WISCONSIN MASONIC HOME INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WISCONSIN MASONIC HOME INC (EIN 39-0813463)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-04-25
- IRS object ID
- 202331159349300708
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-25T07:59:52-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8215 GREENWAY BOULEVARD SUITE 600 | AddressLine1Txt |
| City | MIDDLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390813463 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN MASONIC HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WISC | BusinessNameControlTxt |
| Phone | 2629652111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 N MAIN STREET | AddressLine1Txt |
| City | DOUSMAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531189348 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN FREUCK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2629652111 | PhoneNum |
| Signature | 2023-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEAN | PersonFirstNm |
| Person Last | FREUCK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIMBERLY ANDERSON | PreparerPersonNm |
| PTIN | P00188889 | PTIN |
| Phone | 6086628600 | PhoneNum |
| Preparation | 2023-04-19 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK STRAUTMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 N MAIN STREET | AddressLine1Txt |
| City | DOUSMAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531189348 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,958,598 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THREEPILLARS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WISCONSIN MASONIC HOME, INC., SPONSORED BY THE MASONIC FRATERNITY, PROVIDES FOR THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF OLDER ADULTS THROUGH HIGH QUALITY HOUSING AND SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 195 | TotalEmployeeCnt |
| Total Volunteers | 98 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,132,896 | PYContributionsGrantsAmt |
| CY Contributions Grants | $390,489 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,999,845 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,408,841 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,582,871 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,421,820 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,403 | PYOtherRevenueAmt |
| CY Other Revenue | $37,501 | CYOtherRevenueAmt |
| PY Total Revenue | $9,748,015 | PYTotalRevenueAmt |
| CY Total Revenue | $8,258,651 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,107 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,904,027 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,225,863 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $135,287 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,929,302 | PYOtherExpensesAmt |
| CY Other Expenses | $2,259,926 | CYOtherExpensesAmt |
| PY Total Expenses | $5,844,436 | PYTotalExpensesAmt |
| CY Total Expenses | $6,491,789 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,903,579 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,766,862 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $108,810,977 | TotalAssetsBOYAmt |
| Total Assets EOY | $104,504,449 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,363,861 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,061,514 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,447,116 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $67,442,935 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WISCONSIN MASONIC HOME, INC., SPONSORED BY THE MASONIC FRATERNITY, PROVIDES FOR THE SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF OLDER ADULTS THROUGH HIGH QUALITY HOUSING AND SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,721,366 | ExpenseAmt |
| Grant | $6,000 | GrantAmt |
| Revenue | $4,199,777 | RevenueAmt |
| Desc | COMPASS POINT - AN ASSISTED LIVING OPTION IS AVAILABLE FOR PERSONS AGED 55 AND OLDER IN A RESIDENTIAL CARE APARTMENT COMPLEX. THIS PROGRAM PROVIDES ASSISTED LIVING SERVICES, INCLUDING MEALS, WELLNESS SERVICES, SOCIAL ASSISTANCE, HOUSEKEEPING, AND ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND MEDICAL NEEDS. ON AVERAGE, 70 RESIDENTS ARE SERVED ON A DAILY BASIS, AND 8% OF THE RESIDENTS ARE ABLE TO CONTINUE LIVING WITH A SPOUSE. A MEALS ON WHEELS PROGRAM IS ALSO AVAILABLE TO THE NON RESIDENT COMMUNITY AND PROVIDED 2,382 MEALS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,113,315 | ExpenseAmt |
| Revenue | $1,209,064 | RevenueAmt |
