2017-05-15T11:52:15-05:00 2016-06-30 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2015-07-01 391370658 EPILEPSY FOUNDATION HEART OF WISCONSIN INC EPIL 6084425555 1302 MENDOTA STREET MADISON WI 53714 STEPHANIE WILLING CHAIR 6084425555 2017-05-15 1 JOEL JOYCE P01001488 4142717800 2015 2021-01-29 14:40:06Z STEPHANIE WILLING 1302 MENDOTA STREET MADISON WI 53714 404603 0 X EPILEPSYWISONSIN.ORG X 1980 WI THE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY. 12 12 13 351 0 0 267918 294348 13413 11581 120 148 81227 89736 362678 395813 0 0 0 0 262675 249410 0 0 44795 173829 161198 436504 410608 -73826 -14795 190007 203308 31469 27716 158538 175592 X THE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY. 0 0 174766 CLIENT SERVICES - THE FOUNDATION SERVED 2,990 DIRECT CLIENTS DURING THE YEAR ENDED 6/30/16. DURING THE YEAR, THE FOUNDATION SPONSORED 11 EDUCATIONAL DINNER MEETINGS THROUGHOUT THE SERVICE AREA WHICH WERE ATTENDED BY 330 CONSUMERS. THE FOUNDATION SERVED 1,583 CLIENTS THROUGH SUPPORT GROUPS DURING THE YEAR. IN SEPTEMBER AND OCTOBER, 2015, THE FOUNDATION CONDUCTED STUDIOE, A SIX-WEEK ART THERAPY PROGRAM, FOR 22 ADULTS WITH EPILEPSY. THE FOUNDATION CONDUCTED A WEEK-LONG RESIDENTIAL SUMMER CAMP FOR KIDS AND HAD 24 CHILDREN FROM OUR SERVICE AREA ATTEND, AN ADULT RETREAT WITH 38 ATTENDEES FROM OUR AREA, AND A DAY OF PROGRAMMING FOR BROTHERS AND SISTERS OF KIDS WITH DISABILITIES, WITH 28 IN ATTENDANCE. THE FOUNDATION SENT STAFF AND A VOLUNTEER FAMILY TO "TEENS SPEAK UP", A PUBLIC POLICY INSTITUTE, IN WASHINGTON, DC IN APRIL 2016. 83960 PUBLIC HEALTH EDUCATION - THE FOUNDATION CONDUCTED PUBLIC HEALTH EDUCATION, WHICH REACHED 1,327 SCHOOL-AGED CHILDREN. THE FOUNDATION CONDUCTED EMPLOYER TRAINING PROGRAMS FOR 137 PEOPLE. 359 SCHOOL NURSES RECEIVED AT LEAST ONE HOUR OF SEIZURE AWARENESS AND FIRST AID TRAINING AND 490 SCHOOL PERSONNEL RECEIVED 1 HOUR OF SEIZURE RECOGNITION AND FIRST AID TRAINING. DURING THE YEAR ENDED 6/30/16, 128 INDIVIDUALS RECEIVED "HOPE MENTOR" TRAINING. THE FOUNDATION CONDUCTED OTHER SEIZURE RECOGNITION AND FIRST AID TRAINING, REACHING 2,075 ADULTS. 40917 COMMUNITY SERVICES - THE FOUNDATION INCLUDED PARTICIPATION IN COALITION ORGANIZATIONS, DEVELOPMENTAL DISABILITIES COUNCILS, SURVIVAL GROUPS AND UNITED WAY AGENCY EXECUTIVE GROUPS WHICH BENEFIT PEOPLE AND FAMILIES WITH EPILEPSY OR THE DISABILITY COMMUNITY IN GENERAL. MUCH COMMUNITY SERVICE IS ADVOCACY RELATED AND INVOLVES COLLABORATION WITH OTHER DISABILITY GROUPS AND HUMAN SERVICE PROVIDERS. 36881 6070 DURING THE YEAR ENDED 6/30/16, THE FOUNDATION CONDUCTED THE ADVANCES IN EPILEPSY TREATMENT CONFERENCE ON THE CAMPUS OF THE MARSHFIELD CLINIC ATTENDED BY 96 PEOPLE. IN OCTOBER OF 2015 TWO STAFF ATTENDED A CDC SKILL BUILDING TRAINING CONFERENCE IN SAN ANTONIO, TX. 36881 6070 336524 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 13 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X X MELISSA CLARK 7153415811 1004 FIRST STREET STE 5 STEVENS POINT WI 54481 JENNIFER BENISHEK DIRECTOR 0.80 X 0 0 0 LINDA BEST DIRECTOR 0.80 X 0 0 0 JIM FERK DIRECTOR 0.80 X 0 0 0 DORIS OLANDER DIRECTOR 0.80 X 0 0 0 WALTER KAO DIRECTOR 0.80 X 0 0 0 BARB MULLEN DIRECTOR 0.80 X 0 0 0 LORI SORGE DIRECTOR 0.80 X 0 0 0 JENNIFER STUCKERT DIRECTOR 0.80 X 0 0 0 JEREMIAH HASSELL CHAIR 0.80 X 0 0 0 STEPHANIE WILLING VICE CHAIR 0.80 X 0 0 0 TY WEIMER SECRETARY 0.80 X 0 0 0 TOM MCCARRIER TREASURER 0.80 X 0 0 0 ART TAGGART EXECUTIVE DIRECTOR 40.00 X 36000 0 0 36000 0 0 0 0 0 0 0 63729 124855 105764 294348 EDUCATION CONFERENCE 900099 6070 6070 FISCAL AGENT FEES 900099 5511 5511 11581 148 148 89456 8790 80666 80666 9070 9070 9070 395813 20799 0 80666 42000 34331 3028 4641 177690 145243 12813 19634 12537 10248 904 1385 17183 14045 1239 1899 11253 9199 811 1243 