ODD FELLOW REBEKAH HOME ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ODD FELLOW REBEKAH HOME ASSOCIATION INC (EIN 39-0838135)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-13
IRS object ID
201222269349300542
Schema version
2011v1.2
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)
Timestamp2012-08-13T09:35:39-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameTRUDEY PETERSONName
TitleCEOTitle
Phone9205937000Phone
Date Signed2012-08-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGORDON J VETSCHName
PTINP00047306PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTRUDEY PETERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11207 SOUTH JACKSON STREETAddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code54301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8834861GrossReceipts
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 Employees171TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1134ContributionsGrantsPriorYear
Contributions Grants Current Year5329ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6143788ProgramServiceRevenuePriorYear
Program Service Revenue CY5998621ProgramServiceRevenueCY
Investment Income Prior Year278290InvestmentIncomePriorYear
Investment Income Current Year309958InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6423212TotalRevenuePriorYear
Total Revenue Current Year6313908TotalRevenueCurrentYear
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 Year4041417SalariesEtcPriorYear
Salaries Etc Current Year4015869SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1956995OtherExpensePriorYear
Other Expenses Current Year2221030OtherExpensesCurrentYear
Total Expenses Prior Year5998412TotalExpensesPriorYear
Total Expenses Current Year6236899TotalExpensesCurrentYear
Revenues Less Expenses Prior Year424800RevenuesLessExpensesPriorYear
Revenues Less Expenses CY77009RevenuesLessExpensesCY
Total Assets BOY13468671TotalAssetsBOY
Total Assets EOY14957342TotalAssetsEOY
Total Liabilities BOY5286613TotalLiabilitiesBOY
Total Liabilities EOY7128854TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8182058NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7828488NetAssetsOrFundBalancesEOY
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
Expense4424753Expense
Grants0Grants
Revenue5129140Revenue
DescriptionODD FELLOW HOMEAN 82-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)
Expense582103Expense
Grants0Grants
Revenue720220Revenue
DescriptionREBEKAH HAVENA 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

Activity3 Activity3

FieldValueIRS element (for citing)
Expense498403Expense
Grants0Grants
Revenue149261Revenue
DescriptionFRIENDSHIP PLACEA 36-BED MEMORY CARE COMMUNITY BASED RESIDENTIAL FACILITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense5505259TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees171NumberOfEmployees
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
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 Line1TRUDEY PETERSONBusinessNameLine1
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 (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
TOM REED
BOARD PRESIDENT1.00XX000
PATRICIA MOTT
SECRETARY1.00XX000
BONNIE OLSON
VICE PRESIDENT1.00XX000
SHARON CUNNINGHAM
GRAND MASTER1.00X000
LOREN CUNNINGHAM
BOARD MEMBER1.00X000
RICHARD PROULX
BOARD MEMBER1.00X000
ROBERTA BIERHALS
BOARD MEMBER1.00X000
JOHN OLSEN
BOARD MEMBER - FORMER1.00X000
SHIRLEY REED
BOARD MEMBER - FORMER1.00X000
BEV KAPPEL
BOARD MEMBER - FORMER1.00X000
LINDA ENGSTROM
BOARD MEMBER1.00X000
TRUDEY PETERSON
CEO40.00X136414011376
JAMIE STROHSCHEIN
FINANCE DIRECTOR(01/01/11-11/09/11)32.00X6524008766
JENNIFER KLASEN
FINANCE DIRECTOR(11/10/11-12/31/11)40.00X660000
FieldValueIRS element (for citing)
Total Reportable Comp From Org208254TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation20142TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALLEY BAY THERAPY INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13305C NORTH BALLARD ROADAddressLine1
CityAPPLETONCity
StateWIState
ZIP Code54911ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONTRACTED THERAPYDescriptionOfServices
Compensation373084Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions5329AllOtherContributions
Total Contributions5329TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCY FEES62300059190795919079
AUXILIARY REVENUES6230007954279542
FieldValueIRS element (for citing)
Total Program Service Revenue5998621TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column110958TotalRevenueColumn
Exclusion$110,958ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2695270Securities
Other24683Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2394304Securities
Other126649Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities300966Securities
Other-101966Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column199000TotalRevenueColumn
Exclusion$199,000ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6313908TotalRevenueColumn
Related Or Exempt Function Income5998621RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$309,958ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total228396Total
Program Services1478ProgramServices
Management And General226918ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3188717Total
Program Services2948710ProgramServices
Management And General240007ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59445Total
Program Services54971ProgramServices
Management And General4474ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total290774Total
Program Services266553ProgramServices
Management And General24221ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total248537Total
Program Services215840ProgramServices
Management And General32697ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50729Total
Management And General50729ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total552433Total
Program Services519908ProgramServices
Management And General32525ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53433Total
Program Services52291ProgramServices
Management And General1142ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total261520Total
Program Services211709ProgramServices
Management And General49811ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total257191Total
Program Services251697ProgramServices
Management And General5494ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13715Total
Management And General13715ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total176006Total
Program Services172246ProgramServices
Management And General3760ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total438744Total
Program Services429371ProgramServices
Management And General9373ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total67472Total
Program Services66031ProgramServices
Management And General1441ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BED TAX167280167280
FOOD143854143854
MISCELLANEOUS2763527635
DUES & SUBSCRIPTIONS76987698

