LAKE MILLS FOOD PANTRY INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAKE MILLS FOOD PANTRY INC (EIN 39-1786689)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-04-14
IRS object ID
201241059349200204
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)
Timestamp2012-04-14T08:57:31-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERIE L MILLER CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1316 N MAIN STAddressLine1
CityLAKE MILLSCity
StateWIState
ZIP Code53551ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391786689EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKE MILLS FOOD PANTRY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone9206482823Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 EAST LAKE ST PO BOX 527AddressLine1
CityLAKE MILLSCity
StateWIState
ZIP Code53551ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARCY COXName
TitlePRESIDENTTitle
Phone9206482823Phone
Date Signed2012-04-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHERIE L MILLERName
Phone9206484456Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Schedule B Not RequiredXScheduleBNotRequired
Web SiteN/AWebSite
Organization501c3XOrganization501c3
Gross Receipts40144GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc39959ContributionsGiftsGrantsEtc
Program Service Revenue0ProgramServiceRevenue
Membership Dues0MembershipDues
Investment Income185InvestmentIncome
Cost Other Basis And Sales Expenses0CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets0GainOrLossFromSaleOfAssets
Gaming Gross Income0GamingGrossIncome
Fundraising Gross Income0FundraisingGrossIncome
Special Events Direct Expenses0SpecialEventsDirectExpenses
Special Events Net Income Loss0SpecialEventsNetIncomeLoss
Cost Of Goods Sold0CostOfGoodsSold
Gro Profit Loss Sales Of Inventory0GroProfitLossSalesOfInventory
Total Revenue40144TotalRevenue
Grants And Similar Amounts Paid40613GrantsAndSimilarAmountsPaid
Other Expenses Total3024OtherExpensesTotal
Total Expenses43637TotalExpenses
Excess Or Deficit For Year-3493ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY55126NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51633NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY50115BOY
EOY48053EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5011BOY
EOY3580EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY55126BOY
EOY51633EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY55126BOY
EOY51633EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt Purposeprovide food for those in needPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomPROVIDED FOOD AND OTHER NECESSARY PERISHABLES TO THOSE IN NEED IN THE AREADescriptionProgramServiceAccom
Grants And Allocations40613GrantsAndAllocations
Program Service Expenses40613ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses40613TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
MARCY COX
407 FARGO STLAKE MILLSWI53551President10.000
LIZ VADENBONCOEUR
N6446 SHOREWOOD MEADOWS DRLAKE MILLSWI53551Vice President10.000
KAREN BUSCEMI
902 CENTER STLAKE MILLSWI53551Secretary10.000
NANCY VAIL
N6767 SHOREWOOD ROADLAKE MILLSWI53551Treasurer10.000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARCY COXNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1720 E LAKE ST PO BOX 527AddressLine1
CityLAKE MILLSCity
StateWIState
ZIP Code53551ZIPCode
FieldValueIRS element (for citing)
Telephone Number9206482823TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28074CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31242CurrentTaxYearMinus1Year
Current Tax Year39959CurrentTaxYear
Total172894Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28074CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31242CurrentTaxYearMinus1Year
Current Tax Year39959CurrentTaxYear
Total172894Total
FieldValueIRS element (for citing)
Public Support Total170172894PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year215CurrentTaxYearMinus1Year
Current Tax Year185CurrentTaxYear
Total1005Total
FieldValueIRS element (for citing)
Total Support173899TotalSupport
Public Support Pertcentage1700.99420PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99390PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Pt III, Line 31Food and other necessary perishables given to those in need
Form 990EZ, Part I, Line 10PROVIDED FOOD AND OTHER NECESSARY PERISHABLES TO THOSE IN NEED IN THE AREA FOOD FOOD AND OTHER NECESSARY PERISHABLES 12/31/2011 40613. 40613. 40613.
Form 990EZ, Part I, Line 16INSURANCE 250. GENERAL 618. DEPRECIATION 2156.

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