SHEBOYGAN SENIOR COMMUNITY INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SHEBOYGAN SENIOR COMMUNITY INC (EIN 39-6069188)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-15
IRS object ID
201623209349303637
Schema version
2015v2.1
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)
Return2016-11-15T09:56:24-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391173131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1712 RIVERFRONT DRIVE STE 301AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN396069188EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN SENIOR COMMUNITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHEBBusinessNameControlTxt
Phone9204582137PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13505 CTY RD YAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARA HOLZEMPersonNm
Person TitleOFFICERPersonTitleTxt
Phone9204582137PhoneNum
Signature2016-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY T STRITTMATER CPAPreparerPersonNm
PTINP00012661PTIN
Phone9204580341PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerTARA HOLZEMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13505 CTY RD YAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,676,228GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RETIRESHEBOYGAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE AND OPERATE A RETIREMENT HOME, HEALTH CARE CENTER, AND RELATED SERVICES IN THE GREATER SHEBOYGAN AREA FOR ELDERLY AND PHYSICALLY HANDICAPPED ADULTS, WHICH SHALL ENHANCE, HONOR AND PRESERVE THE DIGNITY OF THE INDIVIDUAL, AND WHERE SPIRITUAL, PHYSICAL AND SOCIAL NEEDS ARE SUPPLIED IN A SPIRIT OF CHRISTIAN LOVE AND CONCERN WITHOUT REGARD TO AGE, SEX, RACE, CREED OR COLOR.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee192TotalEmployeeCnt
Total Volunteers66TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$477,831PYContributionsGrantsAmt
CY Contributions Grants$497,260CYContributionsGrantsAmt
PY Program Service Revenue$5,556,950PYProgramServiceRevenueAmt
CY Program Service Revenue$5,773,201CYProgramServiceRevenueAmt
PY Investment Income$4,034PYInvestmentIncomeAmt
CY Investment Income-$1,227,831CYInvestmentIncomeAmt
PY Other Revenue$44,372PYOtherRevenueAmt
CY Other Revenue$107,039CYOtherRevenueAmt
PY Total Revenue$6,083,187PYTotalRevenueAmt
CY Total Revenue$5,149,669CYTotalRevenueAmt
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$4,084,983PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,203,592CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,342,160PYOtherExpensesAmt
CY Other Expenses$2,668,685CYOtherExpensesAmt
PY Total Expenses$6,427,143PYTotalExpensesAmt
CY Total Expenses$6,872,277CYTotalExpensesAmt
PY Revenues Less Expenses-$343,956PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,722,608CYRevenuesLessExpensesAmt
Total Assets BOY$19,937,320TotalAssetsBOYAmt
Total Assets EOY$18,058,576TotalAssetsEOYAmt
Total Liabilities BOY$16,371,712TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,215,576TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,565,608NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,843,000NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE AND OPERATE A RETIREMENT HOME, HEALTH CARE CENTER, AND RELATED SERVICES IN THE GREATER SHEBOYGAN AREA FOR ELDERLY AND PHYSICALLY HANDICAPPED ADULTS, WHICH SHALL ENHANCE, HONOR AND PRESERVE THE DIGNITY OF THE INDIVIDUAL, AND WHERE SPIRITUAL, PHYSICAL AND SOCIAL NEEDS ARE SUPPLIED IN A SPIRIT OF CHRISTIAN LOVE AND CONCERN WITHOUT REGARD TO AGE, SEX, RACE, CREED OR COLOR.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,985,128ExpenseAmt
Revenue$5,773,201RevenueAmt
DescOPERATION OF A FULL-TIME SKILLED NURSING HOME AND RESIDENTIAL CARE CENTER. TOTAL PATIENT DAYS: 24,475.Desc
Total Program Service Expenses$5,985,128TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
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
Employee192EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TARA HOLZEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9204582137PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13505 CTY RD YAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JIM HOUWERS
PRESIDENT0.00Yes (X)Yes (X)$0$0$0
DORIS THUENE
SECRETARY0.00Yes (X)Yes (X)$0$0$0
GARY MAPLES
TREASURER0.00Yes (X)Yes (X)$0$0$0
DAVID VANDEWATER
VICE PRESIDENT0.00Yes (X)Yes (X)$0$0$0
REV ROGER CLAPP
DIRECTOR0.00Yes (X)$0$0$0
REV RIC OLSON
DIRECTOR0.00Yes (X)$0$0$0
JAMES F PRICE
DIRECTOR0.00Yes (X)$0$0$0
MARCY KERPE
DIRECTOR0.00Yes (X)$0$0$0
LYNN COADY
DIRECTOR0.00Yes (X)$0$0$0
NANCY MCADAMS
DIRECTOR0.00Yes (X)$0$0$0
PERRY FRITZ
DIRECTOR0.00Yes (X)$0$0$0
DENNIS OHL
DIRECTOR0.00Yes (X)$0$0$0
STEVE HAMER
DIRECTOR0.00Yes (X)$0$0$0
STEPHANIE MALIS
DIRECTOR0.00Yes (X)$0$0$0
AMBER TENPAS
DIRECTOR0.00Yes (X)$0$0$0
JOAN KLEIST
EXECUTIVE DIRECTOR40.00Yes (X)$114,837$0$15,009
TARA HOLZEM
BUSINESS MANAGER40.00Yes (X)$60,786$0$5,328
PAUL TREFFERT
