CAMPBELL COUNTY SENIOR CITIZENS ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CAMPBELL COUNTY SENIOR CITIZENS ASSOCIATION INC (EIN 83-0254480)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-01-23
IRS object ID: 201420239349300937
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-01-23T16:55:21-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BENNETT WEBER & HERMSTAD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2256	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	827172256	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	830254480	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS	BusinessNameLine1
Business Name Line2	ASSOCIATION	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CAMP	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 STOCKTRAIL	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82716	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TERI BAGWELL	Name
Title	TREASURER	Title
Date Signed	2014-01-23	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MICHAEL R BENNETT CPA	Name
Phone	3076825250	Phone
Date Prepared	2014-01-23	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TERI BAGWELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3412 CAMEO CT	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82718	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2192974	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CAMPBELLCOUNTYSENIORCENTER.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	WY	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE A BROAD RANGE OF SERVICES WHICH SUPPORT AN INDIVIDUAL'S ABILITY TO LIVE INDEPENDENTLY, TO PARTICIPATE IN HIS OR HER COMMUNITY, AND TO LEAD A DIGNIFIED MEANINGFUL LIFE AS A SENIOR CITIZEN.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	71	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1843131	ContributionsGrantsPriorYear
Contributions Grants Current Year	1859974	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	229491	ProgramServiceRevenuePriorYear
Program Service Revenue CY	237152	ProgramServiceRevenueCY
Investment Income Prior Year	4180	InvestmentIncomePriorYear
Investment Income Current Year	-28793	InvestmentIncomeCurrentYear
Other Revenue Prior Year	46567	OtherRevenuePriorYear
Other Revenue Current Year	65013	OtherRevenueCurrentYear
Total Revenue Prior Year	2123369	TotalRevenuePriorYear
Total Revenue Current Year	2133346	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1370334	SalariesEtcPriorYear
Salaries Etc Current Year	1369424	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	17738	TotalFundrsngExpCurrentYear
Other Expense Prior Year	623294	OtherExpensePriorYear
Other Expenses Current Year	593017	OtherExpensesCurrentYear
Total Expenses Prior Year	1993628	TotalExpensesPriorYear
Total Expenses Current Year	1962441	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	129741	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	170905	RevenuesLessExpensesCY
Total Assets BOY	1114766	TotalAssetsBOY
Total Assets EOY	1287753	TotalAssetsEOY
Total Liabilities BOY	1809	TotalLiabilitiesBOY
Total Liabilities EOY	3891	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1112957	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1283862	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE A BROAD RANGE OF SERVICES WHICH SUPPORT AN INDIVIDUAL'S ABILITY TO LIVE INDEPENDENTLY, TO PARTICIPATE IN HIS OR HER COMMUNITY, AND TO LEAD A DIGNIFIED MEANINGFUL LIFE AS A SENIOR CITIZEN.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	731033	Expense
Revenue	177788	Revenue
Description	NUTRITIONAL SERVICES FOR THE ELDERLY. THERE WERE 36,010 CONGREGATE MEALS AND 19,723 HOME DELIVERED MEALS SERVED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	573685	Expense
Revenue	29567	Revenue
Description	ADULT IN-HOME SERVICES FOR THE ELDERLY AND HANDICAPPED. 599 CLIENTS WERE SERVED.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	292284	Expense
Revenue	21597	Revenue
Description	TRANSPORTATION SERVICES FOR THE ELDERLY AND HANDICAPPED. THERE WERE 17,363 RIDES FOR 354 CLIENTS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	70131	Expense
Revenue	8200	Revenue
Description	EDUCATIONAL SERVICES 43 CLIENTS SERVED AND NUTRITION SCREENING 116 CLIENTS SERVED.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	70131	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	8200	TotalOfOtherProgramServiceRev
Total Program Service Expense	1667133	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	true	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	71	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3076860804	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	701 STOCKTRAIL AVE	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82716	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
CATHY KONRATH
EXECUTIVE DI	50.00	X	57818	0	7241
SAM BENNETT
BOARD MEMBER	1.00	X	0	0	0
NELLO WILLIAMS
BOARD MEMBER	5.00	X	0	0	0
CAROL GRAF
BOARD MEMBER	1.00	X	0	0	0
TERI BAGWELL
TREASURER	1.00		0	0	0	X
JEANNE HAAKINSON
CHAIRMAN	2.00		0	0	0	X
GARY JAHNKE
VICE CHAIR	2.00		0	0	0	X
JACK MATHENY
SECRETARY	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	57818	TotalReportableCompFromOrg
Total Other Compensation	7241	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Related Organizations	14307	RelatedOrganizations
Government Grants	1783397	GovernmentGrants
All Other Contributions	62270	AllOtherContributions
Noncash Contributions	20905	NoncashContributions
Total Contributions	1859974	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NUTRITIONAL SERVICES	624100	177788	177788
ADULT IN-HOME	624100	29567	29567
TRANSPORTATION	624100	21597	21597
SOCIAL SERVICES - OTHER	624100	8200	8200

