LAKE MILLS FOOD PANTRY INC: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LAKE MILLS FOOD PANTRY INC (EIN 39-1786689)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-10
IRS object ID
201731309349202073
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)
Return2017-05-10T12:30:17-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Cherie L Miller CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1316 N Main StAddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391786689EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lake Mills Food Pantry IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone9206483572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 East Lake St PO Box 527AddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN HANSENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9206483572PhoneNum
Signature2017-04-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERIE L MILLER CPAPreparerPersonNm
Phone9206484456PhoneNum
Preparation2017-05-10PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.50.122.230IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-10IPDt
IP Tm12:30:09IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDC1C161B35D3F8729498F6740358F2D4AAE8F86CAtSubmissionCreationDeviceId
At Submission Filing Device IdDC1C161B35D3F8729498F6740358F2D4AAE8F86CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$56,877GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$56,690ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$187InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$56,877TotalRevenueAmt
Grants And Similar Amounts Paid$35,584GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$3,000SalariesOtherCompEmplBnftAmt
Printing Publications Postage$306PrintingPublicationsPostageAmt
Other Expenses Total$1,421OtherExpensesTotalAmt
Total Expenses$40,311TotalExpensesAmt
Excess Or Deficit For Year$16,566ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$110,736NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$127,302NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$109,971BOYAmt
EOY$127,052EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$765BOYAmt
EOY$250EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$110,736BOYAmt
EOY$127,302EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$110,736BOYAmt
EOY$127,302EOYAmt
FieldValueIRS element (for citing)
Primary Exempt Purposeprovide food for those in needPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROVIDED FOOD AND OTHER NECESSARY PERISHABLES TO THOSE IN NEED IN THE AREADescriptionProgramSrvcAccomTxt
Grants And Allocations$35,584GrantsAndAllocationsAmt
Program Service Expenses$35,584ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$35,584TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
KATHLEEN HANSEN
President10.00$2,400
LIZ VADENBONCOEUR
Vice President5.00$100
PEGGY WENKMAN
Secretary5.00$150
NANCY VAIL
Treasurer10.00$200
SHARON NELSON
Vice President5.00$100
RENEE FLOYD
Secretary5.00$50
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)
PersonKATHLEEN HANSENPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 E Lake St PO Box 527AddressLine1Txt
CityLake MillsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53551ZIPCd
FieldValueIRS element (for citing)
Phone9206483572PhoneNum
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

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$33,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,686CurrentTaxYearMinus1YearAmt
Current Tax Year$56,690CurrentTaxYearAmt
Total$246,292TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,686CurrentTaxYearMinus1YearAmt
Current Tax Year$56,690CurrentTaxYearAmt
Total$246,292TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$246,292PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153CurrentTaxYearMinus1YearAmt
Current Tax Year$217CurrentTaxYearAmt
Total$742TotalAmt
FieldValueIRS element (for citing)
Total Support$247,034TotalSupportAmt
Public Support CY1700.99700PublicSupportCY170Pct
Public Support PY1700.99690PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990EZ, Part I, Line 10provide food and other necessary perishables to those in need in the area; need; : , , , ; , 35584.
Form 990EZ, Part I, Line 16Insurance 250.
Form 990EZ, Part I, Line 16General 655.
Form 990EZ, Part I, Line 16Depreciation 516.
Form 990EZ, Part II, Line 24Net book value of equipment 765. 250.

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