COMMUNITY BLOOD CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY BLOOD CENTER INC (EIN 39-0906273)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-06-17
- IRS object ID
- 201511689349300406
- Schema version
- 2014v5.0
- 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 | 2015-06-17T08:05:23-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391173131 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHENCK SC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E WASHINGTON ST PO BOX 1739 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 549121739 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390906273 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY BLOOD CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 9207383131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4406 W SPENCER ST | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54914 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN HAGINS | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9207383131 | PhoneNum |
| Signature | 2015-06-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE VANDEN HOGEN | PreparerPersonNm |
| PTIN | P00499282 | PTIN |
| Phone | 9207318111 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HAGINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4406 W SPENCER ST | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54914 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,391,322 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAVE3LIVES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSE OF THIS ORGANIZATION SHALL BE TO SUPERVISE AND PERFORM THE COLLECTION, PROCESSING AND DISTRIBUTION OF BLOOD, BLOOD COMPONENTS AND OTHER RELATED PRODUCTS, TO HOSPITALS OR TO OTHER BLOOD CENTERS. TO ENGAGE IN OTHER EXCLUSIVE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES AND ENDEAVORS INCLUDING PARTICIPATION IN ANY BUSINESS OR ENTERPRISE TO PROCURE FUNDS FOR THE FOREGOING, INCLUDING ALSO THE SOLICITATION OF FUNDS FOR THE FINANCIAL SUPPORT OF ITS PURPOSE AND OBJECTIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 193 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,647 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,842 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,616,013 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,009,686 | CYProgramServiceRevenueAmt |
| PY Investment Income | $487,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $355,156 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $17,115,467 | PYTotalRevenueAmt |
| CY Total Revenue | $17,372,684 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,482,212 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,785,082 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,062,549 | PYOtherExpensesAmt |
| CY Other Expenses | $8,130,023 | CYOtherExpensesAmt |
| PY Total Expenses | $15,544,761 | PYTotalExpensesAmt |
| CY Total Expenses | $15,915,105 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,570,706 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,457,579 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,094,947 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,351,040 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,071,373 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,975,694 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,023,574 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,375,346 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE COMMUNITY BLOOD CENTER PROVIDES RELIABLE, HIGH QUALITY BLOOD PRODUCTS AND SERVICES THAT SAVE LIVES IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,035,251 | ExpenseAmt |
| Revenue | $16,985,133 | RevenueAmt |
| Desc | COMMUNITY BLOOD CENTER PROVIDES 100% OF THE BLOOD TO 18 HOSPITALS THROUGHOUT NORTHEASTERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN 2014 WE COLLECTED MORE THAN 48,000 UNITS OF RED BLOOD CELLS THAT WE THEN TESTED, PROCESSED AND DISTRIBUTED TO HOSPITALS FOR BLOOD TRANSFUSION TO PATIENTS IN NEED. WE ARE ALSO ONE OF THE LOWEST COST PROVIDERS OF BLOOD IN THE NATION THROUGH OUR DEDICATION TO COST CONTAINMENT AND EFFICIENCY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $112,145 | ExpenseAmt |
| Revenue | $24,553 | RevenueAmt |
| Desc | BONE MARROW DONOR MATCHING PROGRAM | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,147,396 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 193 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 | LORI GLYNN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9207383131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4406 W SPENCER STREET | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54914 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CULLEN H HENSHAW MD TERM 2015 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BEN VOGEL TERM END 2014 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN M WOLLNER TERM END 2015 | ||||||||
| PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARGI MANN TERM END 2014 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM HUITING TERM END 2016 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN FLANNERY TERM END 2016 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA MOORE TERM END 2016 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVE SEIFERT TERM END 2015 | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL WISE TERM END 2016 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY JOHNSHOY TERM END 2015 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK KEHRBERG MD TERM END 2015 | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JO ANN LANG TERM END 2015 | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RICK SCHINLER TERM END 2016 | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JIM VANDERMISSEN TERM END 2015 | ||||||||
| EXECUTIVE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN HAGINS | ||||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $225,206 | $0 | $30,780 | Yes (X) | ||
| LORI GLYNN | ||||||||
| DIRECTOR OF FINANCE | 40.00 | $100,942 | $0 | $25,205 | Yes (X) | |||
| TODD STRAUS MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | $212,156 | $0 | $22,381 | Yes (X) | |||
| ANDREA MICHAUD | ||||||||
| V.P.COLLECTIONS | 40.00 | $110,070 | $0 | $14,403 | Yes (X) | |||
| MATT MCCARTER | ||||||||
| V.P.CUSTOMER RELATIONS AND | 40.00 | $142,221 | $0 | $17,471 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $790,595 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,240 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | 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 |
|---|---|---|---|---|---|
| HOFFMAN LLC | |||||
| PO BOX 8034 | APPLETON | WI | 549118034 | MOBILE GARAGE/WAREHOUSE | $850,680 |
| HAEMONETICS | |||||
| 4925 ROBERT J MATHEWS PKWY STE 100 | ELDORADO HILLS | CA | 09576 | COMPUTER MAINTENANCE | $266,177 |
| FEDEX | |||||
| PO BOX 94515 | PALATINE | IL | 600944515 | COURIER SERVICES | $158,077 |
| PROPHIT MARKETING INC | |||||
| 154 N BROADWAY | GREEN BAY | WI | 54303 | MARKETING | $147,986 |
| IT SYNERGISTICS | |||||
