program Services$38,668ProgramServicesAmt
Management And General$5,160ManagementAndGeneralAmt
Fundraising$1,819FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,248TotalAmt
Management And General$13,248ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,491TotalAmt
Management And General$6,491ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,390TotalAmt
Program Services$2,151ProgramServicesAmt
Management And General$239ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,451TotalAmt
Program Services$5,379ProgramServicesAmt
Management And General$6,072ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,229TotalAmt
Program Services$4,706ProgramServicesAmt
Management And General$523ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,685TotalAmt
Program Services$30,734ProgramServicesAmt
Management And General$951ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,393TotalAmt
Program Services$3,295ProgramServicesAmt
Management And General$1,098ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,034TotalAmt
Program Services$52,525ProgramServicesAmt
Management And General$17,509ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,408TotalAmt
Program Services$24,667ProgramServicesAmt
Management And General$2,741ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD AND PERSONAL SUPPL$54,336$54,336
CLIENT SERVICES$28,932$28,932
REPAIRS AND MAINTENANCE$25,384$23,386$1,998
UTILITIES$24,691$22,221$2,470

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,365TotalAmt
Program Services$5,589ProgramServicesAmt
Management And General$1,776ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,020,016TotalAmt
Program Services$856,816ProgramServicesAmt
Management And General$135,032ManagementAndGeneralAmt
Fundraising$28,168FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$371,009BOYAmt
EOY$536,417EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,087BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,405BOYAmt
EOY$81,377EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$222BOYAmt
EOY$10,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,067BOYAmt
EOY$8,214EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,786,617LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$748,968LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,058,161BOYAmt
EOY$1,037,649EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$452,740BOYAmt
EOY$481,671EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,937,691BOYAmt
EOY$2,155,328EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,334BOYAmt
EOY$23,208EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,147BOYAmt
EOY$20,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$199,234BOYAmt
EOY$185,770EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$226,715BOYAmt
EOY$228,978EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,511,815BOYAmt
EOY$1,680,466EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,661BOYAmt
EOY$152,384EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,500BOYAmt
EOY$93,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,710,976BOYAmt
EOY$1,926,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,937,691BOYAmt
EOY$2,155,328EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$177,966ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$37,408NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$781,567CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$680,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$700,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$730,620CurrentTaxYearMinus1YearAmt
Current Tax Year$1,019,640CurrentTaxYearAmt
Total$3,912,228TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$781,567CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$680,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$700,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$730,620CurrentTaxYearMinus1YearAmt
Current Tax Year$1,019,640CurrentTaxYearAmt
Total$3,912,228TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,912,228PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,526CurrentTaxYearMinus1YearAmt
Current Tax Year$21,645CurrentTaxYearAmt
Total$130,890TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,001CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,267CurrentTaxYearMinus1YearAmt
Current Tax Year$2,556CurrentTaxYearAmt
Total$29,104TotalAmt
FieldValueIRS element (for citing)
Total Support$4,072,222TotalSupportAmt
Gross Receipts Rltd Activities$600,310GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96070PublicSupportCY170Pct
Public Support PY1700.95490PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$452,740BeginningYearBalanceAmt
Contributions$643ContributionsAmt
Investment Earnings Or Losses$34,779InvestmentEarningsOrLossesAmt
Other Expenditures-$6,491OtherExpendituresAmt
End Year Balance$481,671EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$477,831BeginningYearBalanceAmt
Contributions$8,250ContributionsAmt
Investment Earnings Or Losses-$27,873InvestmentEarningsOrLossesAmt
Other Expenditures-$5,468OtherExpendituresAmt
End Year Balance$452,740EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$397,315BeginningYearBalanceAmt
Contributions$59,154ContributionsAmt
Investment Earnings Or Losses$25,411InvestmentEarningsOrLossesAmt
Other Expenditures-$4,049OtherExpendituresAmt
End Year Balance$477,831EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,389BeginningYearBalanceAmt
Contributions$10,000ContributionsAmt
Investment Earnings Or Losses$40,335InvestmentEarningsOrLossesAmt