3476 2841 251 384 17301 14142 1247 1912 33318 27234 2402 3682 12736 10411 918 1407 15618 12766 1126 1726 82 82 20025 16368 1444 2213 7220 5901 521 798 11436 9347 825 1264 MISCELLANEOUS 16721 13893 1103 1725 CLIENT SERVICES 7905 6461 570 874 RESPITE CARE 4033 4033 LICENSES & PERMITS 74 61 5 8 410608 336524 29289 44795 114650 105907 502 502 13498 29045 33621 36878 474 474 2153 13075 123712 107879 23053 15833 2056 1594 190007 203308 21444 15769 3389 3873 6636 8074 31469 27716 X 145040 152742 13498 22850 158538 175592 190007 203308 -14795 -461 32310 0 X 0 0 0 X 350855 509509 295172 267918 294348 1717802 350855 509509 295172 267918 294348 1717802 1717802 63 90 132 120 148 553 2533 2500 1144 9070 15247 1733602 0.99090 0.99260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 6636 176636 175198 8074 1 X 123712 107879 15833 15833 X PART IV, LINE 2B: THE ROCK COUNTY DEVELOPMENTAL DISABILITIES BOARD (THE ROCK COUNTY D.D. BOARD) HAS CONTRACTED WITH THE FOUNDATION TO SERVE AS THE FISCAL AGENT FOR AN ADMINISTRATION SOCIAL AND MENTAL HYGIENE SERVICES PROGRAM. THE FOUNDATION IS REIMBURSED FOR ALL EXPENDITURES INCURRED BY THE ROCK COUNTY D.D. BOARD, ALONG WITH A 10% ADMINISTRATION FEE. BECAUSE THE FOUNDATION SERVES ONLY AS A FISCAL AGENT FOR THE PROGRAM, NO REVENUE OR EXPENSE OTHER THAN THE ADMINISTRATIVE FEE INCOME IS REFLECTED IN THE STATEMENT OF ACTIVITIES FOR THE YEAR ENDED JUNE 30, 2016. PART X, LINE 2: THE FOUNDATION IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE FOUNDATION, AS A NOT-FOR-PROFIT ORGANIZATION, IS EXEMPT FROM STATE AND LOCAL INCOME TAXES AND HAS BEEN CLASSIFIED AS A PUBLICLY-SUPPORTED CHARITABLE ORGANIZATION UNDER SECTION 509(A)(1) OF THE CODE AND QUALIFIES FOR THE MAXIMUM CHARITABLE CONTRIBUTION DEDUCTION FOR DONORS. SUMMER STROLL - WAUSAU 16700 16700 958 BOWLING EVENT 11555 11555 74 4 61201 61201 7758 89456 89456 74 8716 8790 80666 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE AUDIT COMMITTEE AND THE BOARD CHAIR. THE ENTIRE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY STATES THAT NO MEMBER OF THE BOARD OF DIRECTORS OR THEIR IMMEDIATE FAMILY MAY ENGAGE IN BUSINESS TRANSACTIONS WITH THE EPILEPSY FOUNDATION HEART OF WISCONSIN FOR PROFIT, THAT PAID MEMBERS OF THE EPILEPSY FOUNDATION HEART OF WISCONSIN'S STAFF MAY NOT SERVE ON THE BOARD OF DIRECTORS, AND THAT MEMBERS OF THE BOARD OF DIRECTORS RECEIVE NO COMPENSATION, EXCEPT FOR REIMBURSEMENT OF EXPENSES INCURRED ON BOARD OF DIRECTOR BUSINESS. THE POLICY IS ANNUALLY REVIEWED AT THE FIRST MEETING OF THE YEAR. IF A CONFLICT OF INTEREST ARISES, THE CONFLICTED BOARD MEMBER IS ASKED TO RESIGN FROM HIS/HER POSITION. FORM 990, PART VI, SECTION B, LINE 15A IN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR, THE ORGANIZATION PARTICIPATES IN A UNITED WAY WAGE AND BENEFITS SURVEY OF DANE COUNTY NONPROFIT ORGANIZATIONS. IT ALSO USES OTHER COMPARATIVE DATA THAT MAY BE AVAILABLE THROUGH THE NATIONAL OFFICE OR THE ASSOCIATION OF FUNDRAISING PROFESSIONALS. THE GOVERNANCE COMMITTEE CONDUCTS THIS REVIEW ANNUALLY AND RECOMMENDS TO THE BOARD OF DIRECTORS CHANGES OR INCREASES TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE GOVERNANCE COMMITTEE MEMBERS DECIDE ON AN EVALUATION FORM AND CONTACT INDIVIDUAL BOARD MEMBERS TO COLLECT EVERYONE'S EVALUATION. THESE ARE COMPILED INTO AN EVALUATION DOCUMENT FOR PRESENTATION TO THE EXECUTIVE DIRECTOR AND INCLUSION INTO HIS EMPLOYMENT FILE. THE BOARD'S RECOMMENDATION FOR SALARY ADJUSTMENTS IS MADE IN THIS DOCUMENT AND AGREED TO BY THE EXECUTIVE DIRECTOR AT A REGULARLY SCHEDULED BOARD MEETING. THE BOARD MAY GO INTO EXECUTIVE SESSION BRIEFLY TO MAKE ANY NECESSARY DELIBERATIONS. THE LAST SALARY REVIEW FOR THE EXECUTIVE DIRECTOR WAS OCTOBER 18, 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.