ATRIUM OF RACINE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ATRIUM OF RACINE INC (EIN 39-1615970)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-02
IRS object ID
201312149349300101
Schema version
2012v2.2
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)
Timestamp2013-08-02T07:28:35-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391615970EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Atrium of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlATRINameControl
Phone2626330500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel RischName
TitleCEOTitle
Date Signed2013-08-02DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel RischNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2464689GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lincolnlutheran.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionAtrium of Racine provides living services to older adults in the Atrium which is 76 units of independent living and Bay Pointe which is 40 units of assisted living. The average occupancy for 2012 for the Atrium was 92 and for Bay Pointe it was 85.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees60TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10087ContributionsGrantsPriorYear
Contributions Grants Current Year8110ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2376142ProgramServiceRevenuePriorYear
Program Service Revenue CY2187259ProgramServiceRevenueCY
Investment Income Prior Year2655InvestmentIncomePriorYear
Investment Income Current Year2202InvestmentIncomeCurrentYear
Other Revenue Prior Year299640OtherRevenuePriorYear
Other Revenue Current Year267118OtherRevenueCurrentYear
Total Revenue Prior Year2688524TotalRevenuePriorYear
Total Revenue Current Year2464689TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year950451SalariesEtcPriorYear
Salaries Etc Current Year969888SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1724550OtherExpensePriorYear
Other Expenses Current Year1694650OtherExpensesCurrentYear
Total Expenses Prior Year2675001TotalExpensesPriorYear
Total Expenses Current Year2664538TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13523RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-199849RevenuesLessExpensesCY
Total Assets BOY12950975TotalAssetsBOY
Total Assets EOY12343731TotalAssetsEOY
Total Liabilities BOY11049702TotalLiabilitiesBOY
Total Liabilities EOY10642307TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1901273NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1701424NetAssetsOrFundBalancesEOY
Mission DescriptionAtrium of Racine provides living services to older adults in the Atrium which is 76 units of independent living and Bay Pointe which is 40 units of assisted living. The average occupancy for 2012 for the Atrium was 92 and for Bay Pointe it was 85.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2479834Expense
Revenue2464689Revenue
DescriptionAn independent living community for seniors with 76 units and an assisted living community for seniors with 40 units.Description
Total Program Service Expense2479834TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees60NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2626330500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Daniel Risch
CEO001.00039.00XXX017994332859
Raymond Koukari Jr
President001.00009.00X000X
Cheryl Thomas
Vice Presidnet001.00009.00X000X
Dave Titus
Treasurer001.00009.00X000X
Morris Reece
Secretary001.00009.00X000X
Rev Dana O'Brien
Member-At-Large001.00009.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs179943TotalReportableCompFrmRltdOrgs
Total Other Compensation32859TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions8110AllOtherContributions
Total Contributions8110TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Independent Living Occupancy Fees623990596604596604
Assisted Living Occupancy Fees62399013392941339294
Amortization of Initiation Fees623990195812195812
Retained Initiation Fees6239905554955549
FieldValueIRS element (for citing)
Total Program Service Revenue2187259TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column702TotalRevenueColumn
Related Or Exempt Function Income702RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1500TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Meals6239904760747607
Ancillary Services623000189470189470

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column30041TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue267118TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2464689TotalRevenueColumn
Related Or Exempt Function Income2425038RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total743341Total
Program Services641865ProgramServices
Management And General101476ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total132077Total
Program Services114048ProgramServices
Management And General18029ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total94470Total
Program Services81575ProgramServices
Management And General12895ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4437Total
Program Services2219ProgramServices
Management And General2218ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14542Total
Management And General14542ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total43662Total
Program Services43662ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total33293Total
Program Services8135ProgramServices
Management And General25158ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7733Total
Management And General7733ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total355569Total
Program Services355569ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total652Total
Management And General652ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total390Total
Management And General390ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total411281Total
Program Services411281ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total425283Total
Program Services425283ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total74978Total
Program Services73690ProgramServices
Management And General1288ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Building Maint Repair4508645086
Therapy Expense29342934
Dietary Expense256981256981
Supplies62606260