EXECUTIVE DIRECTOR40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$175,623TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$20,337TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JOS SCHMITT CONSTRUCTION INC
2104 UNION AVESHEBOYGANWI53081NEW BUILDING CONSTRUCTION$7,750,179
LAKELAND CONSTRUCTION
6903 ARROW DRIVEMANITOWOCWI54220NEW BUILDING CONSTRUCTION$649,469
TIGERTON TRADING CO LLC
N3764 TOWER RDTIGERTONWI54486NEW BUILDING FURNITURE$321,982
O & W COMMUNICATIONS
2040 NORTH AVESHEBOYGANWI53083NEW BUILDING ITEMS$321,902
REHABCARE GROUP INC
PO BOX 277365ATLANTAGA30384THERAPY SERVICES$304,170
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Related Organizations$483,833RelatedOrganizationsAmt
All Other Contributions$13,427AllOtherContributionsAmt
Total Contributions$497,260TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING FACILITY900099$4,229,379$4,229,379
RESIDENTIAL CENTER623000$1,127,865$1,127,865
INDEPENDENT LIVING623990$353,682$353,682
OTHER SERVICES900099$39,930$39,930
BEAUTY SHOP812900$22,345$22,345
FieldValueIRS element (for citing)
Total Program Service Revenue$5,773,201TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$658TotalRevenueColumnAmt
Exclusion$658ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$298,070OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,526,559OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,228,489OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,228,489TotalRevenueColumnAmt
Exclusion-$1,228,489ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCHANGE IN PRESENT VALUE OF DEVELODesc
Business900099BusinessCd
Total Revenue Column$107,039TotalRevenueColumnAmt
Exclusion$107,039ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$107,039OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,149,669TotalRevenueColumnAmt
Related Or Exempt Func Income$5,773,201RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,120,792ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$201,719TotalAmt
Management And General$201,719ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,416,297TotalAmt
Program Services$3,143,820ProgramServicesAmt
Management And General$272,477ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$51,073TotalAmt
Program Services$44,067ProgramServicesAmt
Management And General$7,006ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$267,808TotalAmt
Program Services$231,070ProgramServicesAmt
Management And General$36,738ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$266,695TotalAmt
Program Services$230,110ProgramServicesAmt
Management And General$36,585ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,422TotalAmt
Management And General$9,422ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,150TotalAmt
Management And General$21,150ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$69,930TotalAmt
Management And General$69,930ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$41,885TotalAmt
Management And General$41,885ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48,167TotalAmt
Management And General$48,167ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$238,106TotalAmt
Program Services$238,106ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$303,811TotalAmt
Program Services$303,811ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$322,133TotalAmt
Program Services$266,911ProgramServicesAmt
Management And General$55,222ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,085TotalAmt
Program Services$89,085ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES AND$1,438,148$1,438,148
DUES AND SUBSCRIPTIONS$37,633$37,633
BAD DEBT EXPENSE$36,228$36,228
EMPLOYMENT COSTS$8,573$8,573

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,414TotalAmt
Management And General$4,414ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,872,277TotalAmt
Program Services$5,985,128ProgramServicesAmt
Management And General$887,149ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$246,695BOYAmt
EOY$40,348EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,853,268BOYAmt
EOY$116,003EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$140,158BOYAmt
EOY$22,070EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,181,249BOYAmt
EOY$1,181,296EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,498BOYAmt
EOY$36,255EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$62,223BOYAmt
EOY$54,568EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,210,394LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$602,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,400,896BOYAmt
EOY$16,608,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,333BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,937,320BOYAmt
EOY$18,058,576EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,760,424BOYAmt
EOY$2,034,509EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,611,288BOYAmt
EOY$14,181,067EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,371,712BOYAmt
EOY$16,215,576EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,319,665BOYAmt
EOY$1,760,930EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$245,943BOYAmt
EOY$82,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,565,608BOYAmt
EOY$1,843,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,937,320BOYAmt
EOY$18,058,576EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,722,608ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$7,811CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$477,831CurrentTaxYearMinus1YearAmt
Current Tax Year$497,260CurrentTaxYearAmt
Total$1,073,151TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,880,398CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,612,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,156,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,556,950CurrentTaxYearMinus1YearAmt
Current Tax Year$5,773,201CurrentTaxYearAmt
Total$37,979,746TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,888,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,683,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,176,113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,034,781CurrentTaxYearMinus1YearAmt
Current Tax Year$6,270,461CurrentTaxYearAmt
Total$39,052,897TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$39,052,897PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,010CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,034CurrentTaxYearMinus1YearAmt
Current Tax Year$658CurrentTaxYearAmt
Total$14,667TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,010CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,034CurrentTaxYearMinus1YearAmt
Current Tax Year$658CurrentTaxYearAmt
Total$14,667TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,774CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,372CurrentTaxYearMinus1YearAmt
Current Tax Year$107,039CurrentTaxYearAmt
Total$189,066TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,926,993CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,688,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,180,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,083,187CurrentTaxYearMinus1YearAmt
Current Tax Year$6,378,158CurrentTaxYearAmt
Total$39,256,630TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99480PublicSupportCY509Pct
Public Support PY5090.99690PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2011 AMOUNT: $ 32,774. 2012 AMOUNT: $ 2,213. 2013 AMOUNT: $ 2,668. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. CHANGE IN PRESENT VALUE OF DEVELOPMENT INCENTIVE RECEIVABLE - 2011 AMOUNT: $ 0. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 44,372. 2015 AMOUNT: $ 107,039.ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$572,217OtherCostOrOtherBasisAmt
Book Value$572,217BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,177,211OtherCostOrOtherBasisAmt
Depreciation$300,742DepreciationAmt
Book Value$14,876,469BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$914,698OtherCostOrOtherBasisAmt
Depreciation$269,496DepreciationAmt
Book Value$645,202BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$546,268OtherCostOrOtherBasisAmt
Depreciation$32,120DepreciationAmt
Book Value$514,148BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,608,036TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A PDF COPY OF FORM 990 IS EMAILED TO THE BUSINESS MANAGER. THE BUSINESS MANAGER FORWARDS THE EMAIL TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. THE 990 IS REVIEWED BY THE BUSINESS MANAGER PRIOR TO FILING. THE BUSINESS MANAGER CHECKS FORM 990 WITH INTERNAL REPORTS.
FORM 990, PART VI, SECTION B, LINE 12CA NEW CONFLICT OF INTEREST POLICY IS FILLED OUT ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15ASHEBOYGAN SENIOR COMMUNITY, INC. USES DATA GATHERED FOR THEIR STATE ASSOCIATION (WISCONSIN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING) BY MANAGEMENT RESOURCE ASSOCIATES (MRA), A THIRD PARTY INDEPENDENT, NOT FOR PROFIT, MANAGEMENT CONSULTING GROUP. THE DATA IS GATHERED FROM PARTICIPATING NOT FOR PROFIT HOMES THROUGHOUT THE STATE OF WISCONSIN. SALARY RECOMMENDATIONS FOR THE EXECUTIVE DIRECTOR ARE REVIEWED AND SET BY THE EXECUTIVE COMMITTEE IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR'S PRESENCE AFTER THE FULL ANNUAL PERFORMANCE EVALUATION, UTILIZING THE DATA DESCRIBED ABOVE. NO OTHER MANAGEMENT STAFF ARE REVIEWED IN THIS MANNER, THOUGH ALL SALARY AND EXPENSE DATA IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD IN THEIR ANNUAL BUDGET PREPARATION AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FROM 990, PART XI, LINE 2C:THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN SENIOR COMMUNITY FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13505 CTY RD YAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
EIN391450846EIN
Primary ActivitiesRAISE/RECEIVE FUNDS TO BE USED FOR GENERAL SUPPORT OF THIS ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BOARD OF DIRECTORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SHEBOYGAN SENIOR COMMUNITY FOUNDATION
E$1,364,288ACTUAL BALANCE OUTSTANDING
SHEBOYGAN SENIOR COMMUNITY FOUNDATION
C$483,833GRANT AMOUNT RECEIVED

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.