2016-05-13T13:07:45-05:00 2015-06-30 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2014-07-01 391370658 EPILEPSY FOUNDATION HEART OF WISCONSIN INC EPIL 6084425555 1302 MENDOTA STREET MADISON WI 53714 JEREMIAH HASSELL CHAIR 6084425555 2016-05-12 1 JOEL JOYCE P01001488 4142717800 2014 2016-08-17 19:52:53Z JEREMIAH HASSELL 1302 MENDOTA STREET MADISON WI 53714 375354 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 15 295 0 0 305742 267918 14818 13413 132 120 76770 81227 397462 362678 0 0 0 0 283944 262675 0 0 28459 191482 173829 475426 436504 -77964 -73826 270171 190007 37921 31469 232250 158538 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 173338 CLIENT SERVICES - THE FOUNDATION SERVED 2,981 DIRECT CLIENTS DURING THE YEAR ENDED 6/30/15. DURING THE YEAR, THE FOUNDATION SPONSORED 10 EDUCATIONAL DINNER MEETINGS THROUGHOUT THE SERVICE AREA. THE FOUNDATION SERVED 1,423 CLIENTS THROUGH SUPPORT GROUPS DURING THE YEAR. IN OCTOBER, 2014 THE FOUNDATION HELD STUDIOE, AN ART THERAPY PROGRAM FOR 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 2015. 110130 5920 PUBLIC HEALTH EDUCATION - THE FOUNDATION CONDUCTED PUBLIC HEALTH EDUCATION, WHICH REACHED 1,147 SCHOOL-AGED CHILDREN. THE FOUNDATION CONDUCTED EMPLOYER TRAINING PROGRAMS FOR 89 PEOPLE. 210 SCHOOL NURSES RECEIVED AT LEAST ONE HOUR OF SEIZURE AWARENESS AND FIRST AID TRAINING AND 342 SCHOOL PERSONNEL RECEIVED 1 HOUR OF SEIZURE RECOGNITION AND FIRST AID TRAINING. DURING THE YEAR ENDED 6/30/15, 87 INDIVIDUALS RECEIVED "HOPE MENTOR" TRAINING. THE FOUNDATION CONDUCTED OTHER SEIZURE RECOGNITION AND FIRST AID TRAINING, REACHING 1,637 ADULTS. 49134 PROFESSIONAL EDUCATION AND TRAINING - DURING THE YEAR ENDED 6/30/15, THE FOUNDATION CONDUCTED THE ADVANCES IN EPILEPSY TREATMENT CONFERENCE ON THE CAMPUS OF THE MARSHFIELD CLINIC ATTENDED BY 115 PEOPLE. IN OCTOBER OF 2014 TWO STAFF ATTENDED THE CDC SKILL BUILDING TRAINING CONFERENCE IN SAN ANTONIO, IN CONJUCTION WITH THE NATIONAL OFFICE. 40377 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 OF COMMUNITY SERVICE IS ADVOCACY RELATED, BUT INVOLVES COLLABORATION WITH OTHER HUMAN SERVICE PROVIDERS AND GOVERNMENTAL UNITS. 40377 372979 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 5 0 1 15 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 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 TOM MCCARRIER SECRETARY 0.80 X 0 0 0 TY WEIMER TREASURER 0.80 X 0 0 0 ART TAGGART EXECUTIVE DIRECTOR 40.00 X 48000 0 0 48000 0 0 0 0 0 0 0 45616 10005 115889 96408 6517 267918 FISCAL AGENT FEES 900099 7493 7493 EDUCATION CONFERENCE 900099 5920 5920 13413 120 120 93903 10005 12676 81227 81227 362678 13533 0 81227 42000 35906 3364 2730 188582 161219 15106 12257 13609 11634 1090 885 18484 15802 1481 1201 3554 3038 285 231 3639 3111 291 237 13012 11124 1042 846 45810 39163 3669 2978 11752 10047 941 764 13513 11552 1083 878 5 5 35490 30340 2843 2307 5497 4700 440 357 10574 9040 847 687 CLIENT SERVICES 15778 13488 1264 1026 RESPITE CARE 6905 6905 LICENSES & PERMITS 389 333 31 25 7911 5577 1284 1050 436504 372979 35066 28459 48317 114650 119113 502 34590 13498 18817 33621 474 474 25446 2153 123712 100659 21472 23053 1942 2056 270171 190007 28562 21444 2183 3389 7176 6636 37921 31469 X 212303 145040 19947 13498 232250 158538 270171 190007 -73826 114 0 X 0 0 0 X 300135 350855 509509 295172 267918 1723589 300135 350855 509509 295172 267918 1723589 1723589 63 90 132 120 405 5723 2533 2500 1144 11900 1735894 0.99290 0.98690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 7176 129625 130165 6636 1 X 123712 100659 23053 23053 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, 2015. 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. GENERALLY, FOR UNITED STATES FEDERAL INCOME TAXES, THE FOUNDATION IS ONLY SUBJECT TO EXAMINATION FOR THE CURRENT YEAR'S TAX RETURN AND THE PRECEDING THREE YEARS' RETURNS. GENERALLY, FOR WISCONSIN INCOME TAXES, THE FOUNDATION IS ONLY SUBJECT TO EXAMINATIONS FOR CURRENT YEAR'S TAX RETURN AND THE PRECEDING FOUR YEARS' RETURNS. BOWLING EVENTS 16843 16843 296 93 SUMMER STROLL - WAUSAU 15969 15969 521 4 71096 10005 61091 96 11670 103908 10005 93903 392 12284 12676 81227 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.