SHEBOYGAN SENIOR COMMUNITY INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SHEBOYGAN SENIOR COMMUNITY INC (EIN 39-6069188)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-10-28
IRS object ID
201513019349301346
Schema version
2014v5.0
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)
Return2015-10-28T16:45:36-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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 Line1930 N 6TH STREETAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARA HOLZEMPersonNm
Person TitleOFFICERPersonTitleTxt
Phone9204582137PhoneNum
Signature2015-09-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY T STRITTMATER CPAPreparerPersonNm
PTINP00012661PTIN
Phone9204580341PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTARA HOLZEMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 N 6TH STREETAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,083,187GrossReceiptsAmt
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 Employee198TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,676PYContributionsGrantsAmt
CY Contributions Grants$477,831CYContributionsGrantsAmt
PY Program Service Revenue$6,956,077PYProgramServiceRevenueAmt
CY Program Service Revenue$5,556,950CYProgramServiceRevenueAmt
PY Investment Income-$5,778PYInvestmentIncomeAmt
CY Investment Income$4,034CYInvestmentIncomeAmt
PY Other Revenue$27,820PYOtherRevenueAmt
CY Other Revenue$44,372CYOtherRevenueAmt
PY Total Revenue$6,997,795PYTotalRevenueAmt
CY Total Revenue$6,083,187CYTotalRevenueAmt
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$4,653,177PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,084,983CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,779,845PYOtherExpensesAmt
CY Other Expenses$2,342,160CYOtherExpensesAmt
PY Total Expenses$7,433,022PYTotalExpensesAmt
CY Total Expenses$6,427,143CYTotalExpensesAmt
PY Revenues Less Expenses-$435,227PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$343,956CYRevenuesLessExpensesAmt
Total Assets BOY$6,747,022TotalAssetsBOYAmt
Total Assets EOY$19,937,320TotalAssetsEOYAmt
Total Liabilities BOY$2,837,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,371,712TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,909,564NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,565,608NetAssetsOrFundBalancesEOYAmt
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$5,660,909ExpenseAmt
Revenue$5,556,950RevenueAmt
DescOPERATION OF A FULL-TIME SKILLED NURSING HOME AND RESIDENTIAL CARE CENTER. TOTAL PATIENT DAYS: 26,843.Desc
Total Program Service Expenses$5,660,909TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee198EmployeeCnt
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 Line1930 N 6TH STREETAddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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
STEVE HAMER
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
DAVID VANDEWATER
DIRECTOR0.00Yes (X)$0$0$0
STEPHANIE MALIS
DIRECTOR0.00Yes (X)$0$0$0
JOAN KLEIST
EXECUTIVE DIRECTOR40.00Yes (X)$107,459$0$13,133
TARA HOLZEM
BUSINESS MANAGER40.00Yes (X)$47,564$0$979
FieldValueIRS element (for citing)
Total Reportable Comp From Org$155,023TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,112TotalOtherCompensationAmt
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$3,086,705
BUTEYN-PETERSON CONSTRUCTION CO INC
N7337 DAIRYLAND DRSHEBOYGANWI53081NEW BUILDING CONSTRUCTION$708,422
REHABCARE GROUP INC
PO BOX 277365ATLANTAGA30384THERAPY SERVICES$551,738
ELITE NURSES INC
PO BOX 1785FOND DU LACWI54936NURSING STAFFING SERVICE$352,419
SYSCO EASTERN WISCONSIN
ONE SYSCO DRJACKSONWI53037RAW FOOD AND SUPPLIES$288,970
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
All Other Contributions$477,831AllOtherContributionsAmt
Total Contributions$477,831TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PROG900099$3,703,670$3,703,670
RESIDENTIAL CENTER623000$1,352,080$1,352,080
INDEPENDENT LIVING623990$435,597$435,597
OTHER SERVICES900099$39,025$39,025
BEAUTY SHOP812900$26,578$26,578
FieldValueIRS element (for citing)
Total Program Service Revenue$5,556,950TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,034TotalRevenueColumnAmt
Exclusion$4,034ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCHANGE IN PRESENT VALUDesc
Business900099BusinessCd
Total Revenue Column$44,372TotalRevenueColumnAmt
Exclusion$44,372ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$44,372OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,083,187TotalRevenueColumnAmt
Related Or Exempt Func Income$5,556,950RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,406ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$186,989TotalAmt
Program Services$165,175ProgramServicesAmt
Management And General$21,814ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,347,898TotalAmt
Program Services$2,957,332ProgramServicesAmt
Management And General$390,566ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$48,506TotalAmt
Program Services$42,497ProgramServicesAmt
Management And General$6,009ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$254,316TotalAmt
Program Services$222,814ProgramServicesAmt
Management And General$31,502ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$247,274TotalAmt
Program Services$216,644ProgramServicesAmt
Management And General$30,630ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,307TotalAmt
Management And General$12,307ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,650TotalAmt
Management And General$13,650ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,311TotalAmt
Management And General$66,311ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55,583TotalAmt
Management And General$55,583ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,320TotalAmt
Management And General$36,320ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$190,868TotalAmt
Program Services$190,868ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,252TotalAmt
Program Services$30,252ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$262,077TotalAmt
Program Services$223,520ProgramServicesAmt
Management And General$38,557ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$95,551TotalAmt
Program Services$95,551ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES AND$1,516,256$1,516,256
DUES AND SUBSCRIPTIONS$46,369$46,369
EMPLOYMENT COSTS$9,550$9,550
BAD DEBT EXPENSE$3,789$3,789

