ATRIUM OF RACINE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ATRIUM OF RACINE INC (EIN 39-1615970)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-13
IRS object ID
201222269349302622
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)
Timestamp2012-08-13T16:39:03-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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)
NameRick BovaName
TitleCFOTitle
Phone2628982701Phone
Date Signed2012-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameF RICHARD BOVA JRName
Phone2628982701Phone
Date Prepared2012-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts2688524GrossReceipts
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 2011 for the Atrium was 93 and for Bay Pointe it was 85.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees57TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1729ContributionsGrantsPriorYear
Contributions Grants Current Year10087ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2424533ProgramServiceRevenuePriorYear
Program Service Revenue CY2376142ProgramServiceRevenueCY
Investment Income Prior Year4724InvestmentIncomePriorYear
Investment Income Current Year2655InvestmentIncomeCurrentYear
Other Revenue Prior Year322946OtherRevenuePriorYear
Other Revenue Current Year299640OtherRevenueCurrentYear
Total Revenue Prior Year2753932TotalRevenuePriorYear
Total Revenue Current Year2688524TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year966661SalariesEtcPriorYear
Salaries Etc Current Year950451SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1549629OtherExpensePriorYear
Other Expenses Current Year1724550OtherExpensesCurrentYear
Total Expenses Prior Year2516290TotalExpensesPriorYear
Total Expenses Current Year2675001TotalExpensesCurrentYear
Revenues Less Expenses Prior Year237642RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13523RevenuesLessExpensesCY
Total Assets BOY13377962TotalAssetsBOY
Total Assets EOY13123545TotalAssetsEOY
Total Liabilities BOY11490212TotalLiabilitiesBOY
Total Liabilities EOY11222272TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1887750NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1901273NetAssetsOrFundBalancesEOY
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 2011 for the Atrium was 93 and for Bay Pointe it was 85.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2507240Expense
Revenue2688524Revenue
DescriptionAn independent living community for seniors with 76 units and an assisted living community for seniors with 40 units.Description
Total Program Service Expense2507240TotalProgramServiceExpense
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 OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees57NumberOfEmployees
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
Form8899 FiledtrueForm8899Filed
Form1098 C FiledtrueForm1098CFiled
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Daniel Risch
CEO001.00XXX018005031531
Raymond Koukari Jr
President001.00X000X
Gene Holtz
Vice Presidnet001.00X000X
Dave Titus
Treasurer001.00X000X
Morris Reece
Secretary001.00X000X
Cheryl Thomas
Member-At-Large001.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs180050TotalReportableCompFrmRltdOrgs
Total Other Compensation31531TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions10087AllOtherContributions
Total Contributions10087TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Independent Living Occupancy Fees623990673388673388
Assisted Living Occupancy Fees62399014656801465680
Amortization of Initiation Fees623990189733189733
Retained Initiation Fees6239904734147341
FieldValueIRS element (for citing)
Total Program Service Revenue2376142TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2655TotalRevenueColumn
Related Or Exempt Function Income2655RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Meals6239904063340633
Ancillary Services623000242368242368

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16639TotalRevenueColumn
Related Or Exempt Function Income16639RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue299640TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2688524TotalRevenueColumn
Related Or Exempt Function Income2678437RelatedOrExemptFunctionIncome

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)
Total723454Total
Program Services636294ProgramServices
Management And General87160ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total148408Total
Program Services130584ProgramServices
Management And General17824ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total78589Total
Program Services69119ProgramServices
Management And General9470ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15863Total
Program Services7886ProgramServices
Management And General7977ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11226Total
Management And General11226ManagementAndGeneral

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)
Total37311Total
Program Services37311ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34355Total
Program Services9228ProgramServices
Management And General25127ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6626Total
Management And General6626ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total378110Total
Program Services378110ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total507Total
Program Services87ProgramServices
Management And General420ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total658Total
Management And General658ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total415815Total
Program Services415815ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total427186Total
Program Services427186ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total74601Total
Program Services73401ProgramServices
Management And General1200ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Building Maint Repair6094260942
Therapy Expense1630716307
Dietary Expense222270222270
Supplies1010810108