Other Expenditures-$3,409OtherExpendituresAmt
End Year Balance$397,315EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,389BeginningYearBalanceAmt
End Year Balance$350,389EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.74700BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.19400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05900TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,000OtherCostOrOtherBasisAmt
Book Value$70,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,297,731OtherCostOrOtherBasisAmt
Depreciation$446,159DepreciationAmt
Book Value$851,572BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,927OtherCostOrOtherBasisAmt
Depreciation$197,762DepreciationAmt
Book Value$77,165BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,959OtherCostOrOtherBasisAmt
Depreciation$105,047DepreciationAmt
Book Value$28,912BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,000OtherCostOrOtherBasisAmt
Book Value$10,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,037,649TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescENDOWMENT FUNDDesc
Book Value$481,671BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$481,671TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,253,754TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$37,408NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$600DonatedServicesAndUseFcltsAmt
Other Revenue$24,255OtherRevenueAmt
Revenue Not Reported$62,263RevenueNotReportedAmt
Revenue Subtotal$1,191,491RevenueSubtotalAmt
Investment Expenses Not Incld$6,491InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$6,491RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,197,982TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,038,380TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$600DonatedServicesUseFcltsAmt
Other Expenses Included$24,255OtherExpensesIncludedAmt
Expenses Not Reported$24,855ExpensesNotReportedAmt
Expenses Subtotal$1,013,525ExpensesSubtotalAmt
Investment Expenses Not Incld2$6,491InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$6,491ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,020,016TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:FIN - 48 FOOTNOTE THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM 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 AS UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE ORGANIZATION UNDER SECTION 509(A)(2). THE ORGANIZATION IS ALSO EXEMPT FROM STATE TAXATION. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN MANAGEMENT AND GENERAL EXPENSE IF INCURRED. THE ORGANIZATION'S FEDERAL RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED AND STATE RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR FOUR YEARS AFTER THEY ARE FILED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 24,255.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 24,255.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MEN WHO COOKEvent1Nm
Gross Receipts Event1$188,360GrossReceiptsEvent1Amt
Gross Revenue Event1$188,360GrossRevenueEvent1Amt
Cash Prizes Event1$1,558CashPrizesEvent1Amt
Rent Facility Costs Event1$9,311RentFacilityCostsEvent1Amt
Food And Beverage Event1$324FoodAndBeverageEvent1Amt
Entertainment Event1$1,011EntertainmentEvent1Amt
Other Direct Expenses Event1$12,051OtherDirectExpensesEvent1Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$5,782GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$5,782GrossRevenueOtherEventsAmt
Gross Receipts Total$194,142GrossReceiptsTotalAmt
Gross Revenue Total Events$194,142GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,558CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$9,311RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$324FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,011EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$12,051OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$24,255DirectExpenseSummaryEventsAmt
Net Income Summary$169,887NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksLAURA BERCHEMIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1929 NIAGARA AVE/ PO BOX 582AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53082ZIPCd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$53,836NoncashContributionsRptF990Amt
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSMALL EQUIPMENTDesc
Contribution8ContributionCnt
Noncash Contributions Rpt F990$500NoncashContributionsRptF990Amt
Method Of Determining RevenuesTHRIFT STORE VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BORGANIZATION'S PROCESS TO REVIEW FORM 990 - THE TEASURER, BOOKKEEPER, AND THE EXECUTIVE DIRECTOR REVIEW THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENT OF CONFLICTS POLICY THE BOARD AND MANAGEMENT REGULARLY DISCUSS POTENTIAL CONFLICTS OF INTEREST AT BOARD MEETINGS AND INFORMALLY AS NEEDED. THE BOARD, MANAGEMENT AND EMPLOYEES ARE REQUESTED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS AND THE BOARD AND MANAGEMENT FURTHER INVESTIGATE THE CONFLICT AND MAKE A DECISION AS TO HOW TO HANDLE THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 1515A COMPENSATION PROCESS FOR TOP OFFICIAL THE BOARD OF DIRECTORS HOLDS AN ANNUAL REVIEW AND ESTABLISHES THE COMPENSATION AND BENEFITS. 15B COMPENSATION PROCESS FOR OFFICERS THE CEO WITH GUIDANCE FROM THE BOARD ESTABLISHES COMPENSATION FOR OTHER STAFF MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:ORGANIZATION'S PROCESS TO REVIEW THE FINANCIAL STATEMENTS, THE TREASURER, BOOKKEEPER, AND THE EXECUTIVE DIRECTOR REVIEW.

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