ODD FELLOW REBEKAH HOME ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ODD FELLOW REBEKAH HOME ASSOCIATION INC (EIN 39-0838135)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-07
IRS object ID
201311279349301026
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)
Timestamp2013-05-07T12:05:02-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390838135EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ODD FELLOW REBEKAH HOME ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlODDFNameControl
Phone9205937000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11207 SOUTH JACKSON STREETAddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code54301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLENE EVERETTName
TitleCEOTitle
Phone9205937000Phone
Date Signed2013-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGORDON J VETSCHName
PTINP00047306PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLENE EVERETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11207 SOUTH JACKSON STREETAddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code54301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7017662GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OFRHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1889YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionELDERLY AND DISABLED HOUSING AND HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees207TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5329ContributionsGrantsPriorYear
Contributions Grants Current Year2653ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5998621ProgramServiceRevenuePriorYear
Program Service Revenue CY6771474ProgramServiceRevenueCY
Investment Income Prior Year309958InvestmentIncomePriorYear
Investment Income Current Year117273InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6313908TotalRevenuePriorYear
Total Revenue Current Year6891400TotalRevenueCurrentYear
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 Year4015869SalariesEtcPriorYear
Salaries Etc Current Year4289514SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2221030OtherExpensePriorYear
Other Expenses Current Year2897801OtherExpensesCurrentYear
Total Expenses Prior Year6236899TotalExpensesPriorYear
Total Expenses Current Year7187315TotalExpensesCurrentYear
Revenues Less Expenses Prior Year77009RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-295915RevenuesLessExpensesCY
Total Assets BOY14957342TotalAssetsBOY
Total Assets EOY14580167TotalAssetsEOY
Total Liabilities BOY7128854TotalLiabilitiesBOY
Total Liabilities EOY6804544TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7828488NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7775623NetAssetsOrFundBalancesEOY
Mission DescriptionELDERLY AND DISABLED HOUSING AND HEALTH SERVICES AT OR BELOW THE LOW/LOW-MEDIAN RATES FOR OUR CONSUMER AREA. INCLUDES UNDER FUNDED CARE FOR LOW INCOME COUNTY PLACED TENANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5005287Expense
Grants0Grants
Revenue5319718Revenue
DescriptionODD FELLOW HOME:A 74-BED SKILLED NURSING AND REHABILITATION FACILITY FOR THE ELDERLY OF BROWN COUNTY, WISCONSIN AND THE SURROUNDING AREA. A FOUR-STAR CMS PROGRAM, WITH THE MAJORITY OF THE CLIENTS BEING MEDICAID UNDERFUNDED. REHAB SEES A LARGE PERCENTAGE OF OUR CLIENTS RETURNING TO THEIR HOMES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense680261Expense
Grants0Grants
Revenue670869Revenue
DescriptionHERITAGE GARDENS: AN 18-BED MEMORY CARE COMMUNITY BASED RESIDENTIAL FACILITY. IT FEATURES 24-HOUR STAFF AND HEALTH MONITORING BY LICENSED NURSES IN A CALMING RESIDENTIAL ATMOSPHERE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense597158Expense
Grants0Grants
Revenue780887Revenue
DescriptionREBEKAH HAVEN:A 20-BED CERTIFIED RESIDENTIAL CARE APARTMENT COMPLEX, IN GREEN BAY, WISCONSIN. SENIOR PRIVATE APARTMENTS WITH 24-HOUR SERVICES PROVIDED, TO ALLOW INDEPENDENCE, CHOICE AND QUALITY OF LIFE IN A SAFE ENVIRONMENT. COUNTY FUNDING HELPS COVER TENANTS WITHOUT FUNDS FOR SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense6282706TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Required0ScheduleJRequired
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 With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees207NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMIE STROHSCHEINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9205937000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11207 SOUTH JACKSON STREETAddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code54301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
TOM REED
BOARD PRESIDENT1.000.00XX000
BONNIE OLSON
VICE PRESIDENT1.000.00XX000
PATRICIA MOTT
SECRETARY1.000.00XX000
SHARON CUNNINGHAM
GRAND MASTER/BOARD MEMBER1.000.00X000
ROBERTA BIERHALS
BOARD MEMBER1.000.00X000
LOREN CUNNINGHAM
BOARD MEMBER2.000.00X000
LINDA ENGSTROM
ASSEMBLY PRESIDENT/BOARD MEMBER1.000.00X000
RICHARD PROULX
BOARD MEMBER5.000.00X000
CHARLENE EVERETT
CEO (AS OF 10/6/12)40.000.00X8861602395
TRUDEY PETERSON
FORMER CEO (UNTIL 10/19/12)40.000.00X14029703733
JAMIE STROHSCHEIN
CFO (AS OF 10/29/12)32.000.00X11187052
JENNIFER KLASEN
FORMER FINANCE DIRECTOR (UNTIL 6/6/12)40.000.00X307380105
BETTY BAHRINGER
