ST JOSEPH RESIDENCE INC MRS SHAW: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH RESIDENCE INC MRS SHAW (EIN 39-1087412)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-12
IRS object ID
201101329349300625
Schema version
2010v3.2
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)
Timestamp2011-05-12T13:44:40-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 23819AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543053819ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391087412EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH RESIDENCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone9209825310Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 E BECKERT ROADAddressLine1
CityNEW LONDONCity
StateWIState
ZIP Code54961ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBOB FIETSCHName
TitleEXECUTIVE DIRECTORTitle
Phone9209825310Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAUL G DENISName
Phone9204367800Phone
Date Prepared2011-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBOB FIETSCHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1107 E BECKERT ROADAddressLine1
CityNEW LONDONCity
StateWIState
ZIP Code54961ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8993603GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STJOSEPHRESIDENCE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1965YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ELDERLY HEALTHCARE AND HOUSINGActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees298TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year157391ContributionsGrantsPriorYear
Contributions Grants Current Year14982ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8403493ProgramServiceRevenuePriorYear
Program Service Revenue CY8966867ProgramServiceRevenueCY
Investment Income Prior Year3694InvestmentIncomePriorYear
Investment Income Current Year7243InvestmentIncomeCurrentYear
Other Revenue Prior Year3926OtherRevenuePriorYear
Other Revenue Current Year4511OtherRevenueCurrentYear
Total Revenue Prior Year8568504TotalRevenuePriorYear
Total Revenue Current Year8993603TotalRevenueCurrentYear
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 Year5507184SalariesEtcPriorYear
Salaries Etc Current Year5273378SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2694608OtherExpensePriorYear
Other Expenses Current Year2732909OtherExpensesCurrentYear
Total Expenses Prior Year8201792TotalExpensesPriorYear
Total Expenses Current Year8006287TotalExpensesCurrentYear
Revenues Less Expenses Prior Year366712RevenuesLessExpensesPriorYear
Revenues Less Expenses CY987316RevenuesLessExpensesCY
Total Assets BOY6187169TotalAssetsBOY
Total Assets EOY7095672TotalAssetsEOY
Total Liabilities BOY2427590TotalLiabilitiesBOY
Total Liabilities EOY2348777TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3759579NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4746895NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE ELDERLY HEALTHCARE AND HOUSING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6561849Expense
Revenue7779823Revenue
DescriptionSKILLED NURSING FACILITY PROVIDED CARE TO 196 RESIDENTS DURING 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense651731Expense
Revenue1191555Revenue
DescriptionCOMMUNITY BASED RESIDENTIAL FACILITY AND ASSISTED LIVING PROVIDED SERVICES TO 30 RESIDENTS DURING 2010.Description
FieldValueIRS element (for citing)
Total Program Service Expense7213580TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Bonds0TaxExemptBonds
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 With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees298NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 Line1SUE WOLFEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9209825354TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1107 E BECKERT ROADAddressLine1
CityNEW LONDONCity
StateWIState
ZIP Code54961ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES HARTZHEIM
PRESIDENT1.00XX000
DAVID RUSCH
VICE PRESIDENT1.00XX000
ROGER STEINGRABER
SEC-TREASURER1.00XX000
SISTER ADELE DEMULLING
BOARD MEMBER1.00X000
BILL KREJCAREK
BOARD MEMBER1.00X000
FATHER DAVID LEWIS
BOARD MEMBER1.00X000
JANE WITCZAK
BOARD MEMBER1.00X000
ANTHONY VAN KAMPEN
BOARD MEMBER1.00X000
ANN SCHNEIDER
BOARD MEMBER1.00X000
KENNETH BILGRIEN
BOARD MEMBER1.00X000
PAUL NOEL
BOARD MEMBER1.00X000
BOB FIETSCH
EXECUTIVE DIRECTOR40.00X93666014680
SUE WOLFE
DIRECTOR OF FINANCIAL SERV40.00X5849308251
FieldValueIRS element (for citing)
Total Reportable Comp From Org152159TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22931TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions14982AllOtherContributions
Total Contributions14982TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column8966867TotalRevenueColumn
Related Or Exempt Function Income8966867RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8966867TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7243TotalRevenueColumn
Exclusion$7,243ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUE-RELATED-Description
Business Code623000BusinessCode
Total Revenue Column4511TotalRevenueColumn
Related Or Exempt Function Income4511RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4511TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8993603TotalRevenueColumn
Related Or Exempt Function Income8971378RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,243ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total175090Total
Program Services19260ProgramServices
Management And General155830ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4244104Total
Program Services4096343ProgramServices
Management And General147761ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total529343Total
Program Services488749ProgramServices
Management And General40594ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total324841Total
Program Services302248ProgramServices
Management And General22593ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7773Total
Management And General7773ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total702795Total
Program Services658094ProgramServices
Management And General44701ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20957Total
Program Services1731ProgramServices
Management And General19226ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total88395Total
Program Services43017ProgramServices
Management And General45378ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total429032Total
Program Services411498ProgramServices
Management And General17534ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22788Total
Program Services5874ProgramServices
Management And General16914ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8890Total
Management And General8890ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total249179Total
Program Services249179ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total15696Total
Program Services4367ProgramServices
Management And General11329ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
THERAPY SUPPLIES281510281510
NURSING PROGRAM EXPENSE263738263738
DIETARY SUPPLIES231958231958
NURSING HOME BED ASSESS205440205440
CBRF & ASSISTED LIVING6178161781

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total142977Total
Program Services94233ProgramServices
Management And General48744ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8006287Total
Program Services7213580ProgramServices
Management And General792707ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY136836BOY
EOY335888EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY192334BOY
EOY960041EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY111BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY735478BOY
EOY731624EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY40702BOY
EOY41635EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72310BOY
EOY35742EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8910524LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6210464LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2835771BOY
EOY2700060EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2173627BOY
EOY2290682EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6187169BOY
EOY7095672EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY548676BOY
EOY596490EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY885271BOY
EOY803172EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY993643BOY
EOY949115EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2427590BOY
EOY2348777EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3718579BOY
EOY4746895EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41000BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3759579BOY
EOY4746895EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6187169BOY
EOY7095672EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses987316ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Years73111CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year157391CurrentTaxYearMinus1Year
Current Tax Year14982CurrentTaxYear
Total294278Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6847597CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7242168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7629797CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8403793CurrentTaxYearMinus1Year
Current Tax Year8966867CurrentTaxYear
Total39090222Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6920708CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7272880CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7647879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8561184CurrentTaxYearMinus1Year
Current Tax Year8981849CurrentTaxYear
Total39384500Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50939384500PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3694CurrentTaxYearMinus1Year
Current Tax Year7243CurrentTaxYear
Total258071Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3694CurrentTaxYearMinus1Year
Current Tax Year7243CurrentTaxYear
Total258071Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years150280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8024CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3626CurrentTaxYearMinus1Year
Current Tax Year4511CurrentTaxYear
Total317566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7145928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7507150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7744952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8568504CurrentTaxYearMinus1Year
Current Tax Year8993603CurrentTaxYear
Total39960137Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98560PublicSupportPercentage509
Prior Year Support Percentage0.98000PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00810PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis33972InvestmentCostOrOtherBasis
Other Cost Or Other Basis148070OtherCostOrOtherBasis
Book Value182042BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4683284OtherCostOrOtherBasis
Depreciation2777750Depreciation
Book Value1905534BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3770814OtherCostOrOtherBasis
Depreciation3193840Depreciation
Book Value576974BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis274384OtherCostOrOtherBasis
Depreciation238874Depreciation
Book Value35510BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2700060TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST FUND7320
DUE FROM RELATED COMPANY2283362
FieldValueIRS element (for citing)
Total Book Value Other Assets2290682TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITSDescription
Amount$949,115Amount
FieldValueIRS element (for citing)
Total Of Amounts949115TotalOfAmounts
Total Revenue8993603TotalRevenue
Total Expenses8006287TotalExpenses
Excess Or Deficit For Year987316ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS987316ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8993603TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8993603RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908993603TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8006287TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8006287ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908006287TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION CURRENTLY HAS NO FORMAL REVIEW PROCESS IN PLACE FOR THE 990.
THE BOARD REQUIRES AN ANNUAL CONFLICT OF INTEREST STATEMENT. IT REQUIRES THE BOARD MEMBERS TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAKES THESE RECORDS PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
NO CHANGE.PART XII LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE WASHINGTON CENTER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W WASHINGTONAddressLine1
CityNEW LONDONCity
StateWIState
ZIP Code54961ZIPCode
FieldValueIRS element (for citing)
EIN200349479EIN
Primary ActivitiesASSISTED LIVING, ADULT DAY CARE, SENIOR CENTERPrimaryActivities
Legal Domicile StateWILegalDomicileState
Exempt Code Section501 (C) 3ExemptCodeSection
Public Charity Status509(A)(2)PublicCharityStatus
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 Org1LoansOrGuaranteesToOtherOrg
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THE WASHINGTON CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved2283362AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

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