Field	Value	IRS element (for citing)
Total Program Service Revenue	237152	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	606	TotalRevenueColumn
Exclusion	$606	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	539	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	29938	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-29399	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-29399	TotalRevenueColumn
Related Or Exempt Function Income	-29399	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	94703	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	29690	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	65013	TotalRevenueColumn
Exclusion	$65,013	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2133346	TotalRevenueColumn
Related Or Exempt Function Income	207753	RelatedOrExemptFunctionIncome
Exclusion	$65,619	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	57817	Total
Management And General	57817	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	974145	Total
Program Services	845478	ProgramServices
Management And General	119217	ManagementAndGeneral
Fundraising	9450	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	205506	Total
Program Services	166748	ProgramServices
Management And General	37982	ManagementAndGeneral
Fundraising	776	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	131956	Total
Program Services	102027	ProgramServices
Management And General	28793	ManagementAndGeneral
Fundraising	1136	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	14545	Total
Program Services	14545	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	17328	Total
Program Services	14664	ProgramServices
Management And General	2624	ManagementAndGeneral
Fundraising	40	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1725	Total
Fundraising	1725	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	101782	Total
Program Services	100976	ProgramServices
Management And General	806	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	70108	Total
Program Services	39971	ProgramServices
Management And General	27687	ManagementAndGeneral
Fundraising	2450	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	17831	Total
Program Services	17089	ProgramServices
Management And General	742	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4310	Total
Program Services	2435	ProgramServices
Management And General	1875	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	51	Total
Program Services	51	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	29680	Total
Program Services	29680	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
FOOD	224561	224561
REPAIRS & MAINTENANCE	68304	68304
GAS, FUEL, & OIL	22237	22237
ACTIVITIES	11835	11835

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8720	Total
Program Services	6532	ProgramServices
Management And General	27	ManagementAndGeneral
Fundraising	2161	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1962441	Total
Program Services	1667133	ProgramServices
Management And General	277570	ManagementAndGeneral
Fundraising	17738	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	363670	BOY
EOY	454142	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	833554	LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	751096	BOY
EOY	833554	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	57	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1114766	BOY
EOY	1287753	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1723	BOY
EOY	3891	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	86	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1809	BOY
EOY	3891	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1054098	BOY
EOY	1232909	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	58859	BOY
EOY	50953	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1112957	BOY
EOY	1283862	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1114766	BOY
EOY	1287753	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	170905	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1353863	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1554634	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1936727	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1843131	CurrentTaxYearMinus1Year
Current Tax Year	1859974	CurrentTaxYear
Total	8548329	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	144000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	160761	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	200000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	320000	CurrentTaxYearMinus1Year
Current Tax Year	400000	CurrentTaxYear
Total	1224761	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1497863	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1715395	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2136727	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2163131	CurrentTaxYearMinus1Year
Current Tax Year	2259974	CurrentTaxYear
Total	9773090	Total

Field	Value	IRS element (for citing)
Public Support Total170	9773090	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	320	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	680	CurrentTaxYearMinus1Year
Current Tax Year	606	CurrentTaxYear
Total	1606	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	255259	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	235907	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	221646	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	229491	CurrentTaxYearMinus1Year
Current Tax Year	237152	CurrentTaxYear
Total	1179455	Total

Field	Value	IRS element (for citing)
Total Support	10954151	TotalSupport
Gross Receipts From Admissions Etc	1179456	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.89220	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.88420	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	172417	OtherCostOrOtherBasis
Book Value	172417	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	661137	OtherCostOrOtherBasis
Book Value	661137	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	833554	TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF SCRAMBLER	NameOfEvent1
Gross Receipts Event1	32230	GrossReceiptsEvent1
Gross Revenue Event1	32230	GrossRevenueEvent1
Other Direct Expenses Event1	19912	OtherDirectExpensesEvent1
Name Of Event2	FACILITY RENTAL	NameOfEvent2
Gross Receipts Event2	31070	GrossReceiptsEvent2
Gross Revenue Event2	31070	GrossRevenueEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	24773	GrossReceiptsOtherEvents
Gross Revenue Other Events	24773	GrossRevenueOtherEvents
Other Direct Expenses Other Events	5876	OtherDirectExpensesOtherEvents
Gross Receipts Total	88073	GrossReceiptsTotal
Gross Revenue Total Events	88073	GrossRevenueTotalEvents
Other Direct Expenses Total Events	25788	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	25788	DirectExpenseSummaryEvents
Net Income Summary	62285	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	EDUCATIONAL SERVICES 43 CLIENTS SERVED AND NUTRITION SCREENING 116 CLIENTS SERVED.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	TAX RETURNS ARE SHARED WITH THE EXECUTIVE DIRECTOR, WHO REVIEWS THE RETURN, SIGNS IT AND MAILS IT IN, IF NECESSARY. IF THE BOARD CHAIR SIGNATURE IS REQUIRED, THE BOARD CHAIR WILL BE CONTACTED, AND THE RETURN REVIEWED AND SIGNED. BOARD OF DIRECTORS ARE NOTIFIED AT THE TIME THE TAX RETURN IS COMPLETED AND ARE WELCOME TO REVIEW THE RETURN AT THEIR REQUEST.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE CHAIRMAN OF THE BOARD PROPOSES THE SALARY OF THE EXECUTIVE DIRECTOR AND THE BOARD DELIBERATES AND APPROVES THE SALARY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE TAX RETURN, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE STORED AT THE CAMPBELL COUNTY SENIOR CENTER FOR THE PUBLIC TO VIEW.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS FOU	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1604	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	827171604	ZIPCode

Field	Value	IRS element (for citing)
EIN	830299407	EIN
Primary Activities	CHARITABLE	PrimaryActivities
Legal Domicile State	WY	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg