MARQUARDT MEMORIAL MANOR INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARQUARDT MEMORIAL MANOR INC (EIN 39-1126946)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-15
IRS object ID
201400499349301775
Schema version
2012v2.1
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)
Timestamp2014-02-15T16:04:12-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53226ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391126946EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARQUARDT MEMORIAL MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARQNameControl
Phone9202610400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11020 HILL STREETAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code530983099ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIE MARKSName
TitleCFOTitle
Phone9202610400Phone
Date Signed2014-02-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVE GLOBIG CPAName
PTINP01356041PTIN
Phone4144319300Phone
Date Prepared2014-02-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIE MARKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11020 HILL STREETAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code53098ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11762814GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees303TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34008ContributionsGrantsPriorYear
Contributions Grants Current Year51252ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11612438ProgramServiceRevenuePriorYear
Program Service Revenue CY11318662ProgramServiceRevenueCY
Investment Income Prior Year292310InvestmentIncomePriorYear
Investment Income Current Year125668InvestmentIncomeCurrentYear
Other Revenue Prior Year198448OtherRevenuePriorYear
Other Revenue Current Year11023OtherRevenueCurrentYear
Total Revenue Prior Year12137204TotalRevenuePriorYear
Total Revenue Current Year11506605TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8263127SalariesEtcPriorYear
Salaries Etc Current Year6890301SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2980260OtherExpensePriorYear
Other Expenses Current Year3668415OtherExpensesCurrentYear
Total Expenses Prior Year11243387TotalExpensesPriorYear
Total Expenses Current Year10558716TotalExpensesCurrentYear
Revenues Less Expenses Prior Year893817RevenuesLessExpensesPriorYear
Revenues Less Expenses CY947889RevenuesLessExpensesCY
Total Assets BOY8699553TotalAssetsBOY
Total Assets EOY9830884TotalAssetsEOY
Total Liabilities BOY1540893TotalLiabilitiesBOY
Total Liabilities EOY1538418TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7158660NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8292466NetAssetsOrFundBalancesEOY
Mission DescriptionCARING FOR THE ELDERLY AND HANDICAPPED IN A CHRISTIAN ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9547526Expense
Revenue10722333Revenue
DescriptionOPERATION OF A SKILLED NURSING FACILITY BENEFITING 230 RESIDENTS OF WHICH 67% WERE MEDICAID.Description
Total Program Service Expense9547526TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees303NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJULIE MARKSNamePerson
Telephone Number9202610400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11020 HILL STREETAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code530983099ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOHN H EBERT
BOARD MEMBER0.503.50X000
REV JAMES T HICKS
BOARD MEMBER0.503.50X000
TOM KASTEN
BOARD MEMBER0.503.50X000
DR JEFF HORKAN
BOARD MEMBER0.503.50X000
MITZI CASS
BOARD MEMBER0.503.50X000
NELSON FISCHER
ASST SECRETARY/ASST TREAS0.503.50X000X
WILLIAM KIESSLING JR
PRESIDENT0.503.50X000X
THOMAS WENDT
SECRETARY/TREASURER0.503.50X000X
KAY WIPPERFURTH
VICE PRESIDENT0.503.50X000X
JULIE MARKS
CEO5.0035.00102846011845X
MATTHEW R MAUTHE
CEO5.0035.00157764016795X
FieldValueIRS element (for citing)
Total Reportable Comp From Org260610TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation28640TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH REACH REHABILITATION SERVICES
17280 W NORTH AVE 104BROOKFIELDWI53045THERAPY SERVICES286488
ALLIANCE REHAB
1520 KENSINGTON RD 105OAKBROOKIL60523THERAPY SERVICES225483
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations51252RelatedOrganizations
Total Contributions51252TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SKILLED NURSING FACILITY6230001072233310722333
MISCELLANEOUS REVENUE623000596329$596,329
FieldValueIRS element (for citing)
Total Program Service Revenue11318662TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59557TotalRevenueColumn
Exclusion$59,557ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities322320Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities256209Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities66111Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column66111TotalRevenueColumn
Exclusion$66,111ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column11023TotalRevenueColumn
Exclusion$11,023ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11023TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11506605TotalRevenueColumn
Related Or Exempt Function Income10722333RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$733,020ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total122385Total
