CARL W NELSON ANIMAL SHELTER INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CARL W NELSON ANIMAL SHELTER INC (EIN 20-2980252)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-30
- IRS object ID
- 201302429349200800
- 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 | 2013-08-30T13:23:11-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200794302 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOY BORCHERT ERBS & ASSOCIATES LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 231 E STATE ST | AddressLine1 |
| City | MAUSTON | City |
| State | WI | State |
| ZIP Code | 53948 | 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 | 202980252 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARL NELSON ANIMAL SHELTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARL | NameControl |
| Phone | 6088474060 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 345 | AddressLine1 |
| City | MAUSTON | City |
| State | WI | State |
| ZIP Code | 53948 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEB FLINT | Name |
| Title | PRESIDENT | Title |
| Phone | 6088474060 | Phone |
| Date Signed | 2013-08-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LARRY ERBS | Name |
| PTIN | P00625752 | PTIN |
| Phone | 6088471040 | Phone |
| Date Prepared | 2013-08-19 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.CARLNELSON.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 106454 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 44037 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 8239 | ProgramServiceRevenue |
| Membership Dues | 3655 | MembershipDues |
| Investment Income | 523 | InvestmentIncome |
| Gross Amount From Sale Of Assets | 50000 | GrossAmountFromSaleOfAssets |
| Cost Other Basis And Sales Expenses | 375 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 49625 | GainOrLossFromSaleOfAssets |
| Total Revenue | 106079 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 493 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 3067 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 4541 | PrintingPublicationsPostage |
| Other Expenses Total | 28213 | OtherExpensesTotal |
| Total Expenses | 36314 | TotalExpenses |
| Excess Or Deficit For Year | 69765 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 145187 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 214952 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145187 | BOY |
| EOY | 134721 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 80231 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145187 | BOY |
| EOY | 214952 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145187 | BOY |
| EOY | 214952 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | PREVENTING OF CRUELTY & THE ADOPTION OF ANIMALS. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| ADOPTION OF DOGS & CATS | 0 | 7239 |
| SPAY & NEUTER PETS, AND CONTINUE TO HAVE CLINICS FOR SPAYING AND NEUTERING OF PETS. | 0 | 7537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 14776 | 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 |
|---|---|---|---|---|
| DEB FLINT | ||||
| PRESIDENT | 20.00 | 0 | 0 | 0 |
| TERRY DALLA VALLE | ||||
| TREASURER | 20.00 | 0 | 0 | 0 |
| ROSEMARY ANEY | ||||
| SECRETARY | 20.00 | 0 | 0 | 0 |
| ANN JUNE | ||||
| VICE PRESIDNET | 2.00 | 0 | 0 | 0 |
| JOHN DALLA VALLE | ||||
| DIRECTOR | 2.00 | 0 | 0 | 0 |
| KATHY STORANDT | ||||
| DIRECTOR | 2.00 | 0 | 0 | 0 |
| JAN BRENDLE | ||||
| DIRECTOR | 2.00 | 0 | 0 | 0 |
| SUSAN RORAFF | ||||
| DIRECTOR | 2.00 | 0 | 0 | 0 |
| HEATHER FLIETNER | ||||
| DIRECTOR | 2.00 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TERRI DALLA VALLE | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | W3760 LEMONWEIR CT | AddressLine1 |
| City | MAUSTON | City |
| State | WI | State |
| ZIP Code | 53948 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6088474060 | 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 Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29371 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40849 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39679 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71050 | CurrentTaxYearMinus1Year |
| Current Tax Year | 47692 | CurrentTaxYear |
| Total | 228641 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2926 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2997 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3480 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3370 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8239 | CurrentTaxYear |
| Total | 21012 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32297 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 43846 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 43159 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 74420 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55931 | CurrentTaxYear |
| Total | 249653 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 249653 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1526 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1036 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 941 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 907 | CurrentTaxYearMinus1Year |
| Current Tax Year | 523 | CurrentTaxYear |
| Total | 4933 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1526 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1036 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 941 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 907 | CurrentTaxYearMinus1Year |
| Current Tax Year | 523 | CurrentTaxYear |
| Total | 4933 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 48486 | CurrentTaxYear |
| Total | 48486 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 33823 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 44882 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44100 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 75327 | CurrentTaxYearMinus1Year |
| Current Tax Year | 104940 | CurrentTaxYear |
| Total | 303072 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.82370 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97370 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01630 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02630 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 523.. |
| OCCUPANCY, RENT, UTILITIES AND MAINTENENCE | FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 640. DESCRIPTION: OTHER EXPENSES. AMOUNT: 2,427. TOTAL TO FORM 990-EZ, LINE 14: 3,067. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: INSURANCE. AMOUNT: 2,587. DESCRIPTION: GENERAL SUPPLIES. AMOUNT: 3,427. DESCRIPTION: PROPERTY TAXES. AMOUNT: 1,820. DESCRIPTION: MISCELLANEOUS. AMOUNT: 272. DESCRIPTION: VET FEES. AMOUNT: 14,633. DESCRIPTION: CALENDARS. AMOUNT: 1,669. DESCRIPTION: TELEPHONE. AMOUNT: 501. DESCRIPTION: BUSINESS REGISTRATION FEE. AMOUNT: 25. DESCRIPTION: REPAIRS & MAINTENANCE. AMOUNT: 3,279. TOTAL TO FORM 990-EZ, LINE 16: 28,213. |
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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