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12665Total
Program Services12592ProgramServices
Management And General73ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2675001Total
Program Services2507240ProgramServices
Management And General167761ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1977603BOY
EOY1883100EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY279625BOY
EOY549400EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7659BOY
EOY7983EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34169BOY
EOY42830EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15419445LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5779739LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10063555BOY
EOY9639706EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1015351BOY
EOY1000526EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13377962BOY
EOY13123545EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY311071BOY
EOY404951EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3690148BOY
EOY3536259EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7280000BOY
EOY7105000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY208993BOY
EOY176062EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11490212BOY
EOY11222272EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1887750BOY
EOY1901273EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1887750BOY
EOY1901273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13377962BOY
EOY13123545EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses13523ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years1100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1886CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1729CurrentTaxYearMinus1Year
Current Tax Year10087CurrentTaxYear
Total16510Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2353518CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2232953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2293421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2424533CurrentTaxYearMinus1Year
Current Tax Year2376142CurrentTaxYear
Total11680567Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2354618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2234839CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2295129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2426262CurrentTaxYearMinus1Year
Current Tax Year2386229CurrentTaxYear
Total11697077Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26010CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27539CurrentTaxYearMinus1Year
Current Tax Year26885CurrentTaxYear
Total132395Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26010CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27539CurrentTaxYearMinus1Year
Current Tax Year26885CurrentTaxYear
Total132395Total
FieldValueIRS element (for citing)
Public Support Total50911564682PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years115893CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4724CurrentTaxYearMinus1Year
Current Tax Year2655CurrentTaxYear
Total193229Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years115893CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4724CurrentTaxYearMinus1Year
Current Tax Year2655CurrentTaxYear
Total193229Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130445CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years279116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year322946CurrentTaxYearMinus1Year
Current Tax Year299640CurrentTaxYear
Total1349256Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2600956CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2569518CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2626632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2753932CurrentTaxYearMinus1Year
Current Tax Year2688524CurrentTaxYear
Total13239562Total
FieldValueIRS element (for citing)
Public Support Percentage5090.87350PublicSupportPercentage509
Prior Year Support Percentage0.88220PriorYearSupportPercentage
Investment Income Percentage0.01460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02430PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other income includes meals, ancillary services, and other revenue.FactsAndCircumstancesTest

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 Basis13391861OtherCostOrOtherBasis
Depreciation5001679Depreciation
Book Value8390182BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis852547OtherCostOrOtherBasis
Depreciation662950Depreciation
Book Value189597BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis188682OtherCostOrOtherBasis
Depreciation115110Depreciation
Book Value73572BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9639706TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Advance Billings$172,570
Resident Trust$3,492
FieldValueIRS element (for citing)
Total Of Amounts176062TotalOfAmounts
Total Revenue2688524TotalRevenue
Total Expenses2675001TotalExpenses
Excess Or Deficit For Year13523ExcessOrDeficitForYear
Excess Or Deficit Per FS13523ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2688524TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2688524RevenueSubtotal
Total Revenue Per Form9902688524TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2675001TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2675001ExpensesSubtotal
Total Expenses Per Form9902675001TotalExpensesPerForm990

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
Comp Based On Related Orgs178506CompBasedOnRelatedOrgs
Bonus Related Orgs11BonusRelatedOrgs
Other Compensation Related Orgs1534OtherCompensationRelatedOrgs
Deferred Comp Related Orgs15504DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs16027NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs211582TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI7aDescribe who may elect members of the governing body - The Board of Directors elect other members to the board.
Form 990 Part VI9Name and addresses of Board of Directors who cannot be reached at the organziations mailing address Raymond Koukari, Jr., - President-Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - Vice President- SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403 Dave Titus - Treasurer - MI Bank, One Main Street, Racine, WI 53403 Morrise Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas - Member-At-Large, Johnson Financial Group, 555 Main St., Suite 400, Racine, Wi 53403
Form 990 Part VI11ADescribe the review process of the 990 - The 990 tax returns are given to the Board of Directors once completed.
Form 990 Part VI12cDescribe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance.
Form 990 Part VI15a and 15bDescription of process for determining compensation - The organization does not employee any officers or managment.
Form 990 Part VI18 and 19Description for making documents public - The organization has this information available upon request.
Form 990 Part VIbAverage hours per week - Daniel Rischs hours primarily 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 VIIeDescribe reasonable efforts for information in e reportable compensation - Information was taken from W2 of related organization.
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 organziations mailing address Raymond Koukari, Jr., - President-Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - Vice President- SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403 Dave Titus - Treasurer - MI Bank, One Main Street, Racine, WI 53403 Morrise Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas - Member-At-Large, Johnson Financial Group, 555 Main St., Suite 400, Racine, Wi 53403 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 organization does not employee any officers or managment. 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 primarily 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 of 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 (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
LMR Managing Member
2000 Domanik DriveRacineWI53404203502780Managing MemberWILincoln Lutheran of Racine IncC Corp
Lincoln Investment Corp
2000 Domanik DriveRacineWI53404861156054Real Estate DevelopmentWILincoln Lutheran of Racine IncC Corp
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 OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved168328AmountInvolved
Method Of Amt Determinationactual expenseMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.