GREATER RICHLAND AREA CANCER ELIMINATION INC: Form 990, tax year 2012
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- Organization
- GREATER RICHLAND AREA CANCER ELIMINATION INC (EIN 20-0467913)
- Tax period
- 2012-12-01 to 2013-11-30
- Filed
- 2014-06-06
- IRS object ID
- 201421579349300012
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-06-06T10:43:57-05:00 | Timestamp |
| Tax Period End Date | 2013-11-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON BLOCK & CO INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 BUSINESS PARK ROAD | AddressLine1 |
| City | MINERAL POINT | City |
| State | WI | State |
| ZIP Code | 53565 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-12-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200467913 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER RICHLAND AREA CANCER | BusinessNameLine1 |
| Business Name Line2 | ELIMINATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GREA | NameControl |
| Phone | 6086048255 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 213 | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEITH BEHLING | Name |
| Title | PRESIDENT | Title |
| Phone | 6086048255 | Phone |
| Date Signed | 2014-05-05 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENT NELSON | Name |
| Phone | 6089872206 | Phone |
| Date Prepared | 2014-05-27 | 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 | KEITH BEHLING PRESIDENT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 213 | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 315439 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WALKWITHGRACE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | TO PROVIDE MONETARY HELP TO CANCER PATIENTS IN NEED, FUNDING FOR CANCER RESEARCH, EDUCATION TO HELP PREVENT CANCER, AND FUNDING TO OUR MEDICAL COMMUNITY FOR DIAGNOSIS, TREATMENT AND SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 1150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 238170 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 275474 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 132 | InvestmentIncomePriorYear |
| Investment Income Current Year | 98 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 16406 | OtherRevenuePriorYear |
| Other Revenue Current Year | 27466 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 254708 | TotalRevenuePriorYear |
| Total Revenue Current Year | 303038 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 235752 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 244847 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 354 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8252 | OtherExpensePriorYear |
| Other Expenses Current Year | 10167 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 244004 | TotalExpensesPriorYear |
| Total Expenses Current Year | 255014 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10704 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 48024 | RevenuesLessExpensesCY |
| Total Assets BOY | 213733 | TotalAssetsBOY |
| Total Assets EOY | 261757 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 213733 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 261757 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE MONETARY HELP TO CANCER PATIENTS IN NEED, FUNDING FOR CANCER RESEARCH, EDUCATION TO HELP PREVENT CANCER, AND FUNDING TO OUR MEDICAL COMMUNITY FOR DIAGNOSIS, TREATMENT AND SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 38148 | Expense |
| Grants | 38148 | Grants |
| Description | DONATIONS TO LOCAL HOSPITALS TO ALLOW LOCAL CANCER PATIENTS THE ABILITY TO OBTAIN TREATMENTS IN THE AREA INSTEAD OF TRAVELING TO OBTAIN TREATMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 101729 | Expense |
| Grants | 101729 | Grants |
| Description | DONATIONS TO AN ORGANIZATION FOR CANCER RESEARCH. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 106837 | Expense |
| Grants | 104970 | Grants |
| Description | CANCER PATIENT EXPENSES - MONEY THAT HAS BEEN DISTRIBUTED THROUGH VOUCHERS TO INDIVIDUAL CANCER PATIENTS FOR VARIOUS NEEDS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 246714 | 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 | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | 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 | false | 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 | true | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | 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 | false | 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | false | QuidProQuoContributions |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARJORIE BISCO | NamePerson |
| Telephone Number | 6086474209 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 213 | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JAN NEUMANN | ||||||
| V. PRESIDENT | 36.00 | X | X | 0 | 0 | 0 |
| JO ANNE KRULATZ | ||||||
| SECRETARY | 5.00 | X | X | 0 | 0 | 0 |
| MARJORIE BISCO | ||||||
| TREASURER | 36.00 | X | X | 0 | 0 | 0 |
| KEITH BEHLING | ||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 |
| SHERRY COOPER | ||||||
| DIRECTOR | 15.00 | X | 0 | 0 | 0 | |
| TERESA GOPLEN | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| ROD REETZ | ||||||
| DIRECTOR | 2.40 | X | 0 | 0 | 0 | |
| JUNE NEE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DEREK KALISH | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 147409 | FundraisingEvents |
| All Other Contributions | 128065 | AllOtherContributions |
| Total Contributions | 275474 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98 | TotalRevenueColumn |
| Exclusion | $98 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 9086 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 147409 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 8101 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 985 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 30748 | GrossIncomeGaming |
| Gaming Direct Expenses | 4300 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26448 | TotalRevenueColumn |
| Exclusion | $26,448 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 33 | TotalRevenueColumn |
| Exclusion | $33 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 33 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 303038 | TotalRevenueColumn |
| Exclusion | $26,579 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139877 | Total |
| Program Services | 139877 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104970 | Total |
| Program Services | 104970 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3450 | Total |
| Management And General | 3450 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354 | Total |
| Fundraising | 354 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3278 | Total |
