ELYSIAN FIRE DEPARTMENT RELIEF ASSOCIATION: Form 990, tax year 2012
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- Organization
- ELYSIAN FIRE DEPARTMENT RELIEF ASSOCIATION (EIN 41-1671532)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-30
- IRS object ID
- 201331509349300028
- 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 | 2013-05-30T14:35:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411397419 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABDO EICK & MEYERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 CIVIC CENTER PLAZA SUITE 300 | AddressLine1 |
| City | MANKATO | City |
| State | MN | State |
| ZIP Code | 56001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411671532 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELYSIAN FIRE DEPARTMENT RELIEF ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ELYS | NameControl |
| Phone | 5072674326 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 E MAIN ST | AddressLine1 |
| City | ELYSIAN | City |
| State | MN | State |
| ZIP Code | 56028 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MIKE SCOTT | Name |
| Title | PRESIDENT | Title |
| Phone | 5072674326 | Phone |
| Date Signed | 2013-05-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS J OLINGER CPA | Name |
| PTIN | P00743407 | PTIN |
| Phone | 5076252727 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MIKE SCOTT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 E MAIN ST | AddressLine1 |
| City | ELYSIAN | City |
| State | MN | State |
| ZIP Code | 56028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 282290 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | NONE | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1915 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE RETIREMENT BENEFITS TO VOLUNTEER FIREFIGHTERS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | -1887 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 51319 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 30767 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5520 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5334 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -965 | OtherRevenuePriorYear |
| Other Revenue Current Year | 815 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 55874 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36916 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 5940 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19619 | OtherExpensePriorYear |
| Other Expenses Current Year | 11378 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19619 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17318 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 36255 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19598 | RevenuesLessExpensesCY |
| Total Assets BOY | 324396 | TotalAssetsBOY |
| Total Assets EOY | 355877 | TotalAssetsEOY |
| Total Liabilities BOY | 75 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 346 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 324321 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 355531 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE PART I, LINE 1. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 10460 | Expense |
| Description | PENSION BENEFIT EXPENSE | Description |
| Total Program Service Expense | 10460 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOEL LA FRANCE | NamePerson |
| Telephone Number | 5072674326 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 SHOREVIEW DR | AddressLine1 |
| City | ELYSIAN | City |
| State | MN | State |
| ZIP Code | 56028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JOSH THOMPSON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| NICK CRAM | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| KATHLEEN ANTTILA | ||||||
| EX-OFFICIO TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| PATRICIA NUSBAUM | ||||||
| EX-OFFICIO TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| JASON JAMES | ||||||
| EX-OFFICIO TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MIKE SCOTT | ||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| CARL MORSCHING | ||||||
| VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| RICH DROOG | ||||||
| SECRETARY | 2.00 | 0 | 0 | 0 | X | |
| JOEL LA FRANCE | ||||||
| TREASURER | 2.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 7000 | FundraisingEvents |
| Government Grants | 20697 | GovernmentGrants |
| All Other Contributions | 3070 | AllOtherContributions |
| Total Contributions | 30767 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5334 | TotalRevenueColumn |
| Exclusion | $5,334 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 7298 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 7000 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 7474 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -176 | TotalRevenueColumn |
| Exclusion | -$176 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 238891 | GrossIncomeGaming |
| Gaming Direct Expenses | 237900 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 991 | TotalRevenueColumn |
| Unrelated Business Revenue | -1887 | UnrelatedBusinessRevenue |
| Exclusion | $2,878 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36916 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -1887 | UnrelatedBusinessRevenue |
| Exclusion | $8,036 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5940 | Total |
| Program Services | 5940 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5103 | Total |
| Program Services | 4500 | ProgramServices |
| Management And General | 603 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20 | Total |
| Program Services | 20 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2622 | Total |
| Management And General | 2622 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| CLOTHING | 1519 | 1519 |
| DONATIONS | 1370 | 1370 |
| EQUIPMENT & SUPPLIES | 600 | 600 |
| MISCELLANEOUS | 144 | 144 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17318 | Total |
| Program Services | 10460 | ProgramServices |