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3320Total
Program Services3320ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6236899Total
Program Services5505259ProgramServices
Management And General731640ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY801492BOY
EOY273662EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27639BOY
EOY67285EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY391110BOY
EOY545836EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73625BOY
EOY84440EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14494785LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4208629LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8015652BOY
EOY10286156EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4103281BOY
EOY3646944EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY55872BOY
EOY53019EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13468671BOY
EOY14957342EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1130946BOY
EOY389598EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4150307BOY
EOY6733028EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY5360BOY
EOY6228EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5286613BOY
EOY7128854EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8046355BOY
EOY7692785EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY135703BOY
EOY135703EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8182058BOY
EOY7828488EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13468671BOY
EOY14957342EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses77009ReconcilationRevenueExpenses
Reconcilation Other Changes-430579ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years2433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5897CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1134CurrentTaxYearMinus1Year
Current Tax Year5329CurrentTaxYear
Total16193Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5463469CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5718644CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5997500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6143788CurrentTaxYearMinus1Year
Current Tax Year5998621CurrentTaxYear
Total29322022Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5465902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5720044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6003397CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6144922CurrentTaxYearMinus1Year
Current Tax Year6003950CurrentTaxYear
Total29338215Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years251203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years290946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years306687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year692132CurrentTaxYearMinus1Year
Current Tax Year787555CurrentTaxYear
Total2328523Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years251203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years290946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years306687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year692132CurrentTaxYearMinus1Year
Current Tax Year787555CurrentTaxYear
Total2328523Total
FieldValueIRS element (for citing)
Public Support Total50927009692PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92439CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years109411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112854CurrentTaxYearMinus1Year
Current Tax Year110958CurrentTaxYear
Total507942Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92439CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years109411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112854CurrentTaxYearMinus1Year
Current Tax Year110958CurrentTaxYear
Total507942Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years2382CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-18129CurrentTaxYearMinus2Years
Total-15747Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5558341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5804706CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6094679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6257776CurrentTaxYearMinus1Year
Current Tax Year6114908CurrentTaxYear
Total29830410Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90540PublicSupportPercentage509
Prior Year Support Percentage0.92220PriorYearSupportPercentage
Investment Income Percentage0.01700InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01720PriorYrInvestIncomePercentage
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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance135703BeginningOfYearBalance
End Of Year Balance135703EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
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 Basis12645678OtherCostOrOtherBasis
Depreciation3086066Depreciation
Book Value9559612BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis88224OtherCostOrOtherBasis
Depreciation60009Depreciation
Book Value28215BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1453069OtherCostOrOtherBasis
Depreciation1002336Depreciation
Book Value450733BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis63350OtherCostOrOtherBasis
Depreciation60218Depreciation
Book Value3132BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10286156TotalOfBookValueLandBuildings
Total Revenue6313908TotalRevenue
Total Expenses6236899TotalExpenses
Excess Or Deficit For Year77009ExcessOrDeficitForYear
Net Unrealized GL On Investments-430579NetUnrealizedGLOnInvestments
Total Adjustments-430579TotalAdjustments
Excess Or Deficit Per FS-353570ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5998621TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal5998621RevenueSubtotal
Other Revenues Not Included315287OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt315287RevenueNotRptdOnFinStmt
Total Revenue Per Form9906313908TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6236899TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6236899ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906236899TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 RECIEVE 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: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 2008, 2009, AND 2010 TAX YEARS ARE OPEN TO EXAMINATION BY THE IRS.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CONTRIBUTIONS 5,329. INVESTMENT INCOME 411,924. LOSS ON DISPOSAL OF PROPERTY -101,966.PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Amount Retired341972AmountRetired
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)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 SHARON CUNNINGHAM - FAMILY RELATIONSHIP TOM REED AND SHIRLEY REED - 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 GOODSTANDING VOTE FOR ALL BOARD POSITIONS.
FORM 990, PART VI, SECTION A, LINE 7BARTICLES OR INCORPORATION AND BYLAWS ARE SUBJECT TO MEMBERSHIP APPROVAL
FORM 990, PART VI, SECTION B, LINE 11THE 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. THE CEO REVIEWS ALL IDENTIFIED OR SUSPECTED CONFLICTS AND REPORTS THEM TO THE FULL BOARD OF DIRECTORS. ANY ONE WITH A CONFLICT IS NOT ALLOWED TO DISCUSS OR VOTE IN RELATED ACTIONS.
FORM 990, PART VI, SECTION B, LINE 15THE 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, 2011. OTHER EMPLOYEES SALARIES ARE COMPARED TO LEADING AGE WISCONSIN AND LOCAL LONG TERM CARE DATABASES. THE OTHER EMPLOYEES 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.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -430,579.CHANGES IN NET ASSETS OR FUND BALANCES:

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
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
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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