STRATEGY STUDIO / PUBLIC DATA EXPLORER

SHEBOYGAN COUNTY CANCER CARE FUND INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SHEBOYGAN COUNTY CANCER CARE FUND INC (EIN 39-2002260)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-29
IRS object ID
201803029349301485
Schema version
2017v2.3
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)
Return2018-10-29T13:16:58-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391173131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1712 RIVERFRONT DRIVE STE 301AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN392002260EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN COUNTY CANCER CARE FUND INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHEBBusinessNameControlTxt
Phone9204572223PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 N TAYLOR DR NO 100AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM RENZELMANNPersonNm
Person TitleVICE-PRESIDENTPersonTitleTxt
Phone9204572223PhoneNum
Signature2018-10-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY M SCHAFER CPAPreparerPersonNm
PTINP00282240PTIN
Phone9204580341PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.142.163.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-16IPDt
IP Tm12:35:24IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB602D594AFD2B0B327E07A06F36CA6A7E42546D0AtSubmissionCreationDeviceId
At Submission Filing Device Id95FD3CD324D7C6C558223E34BD2EF05BB0413D65AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIM RENZELMANNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 N TAYLOR DR NO 100AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$112,213GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SCCCF.ORGWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation2000FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORT TO CANCER VICTIMS. THIS SUPPORT IS PRIMARILY PROVIDED IN TWO WAYS: 1) DISTRIBUTION OF FINANCIAL "GESTURES" TO ASSIST WITH THE FINANCIAL BURDEN OF A CANCER DIAGNOSIS AND 2) OFFERING OF HEALTHY AND ACTIVE-LIVING ACTIVITIES (SURVIVE, THRIVE & BE FIT) TO ENCOURAGE PATIENTS AND SURVIVORS TO LIVE MORE FULLY FOLLOWING A CANCER DIAGNOSIS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$112,360PYContributionsGrantsAmt
CY Contributions Grants$111,863CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$350PYInvestmentIncomeAmt
CY Investment Income$350CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$112,710PYTotalRevenueAmt
CY Total Revenue$112,213CYTotalRevenueAmt
PY Grants And Similar Paid$1,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,530CYTotalFundraisingExpenseAmt
PY Other Expenses$165,773PYOtherExpensesAmt
CY Other Expenses$140,544CYOtherExpensesAmt
PY Total Expenses$166,773PYTotalExpensesAmt
CY Total Expenses$141,544CYTotalExpensesAmt
PY Revenues Less Expenses-$54,063PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$29,331CYRevenuesLessExpensesAmt
Total Assets BOY$600,392TotalAssetsBOYAmt
Total Assets EOY$571,061TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$600,392NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$571,061NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE SUPPORT TO CANCER VICTIMS. THIS SUPPORT IS PRIMARILY PROVIDED IN TWO WAYS: 1) DISTRIBUTION OF FINANCIAL "GESTURES" TO ASSIST WITH THE FINANCIAL BURDEN OF A CANCER DIAGNOSIS AND 2) OFFERING OF HEALTHY AND ACTIVE-LIVING ACTIVITIES (SURVIVE, THRIVE & BE FIT) TO ENCOURAGE PATIENTS AND SURVIVORS TO LIVE MORE FULLY FOLLOWING A CANCER DIAGNOSIS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$89,391ExpenseAmt
Grant$1,000GrantAmt
DescFINANCIAL GESTURES:SCCCF OFFERS "GESTURES" (FINANCIAL ASSISTANCE) IN AN EFFORT TO HELP ELIGIBLE CANCER PATIENTS AND SURVIVORS MANAGE FINANCIAL CHALLENGES OF THEIR DIAGNOSIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,547ExpenseAmt
DescGROUP GESTURES/SURVIVE, THRIVE & BE FIT:SCCCF OFFERS A VARIETY OF HEALTHY AND ACTIVE LIVING OPPORTUNITIES FOR AREA CANCER PATIENTS AND SURVIVORS KNOWN AS OUR "SURVIVE, THRIVE & BE FIT" PROGRAM.ACTIVITIES INCLUDE: "GENTLE YOGA FOR CANCER SURVIVORS", "STEPS TO SURVIVORSHIP" WALKS, "HIKING ALONG THE CANCER JOURNEY" HIKES, "INDOOR ROW GROUP", "SURVIVORS ON SNOWSHOES AND MORE! TOGETHER WITH THE SHEBOYGAN COUNTY YMCA'S "LIVESTRONG AT THE Y" PROGRAM, WE ARE "MAKING SHEBOYGAN COUNTY THE HEALTHIEST PLACE TO SURVIVE CANCER."Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$98,938TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM RENZELMANNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9204572223PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 N TAYLOR DR NO 100AddressLine1Txt
CitySHEBOYGANCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53081ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
H MARSHALL MATTHEWS MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TIM RENZELMANN
VICE-PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LOU ANN MEYER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARY SCHUELLER RN
BOARD MEMBER1.00Yes (X)$0$0$0
JEFF SHEA RT
BOARD MEMBER1.00Yes (X)$0$0$0
STEPHANIE STRUVE CSW
BOARD MEMBER1.00Yes (X)$0$0$0
MARY ANN WALDBAUER
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$111,863AllOtherContributionsAmt
Total Contributions$111,863TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$350TotalRevenueColumnAmt
Exclusion$350ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,213TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$350ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,880TotalAmt
Management And General$1,880ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$84TotalAmt
Management And General$84ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,057TotalAmt
Management And General$2,057ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Management And General$20,000ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,367TotalAmt
Management And General$7,367ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
FINANCIAL GESTURES PROG$88,391$88,391
EVENT EXPENSES$10,530$10,530
GROUP GESTURES PROGRAM$9,547$9,547
MEMBERSHIP DUES$308$308

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$141,544TotalAmt
Program Services$98,938ProgramServicesAmt
Management And General$32,076ManagementAndGeneralAmt
Fundraising$10,530FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$180,300BOYAmt
EOY$150,619EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$420,092BOYAmt
EOY$420,442EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$600,392BOYAmt
EOY$571,061EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$600,392BOYAmt
EOY$571,061EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$600,392BOYAmt
EOY$571,061EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$600,392BOYAmt
EOY$571,061EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$29,331ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$215,591CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$177,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$164,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,360CurrentTaxYearMinus1YearAmt
Current Tax Year$111,863CurrentTaxYearAmt
Total$781,988TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$215,591CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$177,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$164,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,360CurrentTaxYearMinus1YearAmt
Current Tax Year$111,863CurrentTaxYearAmt
Total$781,988TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$781,988PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$362CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$350CurrentTaxYearMinus1YearAmt
Current Tax Year$350CurrentTaxYearAmt
Total$1,948TotalAmt
FieldValueIRS element (for citing)
Total Support$783,936TotalSupportAmt
Public Support CY1700.99750PublicSupportCY170Pct
Public Support PY1700.99740PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PROVIDED TO THE GOVERNING BODY DURING REGULAR MEETINGS
FORM 990, PART VI, SECTION C, LINE 18DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19RECORDS ARE AVAILABLE AT THE ORGANIZATION'S OFFICE DURING NORMAL BUSINESS HOURS