| Management And General | 6858 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5319 | BOY |
| EOY | 41 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99234 | BOY |
| EOY | 38752 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 540 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 447 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219189 | BOY |
| EOY | 316492 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207 | BOY |
| EOY | 52 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324396 | BOY |
| EOY | 355877 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75 | BOY |
| EOY | 346 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75 | BOY |
| EOY | 346 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12278 | BOY |
| EOY | 16318 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 312043 | BOY |
| EOY | 339213 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324321 | BOY |
| EOY | 355531 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324396 | BOY |
| EOY | 355877 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 19598 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 11612 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28639 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36461 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 51319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30767 | CurrentTaxYear |
| Total | 169439 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28639 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36461 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 51319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30767 | CurrentTaxYear |
| Total | 169439 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 169439 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6263 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5288 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4408 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5334 | CurrentTaxYear |
| Total | 26813 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 941 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -556 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -2154 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -1070 | CurrentTaxYearMinus1Year |
| Current Tax Year | 991 | CurrentTaxYear |
| Total | -1848 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 194404 | TotalSupport |
| Gross Receipts From Admissions Etc | 49521 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.87160 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.88090 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GAMBLING TAXES PAYABLE | Description |
| Amount | $346 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 346 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 293902 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 11612 | NetUnrealizedGainsInvestments |
| Other Revenues | 245374 | OtherRevenues |
| Revenue Not Rptd F990 | 256986 | RevenueNotRptdF990 |
| Revenue Subtotal | 36916 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 36916 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 262692 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 245374 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 245374 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17318 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17318 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES FOR CHARITABLE GAMBLING AND FUNDRAISING |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES FOR CHARITABLE GAMBLING AND FUNDRAISING |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DANCE | NameOfEvent1 |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | 5858 | GrossRevenueBingo |
| Cash Prizes Bingo | 2980 | CashPrizesBingo |
| Volunteer Labor Bingo | 0 | VolunteerLaborBingo |
| Gross Revenue Pull Tabs | 233033 | GrossRevenuePullTabs |
| Cash Prizes Pull Tabs | 181306 | CashPrizesPullTabs |
| Rent Facility Costs Pull Tabs | 9927 | RentFacilityCostsPullTabs |
| Other Direct Expenses Pull Tabs | 43687 | OtherDirectExpensesPullTabs |
| Volunteer Labor Pull Tabs | 0 | VolunteerLaborPullTabs |
| Gross Revenue Total Gaming | 238891 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 184286 | CashPrizesTotalGaming |
| Rent Facility Costs Total Gaming | 9927 | RentFacilityCostsTotalGaming |
| Other Direct Expenses Total Gaming | 43687 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 237900 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 991 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MN | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 1 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | WAYNE JAMES | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 59 | AddressLine1 |
| City | ELYSIAN | City |
| State | MN | State |
| ZIP Code | 56028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | WAYNE JAMES | GamingManagerNamePerson |
| Gaming Manager Compensation | 10445 | GamingManagerCompensation |
| Gaming Manager Services Provided | GAMBLING MANAGER COMPENSATION | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | 1 | CharitableDistribRequired |
| Amount Distributed | 15729 | AmountDistributed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION IS COMPRISED OF MEMBERS OF THE VOLUNTEER FIRE DEPARTMENT |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS ELECT THE MEMBERS OF THE GOVERNING BODY |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS AFFECTING INVESTMENTS, BYLAWS, ETC ARE APPROVED BY THE MEMBERS |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO THE ASSOCIATION'S BOARD OF DIRECTORS FOR REVIEW. AFTER REVIEW IT IS MADE AVAILABLE TO THE MEMBERS FOR THEIR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE ASSOCIATION'S BOARD MEMBERS FOR ANY NECESSARY CHANGES |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ASSOCIATION MAKES ITS DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST |
| FORM 990, PART XII, LINC 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT |
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