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11569Total
Program Services11246ProgramServices
Management And General323ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2664538Total
Program Services2479834ProgramServices
Management And General184704ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1883100BOY
EOY1362823EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY130532BOY
EOY50749EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY246298BOY
EOY644433EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7983BOY
EOY7803EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY42830BOY
EOY43952EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15457008LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6205022LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9639706BOY
EOY9251986EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY807737BOY
EOY804590EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY192789BOY
EOY177395EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12950975BOY
EOY12343731EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY318951BOY
EOY273211EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3536259BOY
EOY3383392EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7105000BOY
EOY6920000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY89492BOY
EOY65704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11049702BOY
EOY10642307EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1901273BOY
EOY1701424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1901273BOY
EOY1701424EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12950975BOY
EOY12343731EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-199849ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1886CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1708CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10087CurrentTaxYearMinus1Year
Current Tax Year8110CurrentTaxYear
Total23520Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2232953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2293421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2424533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2376142CurrentTaxYearMinus1Year
Current Tax Year2187259CurrentTaxYear
Total11514308Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2234839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2295129CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2426262CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2386229CurrentTaxYearMinus1Year
Current Tax Year2195369CurrentTaxYear
Total11537828Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25695CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27539CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26885CurrentTaxYearMinus1Year
Current Tax Year23632CurrentTaxYear
Total130017Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25695CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27539CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26885CurrentTaxYearMinus1Year
Current Tax Year23632CurrentTaxYear
Total130017Total
FieldValueIRS element (for citing)
Public Support Total50911407811PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14394CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2655CurrentTaxYearMinus1Year
Current Tax Year702CurrentTaxYear
Total78038Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14394CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2655CurrentTaxYearMinus1Year
Current Tax Year702CurrentTaxYear
Total78038Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years317109CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years322946CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year299640CurrentTaxYearMinus1Year
Current Tax Year167118CurrentTaxYear
Total1385929Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2569518CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2626632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2753932CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2688524CurrentTaxYearMinus1Year
Current Tax Year2363189CurrentTaxYear
Total13001795Total
FieldValueIRS element (for citing)
Public Support Percentage5090.87740PublicSupportPercentage509
Prior Year Support Percentage0.87350PriorYearSupportPercentage
Investment Income Percentage0.00600InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other income includes meals, ancillary services and other revenueFactsAndCircumstancesTest
General ExplanationPart III Line 12 Other income includes meals, ancillary services and other revenueGeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis986355OtherCostOrOtherBasis
Book Value986355BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13408097OtherCostOrOtherBasis
Depreciation5349832Depreciation
Book Value8058265BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis878374OtherCostOrOtherBasis
Depreciation734383Depreciation
Book Value143991BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis184182OtherCostOrOtherBasis
Depreciation116307Depreciation
Book Value63375BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9251986TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Federal income taxes
Wait List$63,100
Resident Trust$2,604
FieldValueIRS element (for citing)
Total Of Amounts65704TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt2464689TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2464689RevenueSubtotal
Total Revenue Per Form9902464689TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2664538TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2664538ExpensesSubtotal
Total Expenses Per Form9902664538TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDaniel RischNamePerson
TitleCEOTitle
Comp Based On Related Orgs178506CompBasedOnRelatedOrgs
Other Compensation Related Orgs1437OtherCompensationRelatedOrgs
Deferred Comp Related Orgs15504DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs17355NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs212802TotalCompensationRelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference3ReturnReference
ExplanationCEO is paid by a related organization.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

ExplanationExplanation
Form 990 Part VI Line 7a Describe who may elect members of the governing body - The Board of Directors elect other members to the board.
Form 990 Part VI Line 9 Name and addresses of Board of Directors who cannot be reached at the organizations mailing address Rymond Koukari, Jr - President - Gateway Technical College, 1001 Main Street, Racine, WI 53401 Cheryl Thomas - Vice President - Blue Cross Blue Shield Assoc., 225 N Michigan Ave., Chicago, IL 60601 Dave Titus - Treasurer - BMO Bank One Main Street, Racine, WI 53403 Morris Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Rev. Dana OBrien - Member-at-Large - Atonement Lutheran Church, 2915 Wright Ave., Racine, WI 53405
Form 990 Part VI Line 11A Describe the review process of the 990 - The 990 tax returns are given to the Board of Directors once completed.
Form 990 Part VI Line 12c Describe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance.
Form 990 Part VI Line 15a and 15b Description of process for determining compensation - The organziation does not employee any officers.
Form 990 Part VI Line 18 and 19 Description for making documents public - The organization has this information available upon request.
Form 990 Part VI Section A Line b Average hours per week - Daniel Rischs hours primariily relate to the related organization Lincoln Lutheran of Racine, Inc. He spends less than 1 hour per week related to this organization.
Form 990 Part VII Section A Line e Describe reasonable efforts for information in e reportable compensation - Information was taken from W2 fo related organization.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Trinity Terrace Inc
2000 Domanik DriveRacineWI53404391667734Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran of Racine Inc
2000 Domanik DriveRacineWI53404390874802Senior ServicesWI501c31falseN/A
Lincoln Villas North Inc
2000 Domanik DriveRacineWI53404391363010Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran Charitable Trust
2000 Domanik DriveRacineWI53404391316328Investments for Lincoln LutheranWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran Community Care Corp
2000 Domanik DriveRacineWI53404391674718Nursing HomeWI501c39Lincoln Lutheran of Racine Incfalse
Siena on the Lake
2000 Domanik DriveRacineWI53404452814682Senior ServicesWI501c39Lincoln Lutheran of Racine Incfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Lincoln Manor Redevelopment
2000 Domanik DriveRacineWI53404203503259Low Income HousingWILincoln Lutheran of Racine Incfalsefalse
LVR Developer
2000 Domanik DriveRacineWI53404800553461Development CompanyWILincoln Lutheran of Racine Incfalsefalse
Lincoln Danish Home of Racine
2000 Domanik DriveRacineWI53404800451348Elderly HousingWILincoln Lutheran of Racine Incfalsefalse
Lincoln Villas Redevelopment
2000 Domanik DriveRacineWI53404383781716Low Income HousingWILincoln Lutheran of Racine Incfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LMR Managing MemberBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
EIN203502780EIN
Primary ActivityManaging MemberPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lincoln Lutheran of Racine Inc
d398135actual amount
Lincoln Lutheran of Racine Inc
p131672actual expense

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