Management And General122385ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5401545Total
Program Services5401545ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10724Total
Program Services10486ProgramServices
Management And General238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total885446Total
Program Services865829ProgramServices
Management And General19617ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total470201Total
Program Services459783ProgramServices
Management And General10418ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total541358Total
Management And General541358ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103641Total
Management And General103641ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5338Total
Management And General5338ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total14231Total
Management And General14231ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total193638Total
Program Services176793ProgramServices
Management And General16845ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27935Total
Management And General27935ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1049921Total
Program Services1044076ProgramServices
Management And General5845ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total286658Total
Program Services286658ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total12981Total
Management And General12981ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total37446Total
Program Services37446ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total410423Total
Program Services410423ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total71737Total
Management And General71737ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICARE PART A & B EXP520303520303
MEDICAID BED ASSESSMENT285600285600
MISCELLANEOUS EXPENSES37611307446867
DUES, FEES, & SUBSCRIPT2095220952

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total48642Total
Program Services17840ProgramServices
Management And General30802ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10558716Total
Program Services9547526ProgramServices
Management And General1011190ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10055BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY562377BOY
EOY884810EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY87910BOY
EOY79835EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11102794LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7063788LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4218650BOY
EOY4039006EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2001037BOY
EOY1900099EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1819274BOY
EOY2926884EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8699553BOY
EOY9830884EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY718807BOY
EOY789335EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY776294BOY
EOY728025EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY45792BOY
EOY21058EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1540893BOY
EOY1538418EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7158660BOY
EOY8292466EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7158660BOY
EOY8292466EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8699553BOY
EOY9830884EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses947889ReconcilationRevenueExpenses
Reconciliation Unrealized Invest161256ReconciliationUnrealizedInvest
Reconcilation Other Changes24661ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9868CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11528CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5602CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34008CurrentTaxYearMinus1Year
Current Tax Year51252CurrentTaxYear
Total112258Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12752945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12921478CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12693438CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11436634CurrentTaxYearMinus1Year
Current Tax Year10722333CurrentTaxYear
Total60526828Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year374252CurrentTaxYearMinus1Year
Current Tax Year607352CurrentTaxYear
Total981604Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12762813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12933006CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12699040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11844894CurrentTaxYearMinus1Year
Current Tax Year11380937CurrentTaxYear
Total61620690Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50961620690PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69727CurrentTaxYearMinus1Year
Current Tax Year59557CurrentTaxYear
Total255841Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69727CurrentTaxYearMinus1Year
Current Tax Year59557CurrentTaxYear
Total255841Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12797163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12971573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12752680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11914621CurrentTaxYearMinus1Year
Current Tax Year11440494CurrentTaxYear
Total61876531Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99590PublicSupportPercentage509
Prior Year Support Percentage0.99510PriorYearSupportPercentage