| Desc | RIVERSIDE LODGE - AN ASSISTED LIVING OPTION IS AVAILABLE FOR PERSONS AGED 55 AND OLDER IN A COMMUNITY BASED RESIDENTIAL FACILITY. THIS PROGRAM PROVIDES SERVICES SIMILAR TO THE ASSISTED LIVING IDENTIFIED ABOVE, WITH A FOCUS ON MEMORY CARE IN A SECURE ENVIRONMENT. ON AN AVERAGE DAY, 15 RESIDENTS WERE SERVED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,834,681 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 195 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEAN FREUCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2629657203 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 N MAIN ST | AddressLine1Txt |
| City | DOUSMAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531189348 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TOM KAPKE | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GARY BEIER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT ROTH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES MCLEER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| ROBERT KOCH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL HUELSMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| KEN GORGEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT GORSUCH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY NINES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY STANG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DON JENSEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM FRAZIER | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL TOURVILLE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID RITCHIE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE RADEMACHER | ||||||||
| COO | 12.00 | Yes (X) | $150,196 | $0 | $6,643 | 28.00 | ||
| JEAN FREUCK | ||||||||
| CFO/SECRETARY/TREASURER | 16.00 | Yes (X) | $168,239 | $0 | $23,008 | 24.00 | ||
| MARK STRAUTMAN | ||||||||
| CEO/PRESIDENT | 16.00 | Yes (X) | $235,299 | $0 | $28,270 | 24.00 | ||
| KATHY BERNADEN | ||||||||
| CHIEF HR OFFICER | 14.00 | $114,249 | $0 | $12,878 | 26.00 | Yes (X) | ||
| CAYLA PIEHL | ||||||||
| HEALTH CARE ADMINISTRATOR | 14.00 | $114,516 | $0 | $9,617 | 26.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $782,499 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $80,416 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| US FOODS | |||||
| 99021 COLLECTION CENTER DR | CHICAGO | IL | 60106 | FOOD SERVICE | $518,716 |
| LINDEN GROVE INC | |||||
| 18650 W CORPORATE DRIVE 303 | BROOKFIELD | WI | 53045 | THERAPY | $459,051 |
| CVS CAREMARK | |||||
| PO BOX 848001 | DALLAS | TX | 75284 | PHARMACY | $383,154 |
| CASPIAN TECHNOLOGY CONCEPT LLC | |||||
| PO BOX 147 | PEWAUKEE | WI | 53072 | INFORMATIONAL SERVICES | $346,091 |
| PRIME TIME HEALTH CARE | |||||
| PO BOX 3544 | OMAHA | NE | 68131 | HEALTHCARE STAFF AGENCY | $215,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $101,784 | FundraisingAmt |
| Government Grants | $403 | GovernmentGrantsAmt |
| All Other Contributions | $288,302 | AllOtherContributionsAmt |
| Total Contributions | $390,489 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT SVC REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $5,408,841 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,408,841 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,408,841 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $928,969 | TotalRevenueColumnAmt |
| Exclusion | $928,969 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,172,815 | SecuritiesAmt |
| Other | $1,834 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,681,798 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,491,017 | SecuritiesAmt |
| Other | $1,834 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,492,851 | TotalRevenueColumnAmt |
| Exclusion | $1,492,851 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $101,784 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,149 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,149 | TotalRevenueColumnAmt |
| Exclusion | -$18,149 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS NON-OPERATING REVEN | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $55,650 | TotalRevenueColumnAmt |
| Exclusion | $55,650 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $55,650 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,258,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,408,841 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,459,321 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,669 | TotalAmt |
| Management And General | $933,669 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,581,205 | TotalAmt |
| Program Services | $2,229,462 | ProgramServicesAmt |
| Management And General | $262,480 | ManagementAndGeneralAmt |