FORMER FINANCE DIRECTOR (7/6/12-10/22/12)40.000.00X22883023
FieldValueIRS element (for citing)
Total Reportable Comp From Org293721TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6308TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MJ CARE INC
2448 SOUTH 102ND STREET 340MILWAUKEEWI53227CONTRACTED THERAPY330102
BSG MAINTENANCE INC
PO BOX 165NEWBURGWI53060CONTRACTED LAUNDRY & HOUSEKEEPING186372
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2653AllOtherContributions
Total Contributions2653TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCY FEES62300067518666751866
AUXILIARY REVENUES6230001960819608
FieldValueIRS element (for citing)
Total Program Service Revenue6771474TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column123195TotalRevenueColumn
Exclusion$123,195ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities120340Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities126262Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-5922Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5922TotalRevenueColumn
Exclusion-$5,922ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6891400TotalRevenueColumn
Related Or Exempt Function Income6771474RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$117,273ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total300029Total
Program Services2350ProgramServices
Management And General297679ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3544983Total
Program Services3257855ProgramServices
Management And General287128ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total38318Total
Program Services35215ProgramServices
Management And General3103ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total121461Total
Program Services105779ProgramServices
Management And General15682ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total284723Total
Program Services241810ProgramServices
Management And General42913ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58556Total
Management And General58556ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23734Total
Management And General23734ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total589881Total
Program Services550798ProgramServices
Management And General39083ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total54842Total
Program Services53670ProgramServices
Management And General1172ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total318870Total
Program Services263112ProgramServices
Management And General55758ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total277181Total
Program Services271259ProgramServices
Management And General5922ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13739Total
Management And General13739ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total276175Total
Program Services270275ProgramServices
Management And General5900ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total500442Total
Program Services489751ProgramServices
Management And General10691ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total66351Total
Program Services64934ProgramServices
Management And General1417ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD186616186616
HOUSEKEEPING182205182205
BED TAX163200163200
BAD DEBT140797140797

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total45212Total
Program Services3080ProgramServices
Management And General42132ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7187315Total
Program Services6282706ProgramServices
Management And General904609ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY273662BOY
EOY121476EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY67285BOY
EOY63447EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY545836BOY
EOY587646EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY84440BOY
EOY31338EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14664802LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4706197LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10286156BOY
EOY9958605EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3646944BOY
EOY3767489EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY53019BOY
EOY50166EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14957342BOY
EOY14580167EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY389598BOY
EOY479851EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6733028BOY
EOY6318546EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY6228BOY
EOY6147EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7128854BOY
EOY6804544EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7692785BOY
EOY7639920EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY135703BOY
EOY135703EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7828488BOY
EOY7775623EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14957342BOY
EOY14580167EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-295915ReconcilationRevenueExpenses
Reconciliation Unrealized Invest243050ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
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 Years1400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1134CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5329CurrentTaxYearMinus1Year
Current Tax Year2653CurrentTaxYear
Total16413Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5718644CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5997500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6143788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5998621CurrentTaxYearMinus1Year
Current Tax Year6771474CurrentTaxYear
Total30630027Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5720044CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6003397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6144922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6003950CurrentTaxYearMinus1Year
Current Tax Year6774127CurrentTaxYear
Total30646440Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years290946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years306687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years692132CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year787555CurrentTaxYearMinus1Year
Current Tax Year215700CurrentTaxYear
Total2293020Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years290946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years306687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years692132CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year787555CurrentTaxYearMinus1Year
Current Tax Year215700CurrentTaxYear
Total2293020Total
FieldValueIRS element (for citing)
Public Support Total50928353420PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years109411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110958CurrentTaxYearMinus1Year
Current Tax Year123195CurrentTaxYear
Total538698Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years109411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110958CurrentTaxYearMinus1Year
Current Tax Year123195CurrentTaxYear
Total538698Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-18129CurrentTaxYearMinus3Years
Total-15747Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5804706CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6094679CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6257776CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6114908CurrentTaxYearMinus1Year
Current Tax Year6897322CurrentTaxYear
Total31169391Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90970PublicSupportPercentage509
Prior Year Support Percentage0.90540PriorYearSupportPercentage
Investment Income Percentage0.01730InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME FROM VARIOUS SOURCES LOSS ON DEBT REFINANCINGGeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
Investment Earnings Or Losses15298InvestmentEarningsOrLosses
Other Expenditures-15298OtherExpenditures
End Of Year Balance135703EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
Investment Earnings Or Losses-14467InvestmentEarningsOrLosses
Other Expenditures-14467OtherExpenditures
End Of Year Balance135703EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
Investment Earnings Or Losses15326InvestmentEarningsOrLosses
Other Expenditures15326OtherExpenditures
End Of Year Balance135703EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
Investment Earnings Or Losses25513InvestmentEarningsOrLosses
Other Expenditures25513OtherExpenditures
End Of Year Balance135703EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
End Of Year Balance135703EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis244464OtherCostOrOtherBasis
Book Value244464BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12724760OtherCostOrOtherBasis
Depreciation3481374Depreciation
Book Value9243386BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis94368OtherCostOrOtherBasis
Depreciation63124Depreciation
Book Value31244BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1537860OtherCostOrOtherBasis
Depreciation1099131Depreciation
Book Value438729BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis63350OtherCostOrOtherBasis
Depreciation62568Depreciation
Book Value782BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9958605TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt6771474TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal6771474RevenueSubtotal
Investment Expenses Not Included23734InvestmentExpensesNotIncluded
Other Revenues Not Included96192OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt119926RevenueNotRptdOnFinStmt
Total Revenue Per Form9906891400TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7163581TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7163581ExpensesSubtotal
Investment Expenses Not Included223734InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt23734ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907187315TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT TRUST FUNDS ARE OFFERED TO ALL RESIDENTS AT ODD FELLOW HOME. THE FUNDS ARE NOT CO-MINGLED WITH ANY OTHER ORGANIZATION FUNDS. ONLY THE RESIDENT OR THE RESIDENTS AUTHORIZED INDIVIDUAL MAY ACCESS THESE FUNDS. RESIDENTS RECEIVE AT LEAST A QUARTERLY STATEMENT OF THEIR FUND ACTIVITY. FUNDS ARE KEPT IN AN INTEREST BEARING ACCOUNT. RESIDENTS WITH ACCOUNT BALANCES ABOVE $50 WILL EARN INTEREST AT THE CURRENT BANK RATE. STAFF HANDLING THE FUNDS WILL BE BONDED. THE BOND BENEFICIARY IS THE STATE OF WISCONSIN.
PART V, LINE 4:TO SUPPORT THE HEALTH CARE SERVICES AT ODD FELLOW HOME.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X, LINE 2:THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND WISCONSIN STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR UNCERTAIN TAX POSITIONS AND NO LIABILITY IS RECOGNIZED BY THE ORGANIZATION BY APPLICATION OF THIS STANDARD. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2009, 2010, AND 2011 TAX YEARS ARE OPEN TO EXAMINATION BY THE IRS.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CONTRIBUTIONS 2,653. INVESTMENT INCOME 93,539.PART XI, LINE 4B - OTHER ADJUSTMENTS:

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN391337855IssuerEIN
Date Issued2010-08-01DateIssued
Issue Price7075000IssuePrice
Description Of PurposeNEW CONSTRUCTION AND REFINANCE EXISTING BOND AND DEBTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired756454AmountRetired
Total Proceeds7075000TotalProceeds
Capitalized Interest89314CapitalizedInterest
Issuance Costs From Proceeds57061IssuanceCostsFromProceeds
Capital Expenditures5292654CapitalExpenditures
Other Spent Proceeds1635971OtherSpentProceeds
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding0CurrentRefunding
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 Property1OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE BOARD PRESIDENT HAS THE AUTHORITY TO BREAK A TIE VOTE.
FORM 990, PART VI, SECTION A, LINE 2LOREN CUNNINGHAM AND SHIRLEY CUNNINGHAM - FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION HAS TWO CLASSES OF MEMBERS: 1. ALL THIRD-DEGREE ODD FELLOWS IN GOOD STANDING IN THE STATE OF WISCONSIN. 2. ALL REBEKAHS IN GOOD STANDING IN THE STATE OF WISCONSIN.
FORM 990, PART VI, SECTION A, LINE 7ACORPORATE MEMBERS IN GOOD STANDING VOTE FOR ALL BOARD POSITIONS.
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENTS TO THE ARTICLES OR INCORPORATION AND BYLAWS ARE SUBJECT TO MEMBERSHIP APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AT A BOARD MEETING. COPIES ARE MAILED TO ALL BOARD MEMBERS PRIOR TO THE MEETING WITH THE AGENDA.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS AND KEY MANAGEMENT STAFF. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; 3. A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE BOARD HAS DECIDED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE IN THIS ORGANIZATION SHOULD BE MADE TO THE CEO, WHO SHALL BRING THE MATTER TO THE BOARD. DISCLOSURES INVOLVING THE BOARD MEMBERS WILL BE BROUGHT TO THE BOARD PRESIDENT, OR TO THE VICE-PRESIDENT IN HIS OR HER ABSENCE, THEN TO THE BOARD. THE BOARD SHALL DETERMINE IF A CONFLICT EXISTS AND IN THE CASE OF A CONFLICT, WHETHER THE TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE THE DECISION OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION AND THEIR CONCERN MUST BE THE WELFARE OF THE ORGANIZATION. ALL PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO'S COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES REVIEWING SALARIES IN COMPARISON TO LOCAL WAGE PREVALENCE RATES AND LEADING AGE WISCONSIN WAGE SURVEY BASED ON THE LONG TERM CARE HEALTH INDUSTRY. THE PROCESS WAS LAST UNDERTAKEN FOR THE CEO IN OCTOBER, 2012. OTHER EMPLOYEES SALARIES ARE COMPARED TO LEADING AGE WISCONSIN AND LOCAL LONG TERM CARE DATABASES. THE CFO AND OTHER EMPLOYEE SALARIES ARE APPROVED BY THE CEO BASED ON DIRECTIVE OF PERCENTAGE INCREASE AND COMPARISON RANGE THE BOARD OF DIRECTORS WANTS TO MEET.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED IN FACILITIES, NEWSLETTERS, ANNUAL REPORTS AND IN CONTRACT PARTICIPATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE GRAND LODGE OF THE STATE OF WI INDEP ORDER OF ODD FELLOWSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1490 TYROLIAN DRIVEAddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code54302ZIPCode
FieldValueIRS element (for citing)
EIN390366558EIN
Primary ActivitiesFRATERNAL SOCIETYPrimaryActivities
Legal Domicile StateWILegalDomicileState
Exempt Code Section501(C)(8)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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