| Management And General | 3278 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1065 | Total |
| Management And General | 1065 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PREVENTATIVE PROGRAMS | 1867 | 1867 | |
| FILING FEES | 79 | 79 | |
| MAIL BOX RENTAL | 54 | 54 | |
| BANK SERVICE SEES | 20 | 20 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255014 | Total |
| Program Services | 246714 | ProgramServices |
| Management And General | 7946 | ManagementAndGeneral |
| Fundraising | 354 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147364 | BOY |
| EOY | 193782 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66369 | BOY |
| EOY | 67975 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213733 | BOY |
| EOY | 261757 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213733 | BOY |
| EOY | 261757 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213733 | BOY |
| EOY | 261757 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213733 | BOY |
| EOY | 261757 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 48024 | ReconcilationRevenueExpenses |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAudited |
| Audit Committee | true | AuditCommittee |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 214878 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 225414 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 210737 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 238170 | CurrentTaxYearMinus1Year |
| Current Tax Year | 275474 | CurrentTaxYear |
| Total | 1164673 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 324 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 932 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9079 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8950 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9086 | CurrentTaxYear |
| Total | 28371 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 27175 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28302 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30748 | CurrentTaxYear |
| Total | 86225 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 215202 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 226346 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 246991 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 275422 | CurrentTaxYearMinus1Year |
| Current Tax Year | 315308 | CurrentTaxYear |
| Total | 1279269 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3013 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 630 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2656 | CurrentTaxYear |
| Total | 6299 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3013 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 630 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2656 | CurrentTaxYear |
| Total | 6299 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1272970 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2350 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4553 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 167 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132 | CurrentTaxYearMinus1Year |
| Current Tax Year | 98 | CurrentTaxYear |
| Total | 7300 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2350 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4553 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 167 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132 | CurrentTaxYearMinus1Year |
| Current Tax Year | 98 | CurrentTaxYear |
| Total | 7300 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 33 | CurrentTaxYear |
| Total | 33 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 217552 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 230899 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 247158 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 275554 | CurrentTaxYearMinus1Year |
| Current Tax Year | 315439 | CurrentTaxYear |
| Total | 1286602 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98940 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98530 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WALK WITH GRACE | NameOfEvent1 |
| Gross Receipts Event1 | 156495 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 147409 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 9086 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 8101 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 156495 | GrossReceiptsTotal |
| Charitable Contributions Total | 147409 | CharitableContributionsTotal |
| Gross Revenue Total Events | 9086 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 8101 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 8101 | DirectExpenseSummaryEvents |
| Net Income Summary | 985 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Labor Bingo | false | VolunteerLaborBingo |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabs |
| Gross Revenue Other Gaming | 30748 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 4300 | CashPrizesOtherGaming |
| Volunteer Labor Other Gaming | true | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 30748 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 4300 | CashPrizesTotalGaming |
| Direct Expense Summary Gaming | 4300 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 26448 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WI | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | true | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | MARJORIE BISCO | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 213 | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WISCONSIN FDTN | |||||||
| 1848 UNIVERSITY AVENUE | MADISON | WI | 537264090 | 390743975 | 3 | 50865 | CANCER RESEARCH |
| GUNDERSON LUTHERAN MEDICAL FDTN | |||||||
| 1836 SOUTH AVENUE | LACROSSE | WI | 54601 | 391249705 | 3 | 50864 | CANCER RESEARCH |
| RICHLAND HOSPITAL FOUNDATION INC | |||||||
| 333 E SECOND STREET | RICHLAND CENTER | WI | 53581 | 391567249 | 3 | 38148 | LOCAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| MEDICAL ASSISTANCE, FOOD, | 82 | 104970 |
| & OTHER GENERAL EXPENSES | ||
| FOR LOCAL CANCER PATIENTS |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | LOCAL CANCER PATIENTS DO NOT RECEIVE DIRECT CASH ASSISTANCE. MOST OF THESE FUNDS ARE USED TO PAY FOR PATIENT MEDICAL EXPENSES, GROCERIES, FUEL AND OTHER GENERAL EXPENSES. PATIENTS ARE ELIGIBLE FOR THIS ASSISTANCE IF THEY APPLY WITH GREATER RICHLAND AREA CANCER ELIMINATION. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD PRESIDENT AND BOARD TREASURER REVIEW THE FORM 990 PRIOR TO FILING. THE FORM 990 IS REVIEWED BY THE FULL BOARD OF DIRECTORS AT A MEETING AFTER IT IS FINALIZED. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |