STRATEGY STUDIO / PUBLIC DATA EXPLORER

TELLURIAN INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TELLURIAN INC (EIN 39-1482987)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202203159349306960
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

FieldValueIRS element (for citing)
Return2022-11-11T16:16:42-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12921 LANDMARK PL STE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134236ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391482987EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TELLURIAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTELLBusinessNameControlTxt
Phone6082227311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 MONONA DRIVE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53716ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN FLOREKPersonNm
Person TitlePRESIDENT/CHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6082227311PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEVINPersonFirstNm
Person LastFLOREKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT HAUMERSEN CPAPreparerPersonNm
PTINP00084908PTIN
Phone6082744020PhoneNum
Preparation2022-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN FLOREKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 MONONA DRIVE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53716ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,794,934GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TELLURIAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE A WIDE ARRAY OF HUMAN SERVICES TO ADDRESS PROBLEMS RELATED TO SUBSTANCE ABUSE & ADDICTIONS, MENTAL ILLNESS, & HOMELESSNESS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee252TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,591,719PYContributionsGrantsAmt
CY Contributions Grants$2,433,832CYContributionsGrantsAmt
PY Program Service Revenue$9,986,479PYProgramServiceRevenueAmt
CY Program Service Revenue$10,195,587CYProgramServiceRevenueAmt
PY Investment Income$4,904PYInvestmentIncomeAmt
CY Investment Income$2,295CYInvestmentIncomeAmt
PY Other Revenue$162,463PYOtherRevenueAmt
CY Other Revenue$103,120CYOtherRevenueAmt
PY Total Revenue$12,745,565PYTotalRevenueAmt
CY Total Revenue$12,734,834CYTotalRevenueAmt
PY Grants And Similar Paid$351,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,118,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,243,406PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,320,406CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,056CYTotalFundraisingExpenseAmt
PY Other Expenses$3,808,695PYOtherExpensesAmt
CY Other Expenses$4,055,691CYOtherExpensesAmt
PY Total Expenses$11,403,601PYTotalExpensesAmt
CY Total Expenses$12,494,097CYTotalExpensesAmt
PY Revenues Less Expenses$1,341,964PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$240,737CYRevenuesLessExpensesAmt
Total Assets BOY$4,214,345TotalAssetsBOYAmt
Total Assets EOY$4,497,126TotalAssetsEOYAmt
Total Liabilities BOY$1,468,038TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,502,384TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,746,307NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,994,742NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE TELLURIAN FAMILY OF SERVICES IS TO PROVIDE A SAFE AND NURTURING ENVIRONMENT TO ALL THOSE AFFLICTED WITH SUBSTANCE ABUSE, ADDICTION, MENTAL ILLNESS, AND HOMELESSNESS, A BROAD RANGE OF INNOVATIVE PROGRAMS, TREATMENT AND SERVICES DESIGNED TO ALLOW EACH INDIVIDUAL THE OPPORTUNITY TO REBUILD THEIR LIFE AND RE-ENTER THE COMMUNITY AS A PRODUCTIVE MEMBER OF SOCIETY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,657,828ExpenseAmt
Grant$449,371GrantAmt
Revenue$3,063,396RevenueAmt
DescCRISIS STABILIZATION - TELLURIAN CURRENTLY OPERATES CARE CENTER FACILITIES IN MADISON (16 BED) AND LA CROSSE (10 BED) CBRF'S (COMMUNITY BASED RESIDENTIAL FACILITIES) UNDER DHS 83. TELLURIAN'S CARE CENTERS PROVIDE A SAFE HAVEN FOR INDIVIDUALS WHO ARE EXPERIENCING A MENTAL HEALTH CRISIS AND ARE IN NEED OF SUPPORT, STABILIZATION, MEDICATION OBSERVATION, AND GOAL ORIENTATED TREATMENT PLANNING. THE LENGTH OF STAY FOR EACH CONSUMER IS DEPENDENT ON THE NEEDS OF THE INDIVIDUAL AND TYPICALLY IS 14 DAYS OR LESS, WITH THE AVERAGE LENGTH OF STAY LASTING 7-10 DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,354,527ExpenseAmt
Grant$355,021GrantAmt
Revenue$1,697,793RevenueAmt
DescHOUSING - TELLURIAN'S TRANSITIONAL HOUSING PROGRAM (THP) IS A 20 BED FACILITY WHICH SUPPORTS INDIVIDUALS RESIDING WITHIN THE PROGRAM WHO ARE EXPERIENCING HOMELESSNESS AND NEED SUPPORT WITH FINDING HOUSING, EMPLOYMENT, AND MENTAL HEALTH AND/OR SUBSTANCE USE SUPPORT. ACEWOOD AND CRAWFORD ARE EACH 7 BED, FULLY LICENSED, CLASS A COMMUNITY BASED RESIDENTIAL FACILITIES WHICH SERVE INDIVIDUALS WITH A PRIMARY DIAGNOSIS OF MENTAL ILLNESS WHO HAVE THE ULTIMATE GOAL OF LIVING INDEPENDENTLY AFTER LEARNING THE TOOLS, SKILLS, AND RECEIVING MOTIVATION AND ENCOURAGEMENT THROUGH THE STAFF. HUD AND REACH OUT PROVIDE UP TO 39 UNITS OF PERMANENT SUPPORTIVE HOUSING, SINGLE ROOM OCCUPANCY, AS WELL AS RENT ASSISTANCE AND EVICTION PREVENTION TO PEOPLE COMING FROM HOMELESSNESS, LIVING WITH A MENTAL HEALTH DIAGNOSED DISABILITY, AND ARE DANE COUNTY RESIDENTS. THESE PROGRAMS PROVIDE HOUSING CASE MANAGERS WHO WORK CLOSELY WITH LANDLORDS TO HELP MAINTAIN HOUSING AS WELL AS PROVIDE SUPPORT WITH ATTENDING APPOINTMENTS, TAKING CARE OF BASIC NEEDS, AND PROVIDING A HARM REDUCTION APPROACH TO CHANGING OR REDUCING HIGH RISK BEHAVIORS. IN ADDITION, TELLURIAN'S SOBER LIVING HOMES PROVIDE HOUSING FOR INDIVIDUALS TRANSITIONING BACK INTO THE COMMUNITY AFTER SUCCESSFULLY COMPLETING RESIDENTIAL SUBSTANCE USE DISORDER TREATMENT. JEREMY'S PLACE FOR MEN AND CHANDRA'S HOUSE OF HOPE FOR WOMEN OFFER ADDITIONAL SUPPORT AND WRAP-AROUND SERVICES SUCH AS MENTORSHIP FROM RESIDENT HOUSE MANAGERS, OUTPATIENT TREATMENT SERVICES THROUGH TELLURIAN OR PARTNER PROVIDERS, AND ACCESS TO OTHER NEEDED COMMUNITY SERVICES TO ASSIST WITH LONG-TERM RECOVERY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,841,987ExpenseAmt
Grant$231,560GrantAmt
Revenue$2,129,821RevenueAmt
DescADULT RESIDENTIAL SERVICES - TREATMENT INCLUDES INDIVIDUAL AND GROUP THERAPY, AND SPECIALIZED COUNSELING FOR FORGIVENESS AND GRIEF. THE TELLURIAN RESIDENTIAL PROGRAM SPECIALIZES IN SUBSTANCE USE DISORDERS WITH AN EMPHASIS ON CO-OCCURRING MENTAL HEALTH DISORDERS. MANY PATIENTS STRUGGLING WITH SUBSTANCE USE DISORDERS HAVE ACCOMPANYING MENTAL HEALTH DISORDERS, SUCH AS DEPRESSION, ANXIETY, OR POST-TRAUMATIC STRESS DISORDERS. THE TELLURIAN MEDICAL DIRECTOR, A SPECIALIST IN ADDICTION MEDICINE AND MEMBER OF THE AMERICAN SOCIETY OF ADDICTION MEDICINE (ASAM), PROVIDES MEDICAL OVERSIGHT, INCLUDING HEALTH SCREENS AND DIAGNOSIS OF UNDERLYING HEALTH ISSUES. PSYCHIATRIC CARE IS PROVIDED AS APPROPRIATE OR RECOMMENDED, ASSURING THAT ANY CO-OCCURRING MENTAL HEALTH DISORDERS ARE IDENTIFIED AND TREATED SIMULTANEOUSLY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$1,523,076$0$1,730,004EMERGENCY SERVICES - TELLURIAN'S DETOXIFICATION CENTER IS A 29-BED FACILITY STAFFED BY HIGHLY TRAINED, CREDENTIALED PROFESSIONALS. PATIENTS AT THE DETOXIFICATION CENTER ARE MEDICALLY MONITORED BY A REGISTERED NURSE (RN) AND SUPERVISED BY A BOARD CERTIFIED PHYSICIAN SPECIALIZING IN ADDICTION MEDICINE. AS PART OF THE DETOXIFICATION PROCESS AND TREATMENT PROTOCOL, WISCONSIN STATE CERTIFIED COUNSELORS MEET INDIVIDUALLY WITH EACH PATIENT TO HELP DETERMINE THE OPTIMAL TREATMENT LEVEL AND EXPEDITE ENTRY INTO COMMUNITY TREATMENT PROGRAMS. THE AVERAGE LENGTH OF STAY FOR MOST PATIENTS AT THE TELLURIAN DETOXIFICATION CENTER IS 72 HOURS OR LESS. THE DETOXIFICATION CENTER OPERATES 24 HOURS PER DAY, 365 DAYS PER YEAR.
$1,192,477$0$852,804CASE MANAGEMENT - COMMUNITY INTERVENTION TEAM, CIT, PROVIDES TARGETED CASE MANAGEMENT AND COMPREHENSIVE COMMUNITY SERVICES (CCS) FOR INDIVIDUALS LIVING WITH MENTAL ILLNESS AND/OR SUBSTANCE USE. SERVICES INCLUDE: CRISIS STABILIZATION, MEDICATION MANAGEMENT, MONEY MANAGEMENT, HOUSING COORDINATION, AND ACTIVITIES OF DAILY LIVING (ADL) SKILLS TRAINING. THE GOAL IS TO PROMOTE RECOVERY AND ENHANCE THE INDIVIDUAL'S QUALITY OF LIFE BY IMPROVING THEIR SKILLS, COMPETENCIES, SOCIAL INTEGRATION, INDEPENDENCE, AND LIFE SATISFACTION. TELLURIAN'S PATH TEAM PROVIDES OUTREACH WORKING TO CONNECT HOMELESS INDIVIDUALS IN THE COMMUNITY WITH NEEDED SERVICES. THIS TEAM DOES STREET OUTREACH ACROSS DANE COUNTY AND ASSISTS PEOPLE WITH ESTABLISHING DISABILITY, CONNECTING WITH BENEFITS, AND HELPING TO GET HOUSING. CHARM PROVIDES HOUSING NAVIGATION SERVICES TO INDIVIDUALS AT RISK OF LOSING OUR WITHOUT PERMANENT HOUSING. TELLURIAN HAS RECENTLY EXPANDED ITS CIT TEAM MODEL TO THE LA CROSSE AREA AND PROVIDES PSYCHO-SOCIAL REHABILITATION SERVICES INCLUDING INDIVIDUAL SKILL DEVELOPMENT AND WELLNESS MANAGEMENT FOR INDIVIDUAL ADULTS LIVING WITH MENTAL ILLNESS AND/OR SUBSTANCE USE CONCERNS. CIT WORKS WITH CLIENTS ON A VARIETY OF SERVICES BASED ON THEIR CCS RECOVERY PLAN. THESE SERVICES INCLUDE 1:1 SUPPORT AND COACHING WITH COMPLETING TASKS IN THE COMMUNITY, MAINTAINING INDEPENDENT HOUSING, SUPPORT IN UNDERSTANDING THEIR MENTAL HEALTH AND LEARNING COPING SKILLS.
$717,681$82,048$619,524OUTPATIENT - THE TELLURIAN OUTPATIENT TREATMENT PROGRAM IS THE LEAST RESTRICTIVE LEVEL OF CARE TELLURIAN OFFERS TO ITS PATIENTS. TELLURIAN'S TREATMENT IS HIGHLY INDIVIDUALIZED AND BASED ON SPECIFIC PATIENT NEEDS AS ASSESSED BY THEIR COUNSELOR. TREATMENT LENGTH AND SCHEDULES ARE DETERMINED BY EACH PATIENT'S INDIVIDUAL PROGRESS IN COMPLETING A MUTUALLY AGREED UPON TREATMENT PLAN. THE TELLURIAN OUTPATIENT CLINIC PROVIDES BOTH GROUP AND INDIVIDUAL COUNSELING, INCLUDING A SPECIFIC RELAPSE PREVENTION GROUP. THE SYNERGY DAY TREATMENT PROGRAM CONSISTS OF FOUR HOURS OF GROUP FOUR DAYS PER WEEK. IN ADDITION TO THE DAILY GROUP SESSIONS, PATIENTS OF TELLURIAN'S DAY TREATMENT PROGRAM ALSO RECEIVE WEEKLY ONE-ON-ONE INDIVIDUAL THERAPY. FAMILY COUNSELING IS AVAILABLE AND RECOMMENDED TO HELP LOVED ONES UNDERSTAND THE NATURE OF ADDICTION AND MENTAL ILLNESS. PARTICIPANTS LEARN ESSENTIAL RECOVERY TOOLS THAT CAN ENHANCE FAMILY FUNCTIONING WHILE SUPPORTING THE PATIENT'S CONTINUED SOBRIETY AND RECOVERY.
$72,200$0$102,245MEDICAL PSYCHIATRIC SERVICES - THE MED PSYCH CLINIC PROVIDES INDIVIDUAL INITIAL AND ONGOING MEDICATION CHECKS WITH A PSYCHIATRIST TO INDIVIDUALS CONNECTED WITH TELLURIAN'S COMMUNITY INTERVENTION TEAM.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,505,434TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$82,048TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$3,304,577TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$10,359,776TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee252EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEVE LAWRENCEPersonNm
Phone6082227311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 MONONA DR STE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53716ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TOM SPITZ
CHAIR1.00Yes (X)Yes (X)$0$0$0
FATHER LARRY BAKKE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MIKE CROOKS
TREASURER1.00Yes (X)Yes (X)$0$0$0
DR JAMES HALIKUS
DIRECTOR1.00Yes (X)$0$0$0
TOMMI THOMPSON
DIRECTOR1.00Yes (X)$0$0$0
JENNY SIMON
DIRECTOR1.00Yes (X)$0$0$0
DENISE WAGNER
DIRECTOR1.00Yes (X)$0$0$0
ANN HAMILTON
DIRECTOR1.00Yes (X)$0$0$0
BETH MIELCAREK
DIRECTOR1.00Yes (X)$0$0$0
GEOFFREY MCCLOSKEY
DIRECTOR1.00Yes (X)$0$0$0
DENNIS HILL
DIRECTOR1.00Yes (X)$0$0$0
MINDY ROWLAND
DIRECTOR1.00Yes (X)$0$0$0
KEVIN FLOREK
PRESIDENT/CHIEF EXECUTIVE OFFICER40.00Yes (X)$187,818$0$3,307
FieldValueIRS element (for citing)
Total Reportable Comp From Org$187,818TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,307TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CRANBERRY CREEK LLC
1501 LAKE POINT DRMADISONWI53713CATERING SERVICES$322,178
DIVERSIFIED PHYSICIANS LLC
1102 MOHICAN PASSMADISONWI537112842MEDICAL SERVICES$216,195
SCHWENN'S 76 SERVICE
5601 MONONA DRMONONAWI537163132REPAIRS AND MAINTENANCE$149,422
TWO FOLD MARKETING
PO BOX 223SUN PRAIRIEWI53590MARKETING & OUTREACH$134,784
GINA BRYAN
1310 HANOVER COURTWAUNAKEEWI53597MEDICAL SERVICES$127,755
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$140,597FundraisingAmt
Government Grants$1,177,242GovernmentGrantsAmt
All Other Contributions$1,115,993AllOtherContributionsAmt
Total Contributions$2,433,832TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTS WITH GOVERNMENT AGENCIE621400$6,772,849$6,772,849
PATIENT SERVICE FEES621400$3,422,738$3,422,738
FieldValueIRS element (for citing)
Total Program Service Revenue$10,195,587TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,282TotalRevenueColumnAmt
Exclusion$2,282ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13TotalRevenueColumnAmt
Exclusion$13ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$52,848FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$140,597ContriRptFundraisingEventAmt
Fundraising Direct Expenses$60,100FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,252TotalRevenueColumnAmt
Exclusion-$7,252ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,372TotalRevenueColumnAmt
Exclusion$110,372ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$110,372OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,734,834TotalRevenueColumnAmt
Related Or Exempt Func Income$10,195,587RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$105,415ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,118,000TotalAmt
Program Services$1,118,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$191,125TotalAmt
Program Services$143,170ProgramServicesAmt
Management And General$33,940ManagementAndGeneralAmt
Fundraising$14,015FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,783,468TotalAmt
Program Services$4,748,793ProgramServicesAmt
Management And General$1,034,675ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$74,581TotalAmt
Program Services$66,944ProgramServicesAmt
Management And General$7,637ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$820,274TotalAmt
Program Services$736,274ProgramServicesAmt
Management And General$84,000ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$450,958TotalAmt
Program Services$378,254ProgramServicesAmt
