2016-04-07T15:58:45-05:00 2015-07-31 391971296 CHAMBERLAIN & HENNINGFIELD CPAS LLP PO BOX 170 ELKHORN WI 53121 990 2014-08-01 391471340 UNITED WAY OF WALWORTH COUNTY UNIT 2623744474 PO BOX 1020 ELKHORN WI 53121 JON S CHAMBERLAIN CPA DIRECTOR 2627422777 2016-03-31 1 JON S CHAMBERLAIN CPA P00192767 2627422777 2016-03-31 2014 2016-08-17 19:52:53Z JON S CHAMBERLAIN CPA PO BOX 1020 ELKHORN WI 53121 260778 0 X HTTP://UWWAL.ITECHRA.NET/ X 1984 WI COLLECT AND DISBURSE FUNDS FOR UNITED WAY 11 11 1 0 0 0 259506 248347 0 0 213 176 11921 8659 271640 257182 87480 170000 0 0 50088 44888 0 0 6351 25621 19719 163189 234607 108451 22575 134270 148719 9661 1534 124609 147185 COLLECT AND DISBURSE FUNDS FOR THE UNITED WAY 0 0 171016 170000 ALLOCATIONS AND GRANTS 171016 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 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 1 1 0 1 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X THE ORGANIZATION 2623744474 PO BOX 1020 ELKHORN WI 53121 MARIANN HUNTER EXEC DIRECTOR 40.00 X X 41308 0 0 ALAN LARSEN CHAIRMAN 2.00 X X 0 0 0 DENNIS CARNES PAST CHAIRMAN 1.00 X X 0 0 0 JASON TADLOCK TREASURER 2.00 X X 0 0 0 CHRISTOPHER STEBNITZ VICE CHAIRMAN 1.00 X 0 0 0 JON S CHAMBERLAIN CPA DIRECTOR 1.00 X 0 0 0 SHARON GONZALEZ DIRECTOR 1.00 X 0 0 0 GINA DINGMAN DIRECTOR 1.00 X 0 0 0 SHANE GRIFFIN DIRECTOR 1.00 X 0 0 0 JENI HALLATT DIRECTOR 1.00 X 0 0 0 STEFANIE WHITEHOUSE DIRECTOR 1.00 X 0 0 0 41308 0 0 0 0 0 0 0 248347 248347 176 176 12255 3596 8659 8659 257182 0 0 8835 170000 170000 41308 41308 3580 3580 435 435 715 715 3600 900 1080 1620 2329 116 466 1747 DUES 3878 3878 CAMPAIGN EXPENSES 2984 2984 INSURANCE 2029 2029 LEGAL AND ACCOUNTING 1500 1500 2249 2249 234607 171016 57240 6351 55660 79852 70610 60867 8000 8000 134270 148719 2161 1534 7500 9661 1534 X 124609 147185 124609 147185 134270 148719 22575 0 X 0 0 0 X 246460 275009 277394 259506 248347 1306716 246460 275009 277394 259506 248347 1306716 1306716 1306716 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 BANK STOCK 8000 C 8000 X PART X, LINE 2: THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ASC 740-10 EFFECTIVE JANUARY 1, 2009. THE ORGANIZATIONS POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS, AT LEAST ANNUALLY, FOR THE POTENTIAL FOR INCOME TAX EXPOSURE FROM UNRELATED BUSINESS INCOME OR FROM LOSS OF NONPROFIT STATUS. THE ADOPTION OF ASC 740-10 DID NOT HAVE A MATERIAL EFFECT ON ITS FINANCIAL POSITION, RESULTS OF ACTIVITIES OR CASH FLOWS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES FORM 990, PART X, LINE 12B BANK STOCK ORIGINALLY VALUED AT $8,000. 1 COMMUNITY ACTION INC 200 W MILWAUKEE ST JANESVILLE WI 53548 391052077 20400 EMERGENCY HOUSING ASSISTANCE; ON-GOING COUNSELING AND ADVOCACY; HOMELESS SHELTER ASSISTANCE. ASSOCIATION FOR PREVENTION OF FAMILY VIOLENCE 735 N WISCONSIN ST ELKHORN WI 53121 391315379 12400 FAMILY VIOLENCE PREVENTION; DIRECT INTERVENTION AND ASSISTANCE PROGRAMS. VOLUNTEER CONNECTION PO BOX 1001 ELKHORN WI 53121 273015837 11200 VOLUNTEER RECRUITMENT AND COORDINATION TO MEET COMMUNITY/COUNTY NEEDS; PROVIDE HOME SERVICE AND REPAIR FOR VETERANS/SENIORS. BIG BROTHERSBIG SISTERS -ROCK JEFFERSON & WALWORTH COUNTIES 1239 HUEBBE PKWY BELOIT WI 53511 391132693 6400 MENTORING PROGRAM FOR YOUTH HOPE NOW 76 W WISCONSIN ST ELKHORN WI 53121 841684938 8000 PROVIDE SHORT TERM EMERGENCY ASSISTANCE FOR HOUSING, UTILITIES, TRANSPORTATION, MEDICAL NEEDS, AND HOLIDAY FOOD BASKETS TO APPLICANTS IN THE EASD. DELAVAN HUMAN CONCERNS AND FOOD PANTRY 716 PHOENIX STREET A-2 DELAVAN WI 53115 391452288 6400 DELAVAN AREA FOOD PANTRY; RENTAL INCOME AND UTILITIES ASSISTANCE; TOYS FOR TOTS PROGRAM OPEN ARMS FREE CLINIC PO BOX 678 ELKHORN WI 53121 454475625 8000 STRIVE TO BETTER UNDERSTAND AND SERVE THE HEALTH AND WELLNESS NEEDS OF THE UNINSURED, LOW INCOME AND UNDER-SERVED RESIDENTS OF WALWORTH COUNTY WITH COMPASSION AND UNDERSTANDING. SIDE BY SIDE 715 WISCONSIN ST LAKE GENEVA WI 53147 205405562 8000 FINANCIAL CRISIS ASSISTANCE VIP SERVICES INC 811 E GENEVA ST ELKHORN WI 53121 391227648 12000 PRE-VOCATIONAL AND COMMUNITY EMPLOYEMENT PROGRAMS FOR ADULT DISABLED; COUNTY-WIDE TRANSPORTATION ASSISTANCE WALWORTH COUNTY ALLIANCE FOR CHILDREN W4063 HWY NN ELKHORN WI 53121 260785791 6000 DEDICATED TO THE BELIEF THAT ALL CHILDREN ARE ENTITLED TO A LIFE FREE OF VIOLENCE, ABUSE AND NEGLECT PART I, LINE 2: APPLICATIONS ARE SUBMITTED BY ALL ORGANIZATIONS REQUESTING FUNDING. APPLICATIONS ARE REVIEWED AND APPROVED BY THE COMMUNITY IMPACT COMMITTEE. EACH YEAR APPROXIMATELY ONE-THIRD OF THE AGENCIES BEING FUNDED ARE INTERIVEWED BY THE COMMUNITY IMPACT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD REVIEWS AND APPROVES FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE SIGNED BY BOARD MEMBERS EVERY YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE ESTABLISHES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THIS COMPENSATION IS THEN APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE PROVIDED UPON REQUEST