ASSOCIATION OF WISCONSIN SURGERY CENTERS INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ASSOCIATION OF WISCONSIN SURGERY CENTERS INC (EIN 39-1719166)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-12
- IRS object ID
- 202212249349200206
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-12T08:25:16-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390912608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWKINS ASH CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 N BROADWAY SUITE 250 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391719166 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASSOCIATION OF WISCONSIN SURGERY | BusinessNameLine1Txt |
| Business Name Line2 | CENTERS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASSO | BusinessNameControlTxt |
| Phone | 9205605615 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 563 CARTER COURT SUITE B | AddressLine1Txt |
| City | KIMBERLY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54136 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CURT KUBIAK MBA | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9202097377 | PhoneNum |
| Signature | 2022-07-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CURT | PersonFirstNm |
| Person Last | KUBIAK MBA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA M FARLEY | PreparerPersonNm |
| PTIN | P01770786 | PTIN |
| Phone | 9203369850 | PhoneNum |
| Preparation | 2022-07-26 | 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 | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $47,263 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Program Service Revenue | $500 | ProgramServiceRevenueAmt |
| Membership Dues | $46,750 | MembershipDuesAmt |
| Investment Income | $13 | InvestmentIncomeAmt |
| Total Revenue | $47,263 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $69,495 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $27 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $6,705 | OtherExpensesTotalAmt |
| Total Expenses | $76,227 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$28,964 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $48,648 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $19,684 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,410 | BOYAmt |
| EOY | $41,462 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,500 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,910 | BOYAmt |
| EOY | $42,462 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,262 | BOYAmt |
| EOY | $22,778 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,648 | BOYAmt |
| EOY | $19,684 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE PRIMARY EXEMPT PURPOSE OF WISCA IS TO PROVIDE A FORUM FOR THE EXCHANGE OF IDEAS AMONG PROFESSIONALS ENGAGED IN THE CLINICAL AND ADMINISTRATIVE MANAGEMENT OF AMBULATORY SURGICAL CENTERS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO INFORM MEMBERS OF CHANGES IN THE PROFESSION THROUGH CONTINUING MEDICAL EDUCATION, SEMINARS AND NEWSLETTERS | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $6,731 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,731 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| CURT KUBIAK MBA | ||||
| PRESIDENT | 4.00 | $0 | $0 | $0 |
| LISA SEVERSON CST BAHM MAHR | ||||
| IMMEDIATE PAST PRESIDENT | 4.00 | $0 | $0 | $0 |
| AMANDA SOSNOSKY MBA BSN RN-CASC | ||||
| PRESIDENT - ELECT | 2.00 | $0 | $0 | $0 |
| ANGELA GILFILLAN CMPE CASC | ||||
| SECREATRY / TREASURER | 2.00 | $0 | $0 | $0 |
| FAWN ESSER-LIPP RN BSN CASC CRC | ||||
| DIRECTOR-AT-LARGE | 2.00 | $0 | $0 | $0 |
| SHELLY HOFFMAN RN BSN MASL | ||||
| DIRECTOR-AT-LARGE | 2.00 | $0 | $0 | $0 |
| MICHELLE HESS | ||||
| DIRECTOR-AT-LARGE | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | Yes (1) | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BADGER BAY MANAGEMENT COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 563 CARTER COURT SUITE B 563 CARTER | AddressLine1Txt |
| Address Line2 | COURT SUITE B | AddressLine2Txt |
| City | KIMBERLY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54136 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9205605610 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | 0 | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | Yes (1) | AgreeCarryoverPriorYearInd |
| Dues Assessments | $46,750 | DuesAssessmentsAmt |
| Non Deductible Lbbyng Pltcl CY | $33,000 | NonDeductibleLbbyngPltclCYAmt |
| Non Ded Lbbyng Pltcl Cyov | -$652 | NonDedLbbyngPltclCyovAmt |
| Non Deductible Lbbyng Pltcl Tot | $32,348 | NonDeductibleLbbyngPltclTotAmt |
| Aggregate Reported Dues Ntc | $24,488 | AggregateReportedDuesNtcAmt |
| Carried Over | $7,860 | CarriedOverAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LEGISLATIVE SERVICES & CONSULTING | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 13. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TRAVEL. AMOUNT: 506. DESCRIPTION: FEES & REGISTRATION. AMOUNT: 1,594. DESCRIPTION: SUPPLIES. AMOUNT: 20. DESCRIPTION: ADMINISTRATIVE. AMOUNT: 500. DESCRIPTION: PROMOTION. AMOUNT: 4,085. TOTAL TO FORM 990-EZ, LINE 16: 6,705. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: PREPAID MANAGEMENT FEES. BEG. OF YEAR AMOUNT: 3,000. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID CONFERENCE EXPENSE. BEG. OF YEAR AMOUNT: 1,500. END OF YEAR AMOUNT: 1,000. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: DEFERRED ORGANIZATIONAL DUES. BEG. OF YEAR AMOUNT: 31,250. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 2,762. END OF YEAR AMOUNT: 9,278. DESCRIPTION: DEFERRED MEMBERSHIP REVENUE - OTHER. BEG. OF YEAR AMOUNT: 1,250. END OF YEAR AMOUNT: 13,500. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |