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EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC (EIN 39-1372185)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-14
IRS object ID
201732579349200748
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)
Return2017-09-14T14:58:34-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391277627PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAUMAN ASSOCIATES LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1225AddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP547021225ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391372185EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EPILEPSY FOUNDATION OF WESTERNBusinessNameLine1Txt
Business Name Line2WISCONSIN INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEPILBusinessNameControlTxt
Phone7158344455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11812 BRACKETT AVENUE SUITE 5AddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP547014677ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK WALLINPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7158344455PhoneNum
Signature2017-09-06SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATHAN KALEPP CPAPreparerPersonNm
PTINP01320467PTIN
Phone7158342001PhoneNum
Preparation2017-09-06PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id4C063B422B1BAAEE1649BDD669449643FBAE59BBAtSubmissionCreationDeviceId
At Submission Filing Device Id4C063B422B1BAAEE1649BDD669449643FBAE59BBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressWWW.EPILEPSYWESTERNWI.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$131,543GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$109,553ContributionsGiftsGrantsEtcAmt
Program Service Revenue$5,978ProgramServiceRevenueAmt
Fundraising Gross Income$16,012FundraisingGrossIncomeAmt
Special Events Direct Expenses$8,009SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$8,003SpecialEventsNetIncomeLossAmt
Total Revenue$123,534TotalRevenueAmt
Grants And Similar Amounts Paid$3,543GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$74,540SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$6,190FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$10,854OccupancyRentUtltsAndMaintAmt
Other Expenses Total$15,212OtherExpensesTotalAmt
Total Expenses$110,339TotalExpensesAmt
Excess Or Deficit For Year$13,195ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$4,822NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,017NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$4,483BOYAmt
EOY$17,565EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$3,103BOYAmt
EOY$3,489EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,586BOYAmt
EOY$21,054EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,764BOYAmt
EOY$3,037EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$4,822BOYAmt
EOY$18,017EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE EPILEPSY FOUNDATION OF WESTERN WISCONSIN IS DEDICATED TO LEADING THE FIGHT TO STOP SEIZURES AND SUDEP, FINDING A CURE, AND OVERCOMING THE CHALLENGES CREATED BY EPILEPSY THROUGH EFFORTS INCLUDING EDUCATION, ADVOCACY, AND RESEARCH TO ACCELERATE NEW IDEAS INTO THERAPIES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
THE FOUNDATION IS ALWAYS LOOKING FOR WAYS TO BENEFIT OUR NEW CLIENTS. DEVELOPMENT AND GRANTS ARE USED TO DEVELOP NEW PROGRAMS AND TO ENHANCE EXISTING PROGRAMS.$3,543$48,175
OUR CLIENT SERVICES PROGRAM STRIVES TO RESOLVE SOME OF THE CHALLENGES ASSOCIATIED WITH EPILEPSY. INFORMATION, REFERRALS, SUPPORT, ADVOCACY AND OTHER CASE MANAGEMENT SERVICES PROVIDE INDIVIDUALS WITH THE TOOLS NEEDED TO MAKE INFORMED DECISIONS ON TREATMENT OPTIONS AND OTHER DECISIONS RELATED TO THEIR EPILEPSY. THE FOUNDATION ALSO TEACHES SKILLS IN COPING AND ACCEPTING THE DISORDER BY PROVIDING SUPPORT NOT ONLY FROM THE FOUNDATION BUT ALSO FROM PEERS. ADVOCACY ASSISTS CLIENTS TO LEARN THEIR RIGHTS WITH REGARD TO THEIR DISABILITY. CASE MANAGEMENT ALSO ASSISTS IN PROVIDING SERVICES TO THE PERSON AS A WHOLE INSTEAD OF JUST THE DISORDER.$24,843
OUR COMMUNITY EDUCATION PROGRAM PROVIDES EPILEPSY SPECIFIC INFORMATION TO EMPLOYERS, SCHOOLS, CAREGIVERS, AND PROFESSIONALS. COMMUNITY EDUCATION PROGRAMS OFFER IN-SERVICE TRAINING TO TEACHERS, POLICE, EMTS, BUSINESSES, SCHOOL MEDICAL PROFESSIONALS, AND TO THE COMMUNITY. WE ALSO OFFER WORKPLACE EDUCATION SEMINARS TO ASSIST EMPLOYERS IN THEIR UNDERSTANDING OF EPILEPSY AND EMPLOYEES WITH SEIZURE DISORDERS.$12,213
ALL OTHER PROGRAMS ARE USED TO FURTHER SUPPORT OUR ORGANIZATION'S MISSION.