| Fundraising | $89,263 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,327 | TotalAmt |
| Program Services | $63,869 | ProgramServicesAmt |
| Management And General | $7,425 | ManagementAndGeneralAmt |
| Fundraising | $3,033 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,387 | TotalAmt |
| Program Services | $242,315 | ProgramServicesAmt |
| Management And General | $45,565 | ManagementAndGeneralAmt |
| Fundraising | $11,507 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,275 | TotalAmt |
| Program Services | $207,990 | ProgramServicesAmt |
| Management And General | $119,408 | ManagementAndGeneralAmt |
| Fundraising | $9,877 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,378 | TotalAmt |
| Management And General | $11,378 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,540 | TotalAmt |
| Management And General | $21,540 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,560 | TotalAmt |
| Management And General | $79,560 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,957 | TotalAmt |
| Program Services | $310,096 | ProgramServicesAmt |
| Management And General | $223,090 | ManagementAndGeneralAmt |
| Fundraising | $8,771 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,151 | TotalAmt |
| Management And General | $81,151 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,575 | TotalAmt |
| Program Services | $141,793 | ProgramServicesAmt |
| Management And General | $65,447 | ManagementAndGeneralAmt |
| Fundraising | $9,335 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,285 | TotalAmt |
| Management And General | $74,285 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,278 | TotalAmt |
| Program Services | $219,300 | ProgramServicesAmt |
| Management And General | $78,978 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,702 | TotalAmt |
| Program Services | $8,625 | ProgramServicesAmt |
| Management And General | $6,077 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980 | TotalAmt |
| Management And General | $980 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,231 | TotalAmt |
| Program Services | $300,231 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,947 | TotalAmt |
| Program Services | $749,263 | ProgramServicesAmt |
| Management And General | $26,684 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,223 | TotalAmt |
| Management And General | $35,223 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DINING SERVICES FOOD PU | $292,142 | $292,142 | |
| LICENSE, PERMITS, DUES | $58,855 | $58,855 | |
| MEDICAL SUPPLIES | $39,138 | $39,138 | |
| REPAIRS & MAINTENANCE | $24,503 | $22,988 | $1,515 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$606,519 | TotalAmt |
| Program Services | $1,469 | ProgramServicesAmt |
| Management And General | -$611,489 | ManagementAndGeneralAmt |
| Fundraising | $3,501 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,491,789 | TotalAmt |
| Program Services | $4,834,681 | ProgramServicesAmt |
| Management And General | $1,521,821 | ManagementAndGeneralAmt |
| Fundraising | $135,287 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,537 | BOYAmt |
| EOY | $330,093 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,019,731 | BOYAmt |
| EOY | $254,870 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,668 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,722 | BOYAmt |
| EOY | $101,204 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,941 | BOYAmt |
| EOY | $20,163 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,203 | BOYAmt |
| EOY | $44,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $43,751,499 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,562,412 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,702,234 | BOYAmt |
| EOY | $32,189,087 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,928,070 | BOYAmt |
| EOY | $43,237,555 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,824,535 | BOYAmt |
| EOY | $14,050,039 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,767,336 | BOYAmt |
| EOY | $14,277,024 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,810,977 | BOYAmt |
| EOY | $104,504,449 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,145 | BOYAmt |
| EOY | $3,765,229 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,089,993 | BOYAmt |
| EOY | $32,994,637 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,723 | BOYAmt |
| EOY | $301,648 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,363,861 | BOYAmt |
| EOY | $37,061,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,400,136 | BOYAmt |
| EOY | $48,028,063 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,046,980 | BOYAmt |
