EPILEPSY FOUNDATION OF WISCONSIN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EPILEPSY FOUNDATION OF WISCONSIN INC (EIN 39-1370658)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349301718
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)
Timestamp2014-05-14T08:34:43-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390747409EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REILLY PENNER & BENTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11233 NORTH MAYFAIR RD SUITE 302AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532263255ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391370658EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EPILEPSY FOUNDATION HEART OF WISCONSIN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEPILNameControl
Phone6084425555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11302 MENDOTA STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code53714ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWARREN LA DUKEName
TitlePRESIDENTTitle
Phone6084425555Phone
Date Signed2014-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOEL JOYCEName
PTINP01001488PTIN
Phone4142717800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWARREN LA DUKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11302 MENDOTA STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code53714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts605515GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteEPILEPSYWISONSIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTHE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year362555ContributionsGrantsPriorYear
Contributions Grants Current Year480757ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16555ProgramServiceRevenuePriorYear
Program Service Revenue CY25640ProgramServiceRevenueCY
Investment Income Prior Year4487InvestmentIncomePriorYear
Investment Income Current Year90InvestmentIncomeCurrentYear
Other Revenue Prior Year51281OtherRevenuePriorYear
Other Revenue Current Year55371OtherRevenueCurrentYear
Total Revenue Prior Year434878TotalRevenuePriorYear
Total Revenue Current Year561858TotalRevenueCurrentYear
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 Year296647SalariesEtcPriorYear
Salaries Etc Current Year296112SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year25295TotalFundrsngExpCurrentYear
Other Expense Prior Year137918OtherExpensePriorYear
Other Expenses Current Year178441OtherExpensesCurrentYear
Total Expenses Prior Year434565TotalExpensesPriorYear
Total Expenses Current Year474553TotalExpensesCurrentYear
Revenues Less Expenses Prior Year313RevenuesLessExpensesPriorYear
Revenues Less Expenses CY87305RevenuesLessExpensesCY
Total Assets BOY183266TotalAssetsBOY
Total Assets EOY278026TotalAssetsEOY
Total Liabilities BOY28805TotalLiabilitiesBOY
Total Liabilities EOY36142TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY154461NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY241884NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense187134Expense
DescriptionCLIENT SERVICES - THE FOUNDATION SERVED 3,121 DIRECT CLIENTS DURING THE YEAR ENDED 6/30/13. DURING THE YEAR, THE FOUNDATION SPONSORED 10 EDUCATIONAL DINNER MEETINGS THROUGHOUT THE SERVICE AREA. THE FOUNDATION SERVED 897 CLIENTS THROUGH SUPPORT GROUPS DURING THE YEAR. IN OCTOBER, 2012 THE FOUNDATION HELD ITS FIRST ART THERAPY PROGRAM. THE FOUNDATION ADMINISTERED A SUMMER CAMP FOR KIDS, AN ADULT RETREAT, AND A DAY OF PROGRAMMING FOR BROTHERS AND SISTERS OF KIDS WITH DISABILITIES. LASTLY, THE FOUNDATION SENT STAFF AND A VOLUNTEER FAMILY TO "KIDS SPEAK UP", A PUBLIC POLICY INSTITUTE, IN WASHINGTON, DC.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense139651Expense
Revenue16590Revenue
DescriptionPUBLIC HEALTH EDUCATION - THE FOUNDATION CONDUCTED PUBLIC HEALTH EDUCATION, WHICH REACHED 1,570 SCHOOL-AGED CHILDREN. THE FOUNDATION CONDUCTED AN EMPLOYER TRAINING PROGRAM WITH AN ATTENDANCE OF 378 PEOPLE. 64 PEOPLE ATTENDED THE FOUNDATION'S EMT/FIRST RESPONDER TRANING PROGRAM. DURING THE YEAR ENDED 6/30/13, 419 INDIVIDUALS RECEIVED "HOPE MENTORING" TRAINING. THE FOUNDATION CONDUCTED SEIZURE RECOGNITION AND FIRST AID TRAININGS, WHICH REACHED 1,220 ADULTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense45909Expense
DescriptionCOMMUNITY 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense45460Expense
DescriptionPROFESSIONAL EDUCATION AND TRAINING - DURING THE YEAR ENDED 6/30/13, THE FOUNDATION CONDUCTED THE ADVANCES IN EPILEPSY TREATMENT CONFERENCE ON THE CAMPUS OF THE MARSHFIELD CLINIC. IN SEPTEMBER, 2012 STAFF ATTENDED THE CDC SKILL BUILDING TRAINING CONFERENCE IN CONJUCTION WITH THE NATIONAL OFFICE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp45460TotalOfOtherProgramServiceExp
Total Program Service Expense418154TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MELISSA CLARKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7153415811TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11004 FIRST STREET STE 5AddressLine1
CitySTEVENS POINTCity
StateWIState
ZIP Code54481ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JENNIFER BENISHEK
DIRECTOR0.80X000
SHERRY BETTHAUSER
DIRECTOR0.80X000
SARAH CARLSON
DIRECTOR0.80X000
JEREMIAH HASSELL
DIRECTOR0.80X000
RICHARD IHLENFELD
DIRECTOR0.80X000
JOSEPH JARES
DIRECTOR0.80X000
PETER MASANA
DIRECTOR0.80X000
ALYSSA MARCELL
DIRECTOR0.80X000
PATRICK MARCELL
DIRECTOR0.80X000
TOM MCCARRIER
DIRECTOR0.80X000
RUSTY MEYERS
DIRECTOR0.80X000
MARTY MULLEN
DIRECTOR0.80X000
LIN NEWMAN
DIRECTOR0.80X000
SHELLEEN SCHMOLL
DIRECTOR0.80X000
JOHN WALKER
DIRECTOR0.80X000
STUART WALTONEN
DIRECTOR0.80X000
DEBORAH WASTART
DIRECTOR0.80X000
WARREN LA DUKE
PRESIDENT0.80000X
JULIE MARIE
VICE PRESIDENT0.80000X
LINDA BEST
SECRETARY0.80000X
JIM FERK
TREASURER0.80000X
ART TAGGART
EXECUTIVE DIRECTOR40.004800000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org48000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns103793FederatedCampaigns
Membership Dues1179MembershipDues
Fundraising Events10945FundraisingEvents
Government Grants133546GovernmentGrants
All Other Contributions231294AllOtherContributions
Total Contributions480757TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EDUCATION CONFERENCE9000991659016590
FISCAL AGENT FEES90009990509050
FieldValueIRS element (for citing)
Total Program Service Revenue25640TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column90TotalRevenueColumn
Related Or Exempt Function Income90RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2500Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2500Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2500TotalRevenueColumn
Related Or Exempt Function Income2500RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events96528GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10945CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses43657FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column52871TotalRevenueColumn
Exclusion$52,871ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column561858TotalRevenueColumn
Related Or Exempt Function Income28230RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$52,871ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total48000Total
Program Services42283ProgramServices
Management And General3149ManagementAndGeneral
Fundraising2568Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total210848Total
Program Services185737ProgramServices
Management And General13831ManagementAndGeneral
Fundraising11280Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13979Total
Program Services12314ProgramServices
Management And General917ManagementAndGeneral
Fundraising748Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23285Total
Program Services20512ProgramServices
Management And General1527ManagementAndGeneral
Fundraising1246Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5777Total
Program Services5089ProgramServices
Management And General379ManagementAndGeneral
Fundraising309Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2858Total
Program Services2518ProgramServices
Management And General187ManagementAndGeneral
Fundraising153Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21225Total
Program Services18697ProgramServices
Management And General1392ManagementAndGeneral
Fundraising1136Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52044Total
Program Services45844ProgramServices
Management And General3416ManagementAndGeneral
Fundraising2784Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17639Total
Program Services15538ProgramServices
Management And General1157ManagementAndGeneral
Fundraising944Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17425Total
Program Services15350ProgramServices
Management And General1143ManagementAndGeneral
Fundraising932Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total93Total
Management And General93ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total6898Total
Program Services6076ProgramServices
Management And General453ManagementAndGeneral
Fundraising369Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2109Total
Program Services1858ProgramServices
Management And General138ManagementAndGeneral
Fundraising113Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10363Total
Program Services9129ProgramServices
Management And General680ManagementAndGeneral
Fundraising554Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
STIPENDS2131721317
CLIENT SERVICES1509513297990808
LICENSES & PERMITS5044443327

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5094Total
Program Services2151ProgramServices
Management And General1619ManagementAndGeneral
Fundraising1324Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total474553Total
Program Services418154ProgramServices
Management And General31104ManagementAndGeneral
Fundraising25295Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY40746BOY
EOY75326EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6778BOY
EOY139338EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY55617BOY
EOY42639EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64422BOY
EOY9339EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY474BOY
EOY474EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12139BOY
EOY7082EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis95353LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec92865LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1868BOY
EOY2488EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1222BOY
EOY1340EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY183266BOY
EOY278026EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20188BOY
EOY23344EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2620BOY
EOY1950EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY5997BOY
EOY10848EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28805BOY
EOY36142EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY117133BOY
EOY207512EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY37328BOY
EOY34372EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY154461BOY
EOY241884EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY183266BOY
EOY278026EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses87305ReconcilationRevenueExpenses
Reconciliation Unrealized Invest118ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years475133CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years335581CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years300135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350855CurrentTaxYearMinus1Year
Current Tax Year469812CurrentTaxYear
Total1931516Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years475133CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years335581CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years300135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350855CurrentTaxYearMinus1Year
Current Tax Year469812CurrentTaxYear
Total1931516Total
FieldValueIRS element (for citing)
Public Support Total1701931516PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3766CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years540CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year63CurrentTaxYearMinus1Year
Current Tax Year90CurrentTaxYear
Total4459Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7249CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10388CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2533CurrentTaxYearMinus1Year
Total25893Total
FieldValueIRS element (for citing)
Total Support1961868TotalSupport
Public Support Pertcentage1700.98450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97810PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Beginning Balance5997BeginningBalance
Additions During Year184745AdditionsDuringYear
Distributions During Year179894DistributionsDuringYear
Ending Balance10848EndingBalance
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis95353OtherCostOrOtherBasis
Depreciation92865Depreciation
Book Value2488BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2488TotalOfBookValueLandBuildings

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
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, 2013.
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. THE FOUNDATION IS NO LONGER SUBJECT TO U.S. FEDERAL INFORMATIONAL RETURN EXAMINATIONS FOR YEARS ENDING BEFORE JUNE 30, 2010.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LANCASTER WALK AND CASINO NIGHTNameOfEvent1
Gross Receipts Event126943GrossReceiptsEvent1
Gross Revenue Event126943GrossRevenueEvent1
Other Direct Expenses Event121941OtherDirectExpensesEvent1
Name Of Event2SUMMER STROLL - WAUSAUNameOfEvent2
Gross Receipts Event217770GrossReceiptsEvent2
Gross Revenue Event217770GrossRevenueEvent2
Other Direct Expenses Event22209OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events62760GrossReceiptsOtherEvents
Charitable Contrib Other Events10945CharitableContribOtherEvents
Gross Revenue Other Events51815GrossRevenueOtherEvents
Other Direct Expenses Other Events19507OtherDirectExpensesOtherEvents
Gross Receipts Total107473GrossReceiptsTotal
Charitable Contributions Total10945CharitableContributionsTotal
Gross Revenue Total Events96528GrossRevenueTotalEvents
Other Direct Expenses Total Events43657OtherDirectExpensesTotalEvents
Direct Expense Summary Events43657DirectExpenseSummaryEvents
Net Income Summary52871NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15AIN 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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