FieldValueIRS element (for citing)
Total Program Service Expenses$85,231TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
RICK WALLIN
EXECUTIVE DI40.00$27,540
KARI THORP
PRESIDENT1.00$0
THERESA CURTIS
DIRECTOR1.00$0
JASON CURTIS
TREASURER1.00$0
BRIAN THORP
SECRETARY1.00$0
JANICE WALBERG
DIRECTOR1.00$0
MATT LIND
DIRECTOR1.00$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)
PersonRICK WALLINPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11812 BRACKETT AVE STE 5AddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP547014677ZIPCd
FieldValueIRS element (for citing)
Phone7158344455PhoneNum
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,215CurrentTaxYearMinus1YearAmt
Current Tax Year$109,553CurrentTaxYearAmt
Total$553,029TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,215CurrentTaxYearMinus1YearAmt
Current Tax Year$109,553CurrentTaxYearAmt
Total$553,029TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$553,029PublicSupportTotal170Amt
Total Support$553,029TotalSupportAmt
Gross Receipts Rltd Activities$66,755GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1STROLL IN THE PEvent1Nm
Gross Receipts Event1$33,069GrossReceiptsEvent1Amt
Charitable Contri Event1$33,069CharitableContriEvent1Amt
Rent Facility Costs Event1$475RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$2,381OtherDirectExpensesEvent1Amt
Event2HARVEST GALAEvent2Nm
Gross Receipts Event2$17,205GrossReceiptsEvent2Amt
Charitable Contri Event2$1,193CharitableContriEvent2Amt
Gross Revenue Event2$16,012GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,025RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,901FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$1,227OtherDirectExpensesEvent2Amt
Gross Receipts Total$50,274GrossReceiptsTotalAmt
Charitable Contributions Tot$34,262CharitableContributionsTotAmt
Gross Revenue Total Events$16,012GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,901FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,608OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,009DirectExpenseSummaryEventsAmt
Net Income Summary$8,003NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES OFFICE EXPENSE (PSA 2) 2,354 OFFICE EXPENSE (PSA 3) 1,267 OFFICE EXPENSE (PSA 1) 566 TRAVEL EXPENSE (PSA 2) 3,541 TRAVEL EXPENSE (PSA 3) 824 INSURANCE (PSA 2) 880 CNF., CNV. & MTG. (PSA 2) 55 MISCELLANEOUS EXP (PSA 2) 974 INSURANCE (PSA 3) 233 INSURANCE (PSA 1) 1,372 SUPPLIES (PSA 2) 1,994 SUPPLIES (PSA 3) 104 SUPPLIES (PSA 1) 224 EQUIP RENT, MAIN (PSA 2) 824 TOTAL 15,212
FORM 990-EZ, PART II, LINE 24PROMISES TO GIVE 3,103 3,489 TOTAL 3,103 3,489
FORM 990-EZ, PART II, LINE 26ACCOUNTS PAYABLE AND ACCRUED EXPENSES 2,764 3,037
FORM 990-EZ, PART IIITHE EPILEPSY FOUNDATION OF WESTERN WISCONSIN IS DEDICATED TO LEADING THE FIGHT TO STOP SEIZURES AND SUDEP, FINDING A CURE, AND OVERCOMING THE CHALLENGES CREATED BY EPILEPSY THROUGH EFFORTS INCLUDING EDUCATION, ADVOCACY, AND RESEARCH TO ACCELERATE NEW IDEAS INTO THERAPIES.
FORM 990-EZ, PART III, LINE 29OUR CLIENT SERVICES PROGRAM STRIVES TO RESOLVE SOME OF THE CHALLENGES ASSOCIATIED WITH EPILEPSY. INFORMATION, REFERRALS, SUPPORT, ADVOCACY AND OTHER CASE MANAGEMENT SERVICES PROVIDE INDIVIDUALS WITH THE TOOLS NEEDED TO MAKE INFORMED DECISIONS ON TREATMENT OPTIONS AND OTHER DECISIONS RELATED TO THEIR EPILEPSY. THE FOUNDATION ALSO TEACHES SKILLS IN COPING AND ACCEPTING THE DISORDER BY PROVIDING SUPPORT NOT ONLY FROM THE FOUNDATION BUT ALSO FROM PEERS. ADVOCACY ASSISTS CLIENTS TO LEARN THEIR RIGHTS WITH REGARD TO THEIR DISABILITY. CASE MANAGEMENT ALSO ASSISTS IN PROVIDING SERVICES TO THE PERSON AS A WHOLE INSTEAD OF JUST THE DISORDER.
FORM 990-EZ, PART III, LINE 30OUR COMMUNITY EDUCATION PROGRAM PROVIDES EPILEPSY SPECIFIC INFORMATION TO EMPLOYERS, SCHOOLS, CAREGIVERS, AND PROFESSIONALS. COMMUNITY EDUCATION PROGRAMS OFFER IN-SERVICE TRAINING TO TEACHERS, POLICE, EMTS, BUSINESSES, SCHOOL MEDICAL PROFESSIONALS, AND TO THE COMMUNITY. WE ALSO OFFER WORKPLACE EDUCATION SEMINARS TO ASSIST EMPLOYERS IN THEIR UNDERSTANDING OF EPILEPSY AND EMPLOYEES WITH SEIZURE DISORDERS.
FORM 990-EZ, PART III, LINE 31ALL OTHER PROGRAMS ARE USED TO FURTHER SUPPORT OUR ORGANIZATION'S MISSION.

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