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,277TotalAmt
Management And General$3,277ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,427,143TotalAmt
Program Services$5,660,909ProgramServicesAmt
Management And General$766,234ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$711,125BOYAmt
EOY$246,695EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$392,275BOYAmt
EOY$3,853,268EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,611,795BOYAmt
EOY$1,321,407EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$38,990BOYAmt
EOY$43,498EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,235BOYAmt
EOY$62,223EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,103,319LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,702,423LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,899,269BOYAmt
EOY$14,400,896EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,333BOYAmt
EOY$9,333EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,747,022BOYAmt
EOY$19,937,320EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,098,680BOYAmt
EOY$1,760,424EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$738,778BOYAmt
EOY$14,611,288EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,837,458BOYAmt
EOY$16,371,712EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,839,564BOYAmt
EOY$3,319,665EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,000BOYAmt
EOY$245,943EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,909,564BOYAmt
EOY$3,565,608EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,747,022BOYAmt
EOY$19,937,320EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$343,956ReconcilationRevenueExpnssAmt
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$10,155CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,573CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,676CurrentTaxYearMinus1YearAmt
Current Tax Year$477,831CurrentTaxYearAmt
Total$586,046TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,163,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,880,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,612,760CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,156,437CurrentTaxYearMinus1YearAmt
Current Tax Year$5,556,950CurrentTaxYearAmt
Total$42,370,204TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,173,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,888,209CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,683,333CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,176,113CurrentTaxYearMinus1YearAmt
Current Tax Year$6,034,781CurrentTaxYearAmt
Total$42,956,250TotalAmt

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$42,956,250PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,010CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,305CurrentTaxYearMinus1YearAmt
Current Tax Year$4,034CurrentTaxYearAmt
Total$16,530TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,010CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,305CurrentTaxYearMinus1YearAmt
Current Tax Year$4,034CurrentTaxYearAmt
Total$16,530TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,774CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,668CurrentTaxYearMinus1YearAmt
Current Tax Year$44,372CurrentTaxYearAmt
Total$115,945TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,210,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,926,993CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,688,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,180,086CurrentTaxYearMinus1YearAmt
Current Tax Year$6,083,187CurrentTaxYearAmt
Total$43,088,725TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99690PublicSupportCY509Pct
Public Support PY5090.99800PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
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 - 2010 AMOUNT: $ 33,918. 2011 AMOUNT: $ 32,774. 2012 AMOUNT: $ 2,213. 2013 AMOUNT: $ 2,668. 2014 AMOUNT: $ 0. CHANGE IN PRESENT VALUE OF DEVELOPMENT INCENTIVE RECEIVABLE - 2010 AMOUNT: $ 0. 2011 AMOUNT: $ 0. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 44,372.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$826,921OtherCostOrOtherBasisAmt
Book Value$826,921BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,934,978OtherCostOrOtherBasisAmt
Depreciation$5,649,344DepreciationAmt
Book Value$1,285,634BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,043,441OtherCostOrOtherBasisAmt
Depreciation$1,943,717DepreciationAmt
Book Value$99,724BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,297,979OtherCostOrOtherBasisAmt
Depreciation$1,109,362DepreciationAmt
Book Value$12,188,617BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,400,896TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES WHICH IS PART OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. THIS GUIDANCE INCREASES THE RELEVANCY AND COMPARABILITY OF FINANCIAL REPORTING BY CLARIFYING THE WAY ORGANIZATIONS ACCOUNT FOR UNCERTAINTIES IN INCOME TAXES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. IT MAKES RECOGNITION AND MEASUREMENT MORE CONSISTENT AS WELL AS OFFERING CLEAR CRITERIA FOR SUBSEQUENTLY RECOGNIZING, DERECOGNIZING AND MEASURING SUCH TAX POSITIONS FOR FINANCIAL STATEMENT PURPOSES. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN MANAGEMENT AND GENERAL EXPENSES, IF APPLICABLE. THE ORGANIZATION HAD NO INTEREST AND PENALTIES RELATED TO INCOME TAXES FOR THE YEARS ENDED JUNE 30, 2015 AND 2014. THE ORGANIZATION'S FEDERAL RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED AND ITS STATE RETURNS GENERALLY FOR FOUR YEARS AFTER THEY ARE FILED.ExplanationTxt

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 Line1930 N 6TH STREETAddressLine1Txt
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$1,361,565ACTUAL BALANCE OUTSTANDING
SHEBOYGAN SENIOR COMMUNITY FOUNDATION
C$300,000GRANT AMOUNT RECEIVED

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