| 26 SECURITY DRIVE | JACKSON | TN | 38305 | SOFTWARE LICENSE | $144,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,842 | AllOtherContributionsAmt |
| Total Contributions | $7,842 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RED BLOOD CELLS | 621500 | $9,156,182 | $9,156,182 |
| APHERESIS PROCEDURES | 621500 | $4,988,513 | $4,988,513 |
| RECOVERED PLASMA | 621500 | $1,214,603 | $1,214,603 |
| COMPONENTS | 621500 | $1,131,469 | $1,131,469 |
| OTHER TESTING AND FEES | 621500 | $494,308 | $494,308 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,611 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,611 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,009,686 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,294 | TotalRevenueColumnAmt |
| Exclusion | $350,294 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,638 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,862 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,862 | TotalRevenueColumnAmt |
| Exclusion | $4,862 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,372,684 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,009,686 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $355,156 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $616,670 | TotalAmt |
| Management And General | $616,670 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,585,904 | TotalAmt |
| Program Services | $4,450,472 | ProgramServicesAmt |
| Management And General | $1,135,432 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,556 | TotalAmt |
| Program Services | $194,226 | ProgramServicesAmt |
| Management And General | $48,330 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,467 | TotalAmt |
| Program Services | $670,389 | ProgramServicesAmt |
| Management And General | $215,078 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,485 | TotalAmt |
| Program Services | $344,647 | ProgramServicesAmt |
| Management And General | $109,838 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Management And General | $5,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,434 | TotalAmt |
| Management And General | $71,434 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,248,802 | TotalAmt |
| Program Services | $2,218,775 | ProgramServicesAmt |
| Management And General | $30,027 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,012 | TotalAmt |
| Program Services | $173,557 | ProgramServicesAmt |
| Management And General | $16,455 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,567 | TotalAmt |
| Program Services | $133,757 | ProgramServicesAmt |
| Management And General | $25,810 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,138 | TotalAmt |
| Program Services | $340,204 | ProgramServicesAmt |
| Management And General | $2,934 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,275 | TotalAmt |
| Program Services | $147,820 | ProgramServicesAmt |
| Management And General | $57,455 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,662 | TotalAmt |
| Program Services | $232,433 | ProgramServicesAmt |
| Management And General | $37,229 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,576 | TotalAmt |
| Program Services | $55,065 | ProgramServicesAmt |
| Management And General | $21,511 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,556 | TotalAmt |
| Management And General | $9,556 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,097 | TotalAmt |
| Program Services | $274,726 | ProgramServicesAmt |
| Management And General | $209,371 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,283 | TotalAmt |
| Program Services | $190,522 | ProgramServicesAmt |
| Management And General | $37,761 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES AND PURCHASED | $2,617,368 | $2,617,368 | |
| REPAIRS AND MAINTENANCE | $476,626 | $362,127 | $114,499 |
| SHIPPING AND HANDLING | $326,153 | $326,153 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,474 | TotalAmt |
| Program Services | $415,155 | ProgramServicesAmt |
| Management And General | $3,319 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,915,105 | TotalAmt |
| Program Services | $13,147,396 | ProgramServicesAmt |
| Management And General | $2,767,709 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,281 | BOYAmt |
| EOY | $630,232 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,089,383 | BOYAmt |
| EOY | $2,118,406 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,667 | BOYAmt |
| EOY | $404,918 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,270 | BOYAmt |
| EOY | $245,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,636,216 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,851,553 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,835,990 | BOYAmt |
| EOY | $7,784,663 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,359,249 | BOYAmt |
| EOY | $14,534,987 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,364 | BOYAmt |
| EOY | $523,668 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,743 | BOYAmt |
| EOY | $108,214 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,094,947 | BOYAmt |
| EOY | $26,351,040 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,307 | BOYAmt |
| EOY | $1,117,648 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,066 | BOYAmt |
| EOY | $858,046 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,071,373 | BOYAmt |
| EOY | $1,975,694 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,020,575 | BOYAmt |
| EOY | $24,375,346 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,999 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,023,574 | BOYAmt |
| EOY | $24,375,346 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,094,947 | BOYAmt |
| EOY | $26,351,040 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,457,579 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $894,076 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $117 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $63,568 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,516 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,024 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,647 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,842 | CurrentTaxYearAmt |
| Total | $223,597 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,878,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,649,916 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,152,863 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,616,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,009,686 | CurrentTaxYearAmt |
| Total | $82,306,808 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,941,898 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,722,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,220,887 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,627,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,017,528 | CurrentTaxYearAmt |
| Total | $82,530,405 | 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) |
|---|---|---|
| Current Tax Year Minus3 Years | $10,966,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,721,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,679,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,949,380 | CurrentTaxYearAmt |
| Total | $46,316,281 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $10,966,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,721,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,679,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,949,380 | CurrentTaxYearAmt |
| Total | $46,316,281 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $36,214,124 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $178,861 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $264,075 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $487,807 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $350,294 | CurrentTaxYearAmt |
| Total | $1,457,515 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $178,861 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $264,075 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $487,807 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $350,294 | CurrentTaxYearAmt |
| Total | $1,457,515 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $70 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17 | CurrentTaxYearMinus3YearsAmt |
| Total | $87 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,120,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,898,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,484,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,115,467 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,367,822 | CurrentTaxYearAmt |
| Total | $83,988,007 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.43120 | PublicSupportCY509Pct |
| Public Support PY509 | 0.57710 | PublicSupportPY509Pct |
| Investment Income CY | 0.01740 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01440 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $105,743 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,112 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,641 | AdministrativeExpensesAmt |
| End Year Balance | $108,214 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $92,020 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,234 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,511 | AdministrativeExpensesAmt |
| End Year Balance | $105,743 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,257 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,160 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,397 | AdministrativeExpensesAmt |
| End Year Balance | $92,020 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $86,035 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$52 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,726 | AdministrativeExpensesAmt |
| End Year Balance | $84,257 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $76,685 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,435 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,085 | AdministrativeExpensesAmt |
| End Year Balance | $86,035 | 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 | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $681,582 | OtherCostOrOtherBasisAmt |
| Book Value | $681,582 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,971,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,495,027 | DepreciationAmt |
| Book Value | $5,476,131 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,223 | DepreciationAmt |
| Book Value | $71,382 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,632,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,501,650 | DepreciationAmt |
| Book Value | $1,131,076 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,227,145 | OtherCostOrOtherBasisAmt |
| Depreciation | $802,653 | DepreciationAmt |
| Book Value | $424,492 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,784,663 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,266,877 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $894,076 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $117 | OtherRevenueAmt |
| Revenue Not Reported | $894,193 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,372,684 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,372,684 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,915,105 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,915,105 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,915,105 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO SUPPORT THE MISSION OF THE ORGANIZATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RECOVERY OF RESTITUTION |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN HAGINS | ||||||||||||||
| PRESIDENT/CEO | $225,206 | $0 | $0 | $0 | $0 | $0 | $12,107 | $0 | $18,673 | $0 | $255,986 | $0 | $0 | $0 |
| TODD STRAUS MD | ||||||||||||||
| MEDICAL DIRECTOR | $212,156 | $0 | $0 | $0 | $0 | $0 | $9,690 | $0 | $12,691 | $0 | $234,537 | $0 | $0 | $0 |
| MATT MCCARTER | ||||||||||||||
| V.P.CUSTOMER RELATIONS AND | $142,221 | $0 | $0 | $0 | $0 | $0 | $8,462 | $0 | $9,009 | $0 | $159,692 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. THE BOARD APPROVES ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. | ExplanationTxt |
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 | VILLAGE OF LITTLE CHUTE WISCONSIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 396006304 | BondIssuerEIN |
| Bond Issued | 2009-01-06 | BondIssuedDt |
| Issue Price | $3,500,000 | IssuePriceAmt |
| Purpose | THE RAZING OF BUILDING, IMPROVEMENTS TO BUILDING, AND PURCHASE OF EQUIPMENT | 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 |
| Retired | $1,035,535 | RetiredAmt |
| Total Proceeds | $1,893,581 | TotalProceedsAmt |
| Capital Expenditures | $1,893,581 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | 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 | 0 | 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 | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K | FormAndLineReferenceDesc |
| Explanation | BOND PROCEEDS ARE LESS THAN TOTAL BOND ISSUE BECAUSE CAPITAL EXPENDITURE NEEDS WAS LESS THAN $3.5 MILLION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | REVISED BYLAWS TO STATE THAT NO MORE THAN FIVE REPRESENTATIVES OF CUSTOMERS COULD SERVE ON THE BOARD OF DIRECTORS AT ANY GIVEN TIME. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD MEMBERS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A CONFLICT OF INTEREST QUESTIONAIRE AND ARE REQUIRED TO COMPLETE AND SUBMIT. |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. ANNUALLY THE DIRECTOR OF HUMAN RESOURCES DOES A REVIEW OF OUR WAGE RANGES COMPARING THEM TO EXTERNAL SURVEYS AND OTHER DATA TO MAKE SURE WE ARE COMPETITIVE. THIS INFORMATION IS USED TO DETERMINE CHANGES IN KEY EMPLOYEE'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS, INCLUDING GOVERNING, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | BLOOD TESTING SERVICES: PROGRAM SERVICE EXPENSES 2,218,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,218,775. PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 30,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,027. |
| FORM 990, PART XI, LINE 9: | RECOVERY OF RESTITUTION 117. |