EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EPILEPSY FOUNDATION OF WESTERN WISCONSIN INC (EIN 39-1372185)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-17
- IRS object ID
- 201301689349200270
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-06-17T11:09:29-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 OAKWOOD HILLS PARKWAY | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391372185 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPILEPSY FOUNDATION OF WESTERN WISCONSIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EPIL | NameControl |
| Phone | 7158344455 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 BRACKETT AVENUE SUITE 5 | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICK WALLIN | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7158344455 | Phone |
| Date Signed | 2013-06-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JENNIFER LINDSTROM | Name |
| PTIN | P00834024 | PTIN |
| Phone | 7158323407 | Phone |
| Date Prepared | 2013-06-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 160071 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 150192 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 7150 | ProgramServiceRevenue |
| Fundraising Gross Income | 2500 | FundraisingGrossIncome |
| Special Events Direct Expenses | 19602 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | -17102 | SpecialEventsNetIncomeLoss |
| Other Revenue Total | 229 | OtherRevenueTotal |
| Total Revenue | 140469 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 81718 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 4211 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 11380 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 925 | PrintingPublicationsPostage |
| Other Expenses Total | 35460 | OtherExpensesTotal |
| Total Expenses | 133694 | TotalExpenses |
| Excess Or Deficit For Year | 6775 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 40373 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 47148 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32205 | BOY |
| EOY | 39131 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10574 | BOY |
| EOY | 8017 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42779 | BOY |
| EOY | 47148 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2406 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40373 | BOY |
| EOY | 47148 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | ASSIST PEOPLE WITH EPILEPSY | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| CLIENT SERVICES | 0 | 28615 |
| CLIENT EDUCATION | 0 | 15380 |
| DEVELOPMENT AND GRANTS | 0 | 57174 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 101169 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| PATRICE AHNEMAN | ||||
| TREASURER | 1.00 | 0 | 0 | 0 |
| ANGELA STOMBAUGH | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| JUDITH ANIBAS | ||||
| PRESIDENT | 1.00 | 0 | 0 | 0 |
| MATT LIND | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| WILLIAM HOEPNER | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| DAVE WALBERG | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| DONELLE BENNETT | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| RICK WALLIN | ||||
| OFFICER | 40.00 | 31200 | 0 | 0 |
| JAMES CROTTEAU | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICK WALLIN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 BRACKETT AVENUE SUITE 5 | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7158344455 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 105963 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 93116 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94062 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 124768 | CurrentTaxYearMinus1Year |
| Current Tax Year | 133860 | CurrentTaxYear |
| Total | 551769 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 105963 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 93116 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94062 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 124768 | CurrentTaxYearMinus1Year |
| Current Tax Year | 133860 | CurrentTaxYear |
| Total | 551769 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 551769 | PublicSupportTotal170 |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2694 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 904 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 958 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1879 | CurrentTaxYearMinus1Year |
| Current Tax Year | 229 | CurrentTaxYear |
| Total | 6664 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 558433 | TotalSupport |
| Gross Receipts From Admissions Etc | 110673 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98810 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98180 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | STROLL | NameOfEvent1 |
| Gross Receipts Event1 | 36945 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 36945 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 13332 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FLAME | NameOfEvent2 |
| Gross Receipts Event2 | 13420 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10920 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 2500 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 6270 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 8740 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 8740 | CharitableContribOtherEvents |
| Gross Receipts Total | 59105 | GrossReceiptsTotal |
| Charitable Contributions Total | 56605 | CharitableContributionsTotal |
| Gross Revenue Total Events | 2500 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 19602 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 19602 | DirectExpenseSummaryEvents |
| Net Income Summary | -17102 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER REVENUE | FORM 990-EZ, PART I, LINE 8 | DESCRIPTION: MISCELLANEOUS INCOME. AMOUNT: 229. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: TRAINING. AMOUNT: 4,866. DESCRIPTION: INSURANCE. AMOUNT: 2,286. DESCRIPTION: AFFILIATION FEES. AMOUNT: 5,968. DESCRIPTION: MISCELLANEOUS. AMOUNT: 289. DESCRIPTION: PAYROLL TAXES. AMOUNT: 6,185. DESCRIPTION: SUPPLIES. AMOUNT: 2,538. DESCRIPTION: TRAVEL. AMOUNT: 9,354. DESCRIPTION: TELEPHONE. AMOUNT: 2,847. DESCRIPTION: EQUIPMENT. AMOUNT: 1,127. TOTAL TO FORM 990-EZ, LINE 16: 35,460. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 10,574. END OF YEAR AMOUNT: 8,017. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 2,406. END OF YEAR AMOUNT: 0. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |
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