CLOVER LEAF LAKES PROTECTIVE ASSOCIATION INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLOVER LEAF LAKES PROTECTIVE ASSOCIATION INC (EIN 39-6284458)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-07
- IRS object ID
- 202223119349201622
- Schema version
- 2021v4.0
- 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 | 2022-11-07T12:06:36-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203404276 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERSTEN ACCOUNTING & TAX PROFESSIONALS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 W GREEN BAY ST | AddressLine1Txt |
| City | SHAWANO | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 541662342 | 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 | 396284458 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLOVERLEAF LAKES PROTECTIVE | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCIATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLOV | BusinessNameControlTxt |
| Phone | 7158233917 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 288 | AddressLine1Txt |
| City | EMBARRASS | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54933 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA MEIER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6083459921 | PhoneNum |
| Signature | 2022-06-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JESSICA | PersonFirstNm |
| Person Last | MEIER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL F KERSTEN CPA | PreparerPersonNm |
| PTIN | P00295186 | PTIN |
| Phone | 7155242302 | PhoneNum |
| Preparation | 2022-06-20 | PreparationDt |
| 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 Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | CLOVERLEAFLAKES.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $15,661 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $15,070 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $591 | InvestmentIncomeAmt |
| Total Revenue | $15,661 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $1,695 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $76 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $21,347 | OtherExpensesTotalAmt |
| Total Expenses | $23,118 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$7,457 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $120,649 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $113,192 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,530 | BOYAmt |
| EOY | $113,153 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119 | BOYAmt |
| EOY | $39 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,649 | BOYAmt |
| EOY | $113,192 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,649 | BOYAmt |
| EOY | $113,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | LAKE MANAGEMENT | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| LAKE PRESERVATION | |
| LAKE PRESERVATION & CONSERVATION | $21,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $21,934 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JESSICA MEIER | ||
| TREASURER | 2.00 | $0 |
| CHRISTOPHER SAMPSON | ||
| PRESIDENT | 1.00 | $0 |
| KEVIN GOODMAN | ||
| VICE PRESIDE | 1.00 | $0 |
| GARY SCHUMACKER | ||
| SECRETARY | 1.00 | $0 |
| JEFF CASPERSON | ||
| MEMBER | 1.00 | $0 |
| ANDY HINES | ||
| MEMBER | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA MEIER | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 288 | AddressLine1Txt |
| City | EMBARRASS | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54933 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6083459921 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 | $11,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,459 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,244 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,070 | CurrentTaxYearAmt |
| Total | $104,203 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $649 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,134 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,570 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $591 | CurrentTaxYearAmt |
| Total | $5,005 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,309 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,904 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,305 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,661 | CurrentTaxYearAmt |
| Total | $109,208 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $109,208 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,309 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,904 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,305 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,661 | CurrentTaxYearAmt |
| Total | $109,208 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES INSURANCE 1,008 CONTRACT SERVICES 19,647 WEBSITE FEES 155 MEMBERSHIP STICKERS 171 SUPPLIES 100 OTHER EXPENSES 186 NON-INVESTMENT DEPRECIATION 80 TOTAL 21,347 |
| FORM 990-EZ, PART II, LINE 24 | 1,561 1,561 LESS ACCUMULATED DEPRECIATION 1,442 1,522 TOTAL 119 39 |
| FORM 990-EZ, PART III, LINE 31 | LAKE PRESERVATION & CONSERVATION |