| EOY | $19,414,872 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,447,116 | BOYAmt |
| EOY | $67,442,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,810,977 | BOYAmt |
| EOY | $104,504,449 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,766,862 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,317,379 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,453,664 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $276,975 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $297,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $208,517 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,132,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $390,489 | CurrentTaxYearAmt |
| Total | $3,306,209 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,522,837 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,577,829 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,703,655 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,999,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,408,841 | CurrentTaxYearAmt |
| Total | $27,213,007 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $160,806 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,675 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,650 | CurrentTaxYearAmt |
| Total | $300,798 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,818,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,035,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,942,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,167,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,854,980 | CurrentTaxYearAmt |
| Total | $30,820,014 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,820,014 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $592,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $887,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,011,904 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $699,124 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $928,969 | CurrentTaxYearAmt |
| Total | $4,119,427 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $592,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $887,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,011,904 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $699,124 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $928,969 | CurrentTaxYearAmt |
| Total | $4,119,427 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,410,824 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,923,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,954,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,866,805 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,783,949 | CurrentTaxYearAmt |
| Total | $34,939,441 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.88210 | PublicSupportCY509Pct |
| Public Support PY509 | 0.89240 | PublicSupportPY509Pct |
| Investment Income CY | 0.11790 | InvestmentIncomeCYPct |
| Investment Income PY | 0.10760 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,192 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,713 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,713 | OtherExpendituresAmt |
| End Year Balance | $1,298,192 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,192 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $134 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $134 | OtherExpendituresAmt |
| End Year Balance | $1,298,192 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,192 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,420 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,420 | OtherExpendituresAmt |
| End Year Balance | $1,298,192 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,192 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,894 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,894 | OtherExpendituresAmt |
| End Year Balance | $1,298,192 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,192 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $49,943 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $49,943 | OtherExpendituresAmt |
| End Year Balance | $1,298,192 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,611,776 | OtherCostOrOtherBasisAmt |
| Book Value | $2,611,776 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,880,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,669,080 | DepreciationAmt |
| Book Value | $7,211,391 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,041,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $796,700 | DepreciationAmt |
| Book Value | $245,226 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,464,568 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,889,583 | DepreciationAmt |