Management And General$71,663ManagementAndGeneralAmt
Fundraising$1,041FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,380TotalAmt
Management And General$3,380ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,325TotalAmt
Management And General$51,325ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Management And General$30ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$870,340TotalAmt
Program Services$634,654ProgramServicesAmt
Management And General$235,686ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,998TotalAmt
Program Services$22,860ProgramServicesAmt
Management And General$14,138ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$307,247TotalAmt
Program Services$217,714ProgramServicesAmt
Management And General$89,533ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$173,560TotalAmt
Program Services$111,198ProgramServicesAmt
Management And General$62,362ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,196,417TotalAmt
Program Services$1,107,097ProgramServicesAmt
Management And General$89,320ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$128,787TotalAmt
Program Services$92,541ProgramServicesAmt
Management And General$36,246ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,260TotalAmt
Program Services$23,340ProgramServicesAmt
Management And General$9,920ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$131,826TotalAmt
Program Services$6ProgramServicesAmt
Management And General$131,820ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$190,180TotalAmt
Program Services$84,820ProgramServicesAmt
Management And General$105,360ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,883TotalAmt
Program Services$78,968ProgramServicesAmt
Management And General$10,915ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOUSEHOLD AND FOOD$557,713$554,314$3,399
CLIENT SUPPLIES$183,390$180,677$2,713
LICENSING AND MEMBERSHI$48,327$48,327
BAD DEBT EXPENSE$405$405

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,623TotalAmt
Program Services$11,825ProgramServicesAmt
Management And General$40,798ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,494,097TotalAmt
Program Services$10,359,776ProgramServicesAmt
Management And General$2,119,265ManagementAndGeneralAmt
Fundraising$15,056FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$280,690BOYAmt
EOY$248,658EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,651,626BOYAmt
EOY$1,652,706EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$139,309BOYAmt
EOY$399,987EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$651,989BOYAmt
EOY$747,311EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$36,829BOYAmt
EOY$5,757EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,357BOYAmt
EOY$12,029EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$46,255BOYAmt
EOY$115,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,913,694LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,623,836LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,372,627BOYAmt
EOY$1,289,858EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,663BOYAmt
EOY$25,579EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,214,345BOYAmt
EOY$4,497,126EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$702,681BOYAmt
EOY$774,027EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$765,357BOYAmt
EOY$728,357EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,468,038BOYAmt
EOY$1,502,384EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,746,307BOYAmt
EOY$2,994,742EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,746,307BOYAmt
EOY$2,994,742EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,214,345BOYAmt
EOY$4,497,126EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$240,737ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,698NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,722,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,056,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$200,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,591,719CurrentTaxYearMinus1YearAmt
Current Tax Year$2,433,832CurrentTaxYearAmt
Total$21,004,546TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,722,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,056,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$200,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,591,719CurrentTaxYearMinus1YearAmt
Current Tax Year$2,433,832CurrentTaxYearAmt
Total$21,004,546TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$79,410SubstantialContributorsTotAmt
Public Support Total170$20,925,136PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,417CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,415CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,904CurrentTaxYearMinus1YearAmt
Current Tax Year$2,282CurrentTaxYearAmt
Total$18,905TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,024CurrentTaxYearMinus4YearsAmt
Total$6,024TotalAmt
FieldValueIRS element (for citing)
Total Support$21,029,475TotalSupportAmt
Gross Receipts Rltd Activities$37,932,822GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99500PublicSupportCY170Pct
Public Support PY1700.99800PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,800OtherCostOrOtherBasisAmt
Book Value$30,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,381,929OtherCostOrOtherBasisAmt
Depreciation$853,226DepreciationAmt
Book Value$528,703BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$630,253OtherCostOrOtherBasisAmt
Depreciation$237,779DepreciationAmt
Book Value$392,474BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$748,930OtherCostOrOtherBasisAmt
Depreciation$423,797DepreciationAmt
Book Value$325,133BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,782OtherCostOrOtherBasisAmt
Depreciation$109,034DepreciationAmt
Book Value$12,748BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,289,858TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FORGIVABLE LOAN$166,500
DEFERRED LOANS$561,857
FieldValueIRS element (for citing)
Total Liability$728,357TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$12,802,602TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,698NetUnrealizedGainsInvstAmt
Other Revenue-$30OtherRevenueAmt
Revenue Not Reported$7,668RevenueNotReportedAmt
Revenue Subtotal$12,794,934RevenueSubtotalAmt
Other Revenues Not Included-$60,100OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$60,100RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,734,834TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,554,167TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$60,100OtherExpensesIncludedAmt
Expenses Not Reported$60,100ExpensesNotReportedAmt
Expenses Subtotal$12,494,067ExpensesSubtotalAmt
Investment Expenses Not Incld2$30InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$30ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,494,097TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT FEES -30.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -60,100.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 60,100.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$193,445GrossReceiptsEvent1Amt
Charitable Contri Event1$140,597CharitableContriEvent1Amt
Gross Revenue Event1$52,848GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,252RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,090FoodAndBeverageEvent1Amt
Entertainment Event1$44,758EntertainmentEvent1Amt
Gross Receipts Total$193,445GrossReceiptsTotalAmt
Charitable Contributions Tot$140,597CharitableContributionsTotAmt
Gross Revenue Total Events$52,848GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$7,252RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$8,090FoodAndBeverageTotalEventsAmt
Entertainment Total Events$44,758EntertainmentTotalEventsAmt
Direct Expense Summary Events$60,100DirectExpenseSummaryEventsAmt
Net Income Summary-$7,252NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1TFI FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 MONONA DR SUITE 300AddressLine1Txt
CityMONONACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53716ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391225145RecipientEIN
IRC Section501(C)(3) PFIRCSectionDesc
Cash Grant$1,118,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantDEBT REDUCTION & INVESTMENTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTELLURIAN BOARD APPROVED THE USE OF INITIAL GRANT FUNDS FOR DEBT REDUCTION AND INVESTMENT. THIS WAS MONITORED AND VERIFIED BY THE BOARD CHAIR. INITIAL INVESTMENT VEHICLE AND INVESTMENT ADVISORY SERVICE WAS MADE AT THE DIRECTION/RECOMMENDATION OF THE TELLURIAN BOARD CHAIR. THE CHAIR CONTINUES TO MONITOR THE INVESTMENT AND REPORTS BACK TO THE BOARD. CHAIR IS CONSULTED BY TFI BOARD ON INVESTMENT DECISIONS AND PARTICIPATES IN MEETINGS BETWEEN THE TFI BOARD AND INVESTMENT ADVISORY TEAM (RESONANT CAPITAL).ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKEVIN FLOREKPersonNm
TitlePRESIDENT/CHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$161,236BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$26,582BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$2,187DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$1,120NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$191,125TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationKEVIN FLOREK RECEIVED A BONUS OF $26,582. THE BONUS WAS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARED FORM 990 IS REVIEWED AND APPROVED BY THE CONTROLLER, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, AND THE MEMBERS OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15ATHE INDEPENDENT MEMBERSHIP OF THE BOARD OF DIRECTORS ANNUALLY CONDUCTS A PERFORMANCE REVIEW OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE PRESIDENT/CHIEF EXECUTIVE OFFICER'S COMPENSATION IS REVIEWED AND COMPARED TO PUBLIC INFORMATION ABOUT COMPENSATION IN POSITIONS AT SIMILAR ORGANIZATIONS. THE BOARD APPROVES COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE DIRECTOR WITH AN OFFICIAL VOTE WITH DISCUSSION AND RESULTS RECORDED IN MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.