2014-05-14T08:34:43-05:00 2013-06-30 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2012-07-01 391370658 EPILEPSY FOUNDATION HEART OF WISCONSIN INC EPIL 6084425555 1302 MENDOTA STREET MADISON WI 53714 WARREN LA DUKE 6084425555 2014-05-13 1 JOEL JOYCE P01001488 4142717800 2012 2015-11-30 17:44:51Z WARREN LA DUKE 1302 MENDOTA STREET MADISON WI 53714 605515 0 X EPILEPSYWISONSIN.ORG X 1980 WI THE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY. 21 21 16 0 0 0 362555 480757 16555 25640 4487 90 51281 55371 434878 561858 0 0 0 0 296647 296112 0 0 25295 137918 178441 434565 474553 313 87305 183266 278026 28805 36142 154461 241884 X THE EPILEPSY FOUNDATION HEART OF WISCONSIN LEADS THE FIGHT TO STOP SEIZURES, FIND A CURE AND OVERCOME THE CHALLENGES CREATED BY EPILEPSY. 0 0 187134 CLIENT 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. 139651 16590 PUBLIC 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. 45909 COMMUNITY SERVICES - THE FOUNDATION INCLUDED PARTICIPATION IN COALITION ORGANIZATIONS, DEVELOPMENTAL DISABILITIES COUNCILS, SURVIVAL GROUPS AND UNITED WAY AGENCY EXECUTIVE GROUPS WHICH BENEFIT PEOPLE AND FAMILIES WITH EPILEPSY OR THE DISABILITY COMMUNITY IN GENERAL. MUCH OF COMMUNITY SERVICE IS ADVOCACY RELATED, BUT INVOLVES COLLABORATION WITH OTHER HUMAN SERVICE PROVIDERS AND GOVERNMENTAL UNITS. 45460 PROFESSIONAL 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. 45460 418154 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X MELISSA CLARK 7153415811 1004 FIRST STREET STE 5 STEVENS POINT WI 54481 JENNIFER BENISHEK 0.80 X 0 0 0 SHERRY BETTHAUSER 0.80 X 0 0 0 SARAH CARLSON 0.80 X 0 0 0 JEREMIAH HASSELL 0.80 X 0 0 0 RICHARD IHLENFELD 0.80 X 0 0 0 JOSEPH JARES 0.80 X 0 0 0 PETER MASANA 0.80 X 0 0 0 ALYSSA MARCELL 0.80 X 0 0 0 PATRICK MARCELL 0.80 X 0 0 0 TOM MCCARRIER 0.80 X 0 0 0 RUSTY MEYERS 0.80 X 0 0 0 MARTY MULLEN 0.80 X 0 0 0 LIN NEWMAN 0.80 X 0 0 0 SHELLEEN SCHMOLL 0.80 X 0 0 0 JOHN WALKER 0.80 X 0 0 0 STUART WALTONEN 0.80 X 0 0 0 DEBORAH WASTART 0.80 X 0 0 0 WARREN LA DUKE 0.80 X 0 0 0 JULIE MARIE 0.80 X 0 0 0 LINDA BEST 0.80 X 0 0 0 JIM FERK 0.80 X 0 0 0 ART TAGGART 40.00 X 48000 0 0 48000 0 0 0 0 0 0 0 103793 1179 10945 133546 231294 480757 EDUCATION CONFERENCE 900099 16590 16590 FISCAL AGENT FEES 900099 9050 9050 25640 90 90 2500 0 2500 2500 2500 96528 10945 43657 52871 52871 561858 28230 0 52871 48000 42283 3149 2568 210848 185737 13831 11280 13979 12314 917 748 23285 20512 1527 1246 5777 5089 379 309 2858 2518 187 153 21225 18697 1392 1136 52044 45844 3416 2784 17639 15538 1157 944 17425 15350 1143 932 93 93 6898 6076 453 369 2109 1858 138 113 10363 9129 680 554 STIPENDS 21317 21317 CLIENT SERVICES 15095 13297 990 808 LICENSES & PERMITS 504 444 33 27 5094 2151 1619 1324 474553 418154 31104 25295 40746 75326 6778 139338 55617 42639 64422 9339 474 474 12139 7082 95353 92865 1868 2488 1222 1340 183266 278026 20188 23344 2620 1950 5997 10848 28805 36142 X 117133 207512 37328 34372 154461 241884 183266 278026 87305 118 0 X 0 0 0 X 475133 335581 300135 350855 469812 1931516 475133 335581 300135 350855 469812 1931516 1931516 3766 540 63 90 4459 7249 10388 5723 2533 25893 1961868 0.98450 0.97810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 5997 184745 179894 10848 1 X 95353 92865 2488 2488 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. LANCASTER WALK AND CASINO NIGHT 26943 26943 21941 SUMMER STROLL - WAUSAU 17770 17770 2209 7 62760 10945 51815 19507 107473 10945 96528 43657 43657 52871 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE AUDIT COMMITTEE AND THE BOARD CHAIR. THE ENTIRE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY STATES THAT NO MEMBER OF THE BOARD OF DIRECTORS OR THEIR IMMEDIATE FAMILY MAY ENGAGE IN BUSINESS TRANSACTIONS WITH THE EPILEPSY FOUNDATION HEART OF WISCONSIN FOR PROFIT, THAT PAID MEMBERS OF THE EPILEPSY FOUNDATION HEART OF WISCONSIN'S STAFF MAY NOT SERVE ON THE BOARD OF DIRECTORS, AND THAT MEMBERS OF THE BOARD OF DIRECTORS RECEIVE NO COMPENSATION, EXCEPT FOR REIMBURSEMENT OF EXPENSES INCURRED ON BOARD OF DIRECTOR BUSINESS. THE POLICY IS ANNUALLY REVIEWED AT THE FIRST MEETING OF THE YEAR. IF A CONFLICT OF INTEREST ARISES, THE CONFLICTED BOARD MEMBER IS ASKED TO RESIGN FROM HIS/HER POSITION. FORM 990, PART VI, SECTION B, LINE 15A IN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR, THE ORGANIZATION PARTICIPATES IN A UNITED WAY WAGE AND BENEFITS SURVEY OF DANE COUNTY NONPROFIT ORGANIZATIONS. IT ALSO USES OTHER COMPARATIVE DATA THAT MAY BE AVAILABLE THROUGH THE NATIONAL OFFICE OR THE ASSOCIATION OF FUNDRAISING PROFESSIONALS. THE GOVERNANCE COMMITTEE CONDUCTS THIS REVIEW ANNUALLY AND RECOMMENDS TO THE BOARD OF DIRECTORS CHANGES OR INCREASES TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE GOVERNANCE COMMITTEE MEMBERS DECIDE ON AN EVALUATION FORM AND CONTACT INDIVIDUAL BOARD MEMBERS TO COLLECT EVERYONE'S EVALUATION. THESE ARE COMPILED INTO AN EVALUATION DOCUMENT FOR PRESENTATION TO THE EXECUTIVE DIRECTOR AND INCLUSION INTO HIS EMPLOYMENT FILE. THE BOARD'S RECOMMENDATION FOR SALARY ADJUSTMENTS IS MADE IN THIS DOCUMENT AND AGREED TO BY THE EXECUTIVE DIRECTOR AT A REGULARLY SCHEDULED BOARD MEETING. THE BOARD MAY GO INTO EXECUTIVE SESSION BRIEFLY TO MAKE ANY NECESSARY DELIBERATIONS. THE LAST SALARY REVIEW FOR THE EXECUTIVE DIRECTOR WAS OCTOBER 18, 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.