AMERY AREA FOOD PANTRY INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMERY AREA FOOD PANTRY INC (EIN 27-1111360)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-03
IRS object ID
201311549349200621
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)
Timestamp2013-06-03T14:16:16-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN411562398EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARLSON HIGHLAND & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1301 KELLER AVENUE SAddressLine1
CityAMERYCity
StateWIState
ZIP Code54001ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN271111360EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERY AREA FOOD PANTRY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone7152687560Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 64AddressLine1
CityAMERYCity
StateWIState
ZIP Code54001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameREGIS JOHNSONName
TitlePRESIDENTTitle
Phone7152688588Phone
Date Signed2013-06-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD A DAVIS CPAName
PTINP00132449PTIN
Phone7152687999Phone
Date Prepared2013-05-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Schedule B Not RequiredXScheduleBNotRequired
Web SiteN/AWebSite
Organization501c3XOrganization501c3
Gross Receipts49916GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc49894ContributionsGiftsGrantsEtc
Investment Income22InvestmentIncome
Total Revenue49916TotalRevenue
Fees And Oth Pymt To Ind Contractors400FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint269OccupancyRentUtilitiesAndMaint
Printing Publications Postage454PrintingPublicationsPostage
Other Expenses Total44394OtherExpensesTotal
Total Expenses45517TotalExpenses
Excess Or Deficit For Year4399ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY32833NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY37232NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY31216BOY
EOY35884EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1617BOY
EOY1348EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32833BOY
EOY37232EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY32833BOY
EOY37232EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeIT IS PURPOSE OF THE AMERY AREA FOOD PANTRY TO PROVIDE A FOOD BANK THAT SERVES THE AMERY AREA SCHOOL DISTRICT WISCONSIN POPULATION OF NEEDY PEOPLE WHO ARE UNABLE AFFORD TO PUT FOOD ON THEIR TABLE FOR THEMSELVES OR FAMILY. THE FOOD PANTRY PROVIDES FOOD TO THESE INDIVIDUALS WHO MEET THE FEDERAL GUIDELINES.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomPROVIDING A FOOD BANK THAT SERVES THE AMERY AREA SCHOOL DISTRICT POPULATION OF PEOPLE WHO ARE IN NEED OF FOOD BUT DO NOT HAVE THE FINANCIAL ABILITY ACCORDING TO THE FEDERAL GUIDELINES.DescriptionProgramServiceAccom
Grants And Allocations0GrantsAndAllocations
Program Service Expenses44394ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses44394TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (6 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
LAURENE REGIS JOHNSON
PRESIDENT1.00000
JULIE RIEMENSCHNEIDER
SECRETARY2.50000
SHIRLEY KLOPOTEK
TREASURER1.00000
THEMA BETZOLD
DIRECTOR0.00000
KATHY PENNINGTON
DIRECTOR0.00000
DAVID FISH
EXECUTIVE DIRECTOR8.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 64AddressLine1
CityAMERYCity
StateWIState
ZIP Code54001ZIPCode
FieldValueIRS element (for citing)
Telephone Number7152687560TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years99885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36709CurrentTaxYearMinus1Year
Current Tax Year49894CurrentTaxYear
Total186488Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years99885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36709CurrentTaxYearMinus1Year
Current Tax Year49894CurrentTaxYear
Total186488Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509186488PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years108CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44CurrentTaxYearMinus1Year
Current Tax Year22CurrentTaxYear
Total174Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years108CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44CurrentTaxYearMinus1Year
Current Tax Year22CurrentTaxYear
Total174Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years99993CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36753CurrentTaxYearMinus1Year
Current Tax Year49916CurrentTaxYear
Total186662Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99890PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER INVESTMENT INCOMEFORM 990-EZ, PART I, LINE 4INTEREST 22..
OCCUPANCY, RENT, UTILITIES AND MAINTENENCEFORM 990-EZ, PART I, LINE 14DESCRIPTION: DEPRECIATION. AMOUNT: 269.
OTHER EXPENSESFORM 990-EZ, PART I, LINE 16DESCRIPTION: FOOD PANTRY GROCERIES. AMOUNT: 43,505. DESCRIPTION: INSURANCE. AMOUNT: 425. DESCRIPTION: TELEPHONE. AMOUNT: 454. DESCRIPTION: LICENSE RENEWAL. AMOUNT: 10. TOTAL TO FORM 990-EZ, LINE 16: 44,394.
OTHER ASSETSFORM 990-EZ, PART II, LINE 24DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 1,617. END OF YEAR AMOUNT: 1,348.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE 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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