Investment Income Percentage0.00410InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00490PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis133147OtherCostOrOtherBasis
Book Value133147BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7461539OtherCostOrOtherBasis
Depreciation4724472Depreciation
Book Value2737067BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis412958OtherCostOrOtherBasis
Depreciation332579Depreciation
Book Value80379BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3009455OtherCostOrOtherBasis
Depreciation1959060Depreciation
Book Value1050395BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis85695OtherCostOrOtherBasis
Depreciation47677Depreciation
Book Value38018BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4039006TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCE CHARGES25563
PATIENT TRUST FUNDS2644
UNEMPLOYMENT RESERVE FUND143435
DUE FROM RELATED COMPANY2755242
FieldValueIRS element (for citing)
Total Book Value Other Assets2926884TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT TRUST FUND$2,644
INTEREST RATE SWAP AGREEMENT$18,414
FieldValueIRS element (for citing)
Total Of Amounts21058TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11692522TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments161256NetUnrealizedGainsInvestments
Other Revenues24661OtherRevenues
Revenue Not Rptd F990185917RevenueNotRptdF990
Revenue Subtotal11506605RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011506605TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10558716TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10558716ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010558716TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE CORPORATION RECOGNIZES THE BENEFITS OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE CORPORATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2010 AND ALL SUBSEQUENT YEARS REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 24,661.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMATTHEW R MAUTHENamePerson
TitleCEOTitle
Base Compensation Filing Org157764BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16795NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org174559TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF WATERTOWN WISCONSIN REVENUE BONDS SERIES 2004BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN396005640IssuerEIN
Date Issued2004-04-01DateIssued
Issue Price1092000IssuePrice
Description Of PurposeTO REFUND PRIOR ISSUE FROM 5/30/1996DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired363975AmountRetired
Total Proceeds1092000TotalProceeds
Issuance Costs From Proceeds21000IssuanceCostsFromProceeds
Other Spent Proceeds1071000OtherSpentProceeds
Year Of Subst Completion2004YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1JP MORGANBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART IV, ARBITRAGE, LINE 2CIdentifier
Return ReferenceDATE REBATE COMPUTATION PERFORMEDReturnReference
ExplanationISSUER NAME: CITY OF WATERTOWN, WISCONSIN REVENUE BONDS, SERIES 2004 DATE THE REBATE COMPUTATION WAS PERFORMED: 04/27/2009Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE A SINGLE CLASS OF VOTING MEMBERS, AND THE SOLE MEMBER OF THAT CLASS SHALL BE MARQUARDT VILLAGE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL APPOINT UP TO NINE (9) DIRECTORS. THE APPOINTED DIRECTORS SHALL BE INCLUDED IN THE TOTAL NUMBER OF AUTHORIZED DIRECTORS, SHALL BE ENTITLED TO VOTE, AND SHALL BE COUNTED FOR PURPOSES OF DETERMINING WHETHER A QUORUM IS PRESENT.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 IS GIVEN TO EACH BOARD MEMBER TO REVIEW AND COMMENT ON BEFORE IT IS FILED. THE CEO AND THE CFO ALSO REVIEW AND APPROVE THE 990 RETURNS BEFORE THEY ARE FILED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE BOARD MUST ATTEST THAT THEY DO NOT HAVE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST; OR THEY MUST DISCLOSE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT. SHOULD A CONFLICT ARISE, THE PERSON AFFECTED IS ASKED TO EXCUSE THEMSELVES FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15BOARD AND CEO REVIEW COMPARABILITY DATA AND APPROVE COMPENSATION ANNUALLY. THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE A COPY OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 24,661.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ZINZENDORF HALL INC
1020 HILL STREETWATERTOWNWI53098391647409ASSISTED LIVINGWI501(C)3LINE 9MARQUARDT VILLAGE INC0
HUS APARTMENTS INC
1020 HILL STREETWATERTOWNWI53098391756037SENIOR HOUSINGWI501(C)3LINE 9MARQUARDT VILLAGE INC0
MORAVIAN HOMES INC
1020 HILL STREETWATERTOWNWI53098391324889SENIOR HOUSINGWI501(C)3LINE 9MARQUARDT VILLAGE INC0
MUELLER APARTMENTS INC
1020 HILL STREETWATERTOWNWI53098391294266LOW INCOME HOUSINGWI501(C)3LINE 9MARQUARDT VILLAGE INC0
MARQUARDT FOUNDATION INC
1020 HILL STREETWATERTOWNWI53098391563808FOUNDATIONWI501(C)3LINE 7MARQUARDT VILLAGE INC0
MARQUARDT VILLAGE INC
1020 HILL STREETWATERTOWNWI53098391704732SENIOR HOUSINGWI501(C)3LINE 90N/A
MARQUARDT HOME AND COMMUNITY BASED SERVICES INC
1020 HILL STREETWATERTOWNWI53098391940920HOME HEALTH, HOSPICE AND EMERGENCY RESPONSE SERVICESWI501(C)3LINE 9MARQUARDT VILLAGE INC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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