| Book Value | $574,985 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,752,758 | OtherCostOrOtherBasisAmt |
| Depreciation | $207,049 | DepreciationAmt |
| Book Value | $21,545,709 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,189,087 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| POOLED INVESTMENTS | $34,985,614 | F |
| FUNDS HELD BY TRUSTEES UNDER BOND | $7,950,293 | F |
| INVESTMENT IN COMPASS POINT | $301,648 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $43,237,555 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN NET ASSETS OF WISCONSIN MASONIC FOUNDATION | Desc |
| Book Value | $14,050,039 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $14,050,039 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED PARTY RECEIVABLE | $13,417,820 |
| TRUST & ESTATES RECEIVABLE | $859,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,277,024 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMPASS POINT LEASE LIABILITY | Desc |
| Amt | $301,648 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $301,648 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE THE FOLLOWING: WISCONSIN MASONIC FOUNDATION - HOME ENDOWMENT FUND: THESE FUNDS ARE HELD BY THE RELATED ORGANIZATION, WISCONSIN MASONIC FOUNDATION. THE INTEREST IN THE NET ASSETS OF THE FOUNDATION IS REFLECTED ON THE BALANCE SHEET OF WISCONSIN MASONIC HOME. THESE FUNDS AVAILABLE FOR USE BY WISCONSIN MASONIC HOME ARE USED FOR GENERAL OPERATING PURPOSES, AND SUPPORT THE CHARITABLE MISSION OF WISCONSIN MASONIC HOME. THE OHDE FUND: THIS FUND IS INCLUDED IN THE NET ASSETS OF WISCONSIN MASONIC HOME. THE FUNDS UNDER THE OHDE ENDOWMENT ARE TO BE USED FOR PRESENT AND FUTURE RESIDENTS OF THE WISCONSIN MASONIC HOME, COMPASS POINT AND THE RIVERSIDE LODGE, WHO CANNOT AFFORD TO PAY FOR THEIR OWN CARE. THE CUMMINGS FUND: THIS FUND IS INCLUDED IN THE NET ASSETS OF WISCONSIN MASONIC HOME. THE FUNDS UNDER THE CUMMINGS ENDOWMENT ARE TO BE USED TO PROVIDE SERVICES WHICH WILL IMPROVE RESIDENT QUALITY OF LIFE. EXAMPLES OF THESE SERVICES INCLUDE (1) MEDICAL ASSESSMENT AND CARE, (2) SPIRITUAL ACTIVITY, AND (3) ACTIVITIES, LEADERSHIP AND COMMUNITY EVENTS. ACTIVITIES, LEADERSHIP AND COMMUNITY EVENTS WOULD INCLUDE STAFF AND PROGRAMS THAT WOULD PROVIDE ATTENTION TO EDUCATION, ENTERTAINMENT, TRANSPORTATION, PERSONAL DEVELOPMENT, AND OTHER ACTIVITIES RELATING TO RESIDENT PREFERENCES. THE BUTLER PERPETUAL TRUST: THE BUTLER PERPETUAL TRUST HAS BEEN ESTABLISHED FROM AN ESTATE, AND IS CURRENTLY REFLECTED ON THE BALANCE SHEET OF WISCONSIN MASONIC HOME AS PART OF RESTRICTED NET ASSETS. WISCONSIN MASONIC HOME EXERTS NO INFLUENCE OR CONTROL OVER THE INVESTMENTS. THIS ENDOWMENT WILL BE USED TO SUPPORT THE CHARITABLE MISSION OF WISCONSIN MASONIC HOME. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $101,784 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $101,784 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $18,149 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $101,784 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $101,784 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $18,149 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,149 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$18,149 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VILLAGE ON THE SQUARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 N MAIN STREET | AddressLine1Txt |
| City | DOUSMAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53118 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 391662636 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $6,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ON AN ANNUAL BASIS, THE AUDIT AND FINANCE COMMITTEE OF THE ORGANIZATION MAY REVIEW THE FINANCIAL STATEMENTS AND GENERAL LEDGER OF THE DONEE, A RELATED ORGANIZATION, TO CONFIRM THAT THE GRANTS ARE USED FOR THE SPECIFIC PURPOSES AS INTENDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK STRAUTMAN | ||||||||||||||
| CEO/PRESIDENT | $200,169 | $0 | $33,840 | $0 | $1,290 | $0 | $8,950 | $0 | $19,320 | $0 | $263,569 | $0 | $0 | $0 |
| JEAN FREUCK | ||||||||||||||
| CFO/SECRETARY/TREASURER | $168,239 | $0 | $0 | $0 | $0 | $0 | $7,513 | $0 | $15,495 | $0 | $191,247 | $0 | $0 | $0 |
| DAVE RADEMACHER | ||||||||||||||
| COO | $148,906 | $0 | $0 | $0 | $1,290 | $0 | $6,643 | $0 | $0 | $0 | $156,839 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| CUSIP | 97712D7G5 | CUSIPNum |
| Bond Issued | 2021-03-10 | BondIssuedDt |
| Issue Price | $32,795,522 | IssuePriceAmt |
| Purpose | CAPITAL IMPROVEMENTS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $32,795,522 | TotalProceedsAmt |
| In Reserve Fund | $1,602,608 | InReserveFundAmt |
| Issuance Costs From Proceeds | $525,984 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $2,680,044 | OtherSpentProceedsAmt |
| Substantial Completion | 2022 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE ORGANIZATION ARE THE MEMBERS OF THE WISCONSIN MASONIC BENEVOLENT ACTIVITIES BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS SHALL CONSIST OF 16 MEMBERS, 12 OF WHOM ARE ELECTED BY THE MEMBERS, AND 4 OF WHOM SERVE POSITIONS IN THE MASONIC FRATERNITY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS HAVE CERTAIN RESERVE POWERS OVER THE DECISIONS OF THE BOARD OF DIRECTORS. THESE POWERS INCLUDE: 1)POLICY MAKING BODY FOR ALL BENEVOLENT ACTIVITIES. 2) OVERSEE LONG RANGE PLANNING BY EACH MASONIC BENEVOLENCE AND ENCOURAGES INCREASED VISABILITY AND INVOLVEMENT BY THE FRATERNITY. 3) PROVIDE AN ORGANZATION TO IMPROVE COORDINATION OF INVESTMENT OBJECTIVES AND STRATEGIES TO ACHIEVE THEM. 4) ENCHANCE THE CONTINUITY OF BENEVOLENT ACTIVITIES IN AN INCREASINGLY COMPLEX SOCIAL, REGULATORY, AND FINANCIAL ENVIRONMENT. 5) UTILIZE LOCAL CONTROL AND INVOLVEMENT IN FUTURE REGIONAL MASONIC BENEVOLENT ACTIVITIES. 6) ELECT DIRECTORS OF WISCONSIN MASONIC HOME, INC. AND 7) APPROVE ANNUAL BUDGET OF WISCONSIN MASONIC HOME, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE REVIEWED BY THE CFO AND ACCOUNTANT |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES SIGN A WRITTEN CONFLICT OF INTEREST FORM AT THE ANNUAL MEETING. IF A CONFLICT EXISTS WITH A MEETING'S AGENDA, THAT DIRECTOR OR OFFICER WILL ABSTAIN FROM DISCUSSION AND VOTING. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE GOVERNANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN EXECUTIVE COMMITTEE OF THE MEMBER'S BOARD DETERMINES THE SALARY OF THE CEO, USING EXTERNAL SOURCES AS INDICATED ON SCHEDUE J. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THE CFO'S SALARY WAS DETERMINED INTERNALLY, BASED ON MARKET COMPARISONS TO CONFIRM THAT TOTAL COMPENSATION TO BE PAID WAS REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THIS PROCESS IS COMPLETED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION OF WISCONSIN MASONIC HOME, INC. ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, LINE 1: | MARK STRAUTMAN, CEO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 16 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 18 HOURS, VILLAGE ON THE SQUARE - 6 HOURS. JEAN FREUCK, CFO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME 16 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 18 HOURS, VILLAGE ON THE SQUARE - 6 HOURS. DAVE RADEMACHER, COO, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 12 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 21 HOURS, VILLAGE ON THE SQUARE - 7 HOURS. JOSH VAN DEN BERG, CHIEF MARKETING OFFICER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 15 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 11 HOURS, VILLAGE ON THE SQUARE - 14 HOURS. KATHY BERNADEN, CHIEF HR OFFICER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS: WISCONSIN MASONIC HOME - 14 HOURS, MASONIC CENTER FOR HEALTH AND REHAB, INC - 22 HOURS, VILLAGE ON THE SQUARE - 5 HOURS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF WISCONSIN MASONIC FOUNDATION -983,304. CHANGE IN VALUE OF PERPETUAL TRUST 141,469. INTERCOMPANY TRANSFER -611,829. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THREE PILLARS DEVELOPMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 N MAIN STREET | AddressLine1Txt |
| City | DOUSMAN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53118 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842073650 | EIN |
| Primary Activities | FUTURE DEVELOPMENT OF WISCONSIN MASONIC HOME | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN MASONIC HOME INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MASONIC CENTER FOR HEALTH AND REHAB INC | |||||||||||
| 410 N MAIN STREET | DOUSMAN | WI | 53118 | 391506910 | REHABILITATION SERVICES | WI | 501(C)(3) | LINE 10 | WISCONSIN MASONIC HOME INC | Yes (1) | |
| VILLAGE ON THE SQUARE INC | |||||||||||
| 410 N MAIN STREET | DOUSMAN | WI | 53118 | 391662636 | SENIOR ASSISTED LIVING | WI | 501(C)(3) | LINE 10 | WISCONSIN MASONIC HOME INC | Yes (1) | |
| GRAND LODGE FREE & ACCEPTED MASONS OF WISCONSIN | |||||||||||
| 36275 SUNSET DRIVE | DOUSMAN | WI | 53118 | 390129695 | FRATERNAL ORGANIZATION | WI | 501(C)(8) & (C)(10) | 0 | N/A | ||
| WISCONSIN MASONIC FOUNDATION | |||||||||||
| 36275 SUNSET DRIVE | DOUSMAN | WI | 53118 | 396044637 | SCHOLARSHIP PROVIDER | WI | 501(C)(3) | LINE 7 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |