CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN INC (EIN 39-1758740)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-05-01
IRS object ID: 201301219349300880
Schema version: 2011v1.5
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 D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-01T13:15:47-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	410746749	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 810	AddressLine1
City	EAU CLAIRE	City
State	WI	State
ZIP Code	54702	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391758740	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CENTER FOR INDEPENDENT LIVING	BusinessNameLine1
Business Name Line2	FOR WESTERN WISCONSIN INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CENT	NameControl
Phone	7152331070	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2920 SCHNEIDER AVENUE EAST	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TIM SHEEHAN	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7152331070	Phone
Date Signed	2013-04-25	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CORY WIESE	Name
PTIN	P00079186	PTIN
Phone	7158521100	Phone
Date Prepared	2013-04-21	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TIM SHEEHAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2920 SCHNEIDER AVENUE EAST	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1911542	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CILWW.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1993	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	THE CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN (CILWW) ADVOCATES FOR THE FULL PARTICIPATION IN SOCIETY OF ALL PERSONS WITH DISABILITIES. OUR GOAL IS EMPOWERING INDIVIDUALS TO EXERCISE CHOICES TO MAINTAIN OR INCREASE THEIR INDEPENDENCE. OUR STRATEGY IS PROVIDING CONSUMER-DRIVEN SERVICES AT NO COST TO PERSONS WITH DISABILITIES IN WESTERN WISCONSIN.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	100	TotalNbrEmployees
Total Nbr Volunteers	125	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	956850	ContributionsGrantsPriorYear
Contributions Grants Current Year	878531	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	785418	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1031631	ProgramServiceRevenueCY
Investment Income Prior Year	277	InvestmentIncomePriorYear
Investment Income Current Year	1380	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1742545	TotalRevenuePriorYear
Total Revenue Current Year	1911542	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1218150	SalariesEtcPriorYear
Salaries Etc Current Year	1402830	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	522791	OtherExpensePriorYear
Other Expenses Current Year	538745	OtherExpensesCurrentYear
Total Expenses Prior Year	1740941	TotalExpensesPriorYear
Total Expenses Current Year	1941575	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1604	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-30033	RevenuesLessExpensesCY
Total Assets BOY	616201	TotalAssetsBOY
Total Assets EOY	566752	TotalAssetsEOY
Total Liabilities BOY	297194	TotalLiabilitiesBOY
Total Liabilities EOY	274561	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	319007	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	292191	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN (CILWW) ADVOCATES FOR THE FULL PARTICIPATION IN SOCIETY OF ALL PERSONS WITH DISABILITIES. OUR GOAL IS EMPOWERING INDIVIDUALS TO EXERCISE CHOICES TO MAINTAIN OR INCREASE THEIR INDEPENDENCE. OUR STRATEGY IS PROVIDING CONSUMER DRIVEN SERVICES AT NO COST TO PERSONS WITH DISABILITIES IN WESTERN WISCONSIN.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	502524	Expense
Revenue	124965	Revenue
Description	PROVIDE AND PROMOTE INDEPENDENT LIVING ALTERNATIVES FOR PERSONS WITH DISABILITIES IN A TEN-COUNTY AREA OF WESTERN WISCONSIN. TO ENHANCE INDIVIDUALS SELF-DETERMINATION AND PARTICIPATION IN SOCIETY. FOR MORE INFORMATION ON OUR PROGRAMS, PLEASE VISIT OUR WEBSITE AT WWW.CILWW.COM	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	563570	Expense
Revenue	148952	Revenue
Description	FREEDOM TRANSPORTATION PROGRAM - VOLUNTEER DRIVERS GAVE INDIVIDUALS RIDES TO APPOINTMENTS AT NO COST TO THESE INDIVIDUALS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	579541	Expense
Revenue	757714	Revenue
Description	PERSONAL CARE WORKERS PROVIDED SERVICES TO CILWW CLIENTS	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1645635	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	18	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	100	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7152331070	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2920 SCHNEIDER AVE SE	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
TIM SHEEHAN
EXECUTIVE DIRECTOR	40.00	X	80218	0	0
GERALYNNE BERG
BOARD MEMBER	2.00	X	0	0	0
BRIAN RONNINGEN
BOARD MEMBER	2.00	X	0	0	0
RANDI JOHNSON
BOARD MEMBER	2.00	X	0	0	0
ELIZABETH ANDERSON
BOARD MEMBER	2.00	X	0	0	0
RON JANSEN
BOARD MEMBER	2.00	X	0	0	0
SIA YANG
BOARD MEMBER	2.00	X	0	0	0
BURTON YARDLEY
BOARD MEMBER	2.00	X	0	0	0
BRAD BECKMAN
BOARD MEMBER	2.00	X	0	0	0
GENE ANDERSON
BOARD MEMBER	2.00	X	0	0	0
GENE TREMBLAY
PRESIDENT	2.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	80218	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Federated Campaigns	35061	FederatedCampaigns
Government Grants	842786	GovernmentGrants
All Other Contributions	684	AllOtherContributions
Total Contributions	878531	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID BILLING FEES	624100	757714	757714
PROGRAM SERVICES	624100	273917	273917

Field	Value	IRS element (for citing)
Total Program Service Revenue	1031631	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1380	TotalRevenueColumn
Exclusion	$1,380	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1911542	TotalRevenueColumn
Related Or Exempt Function Income	1031631	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,380	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	63511	Total
Program Services	47633	ProgramServices
Management And General	15878	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1021600	Total
Program Services	870315	ProgramServices
Management And General	151285	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	30476	Total
Program Services	22858	ProgramServices
Management And General	7618	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	193857	Total
Program Services	145393	ProgramServices
Management And General	48464	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	93386	Total
Program Services	79142	ProgramServices
Management And General	14244	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9849	Total
Program Services	138	ProgramServices
Management And General	9711	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	657	Total
Program Services	9	ProgramServices
Management And General	648	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1027	Total
Program Services	303	ProgramServices
Management And General	724	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	15177	Total
Program Services	11491	ProgramServices
Management And General	3686	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4824	Total
Program Services	3618	ProgramServices
Management And General	1206	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	81360	Total
Program Services	73885	ProgramServices
Management And General	7475	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	71805	Total
Program Services	56359	ProgramServices
Management And General	15446	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7200	Total
Program Services	5400	ProgramServices
Management And General	1800	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13080	Total
Program Services	9810	ProgramServices
Management And General	3270	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	15139	Total
Program Services	11354	ProgramServices
Management And General	3785	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROGRAM EXPENSES	274707	274707
REPAIRS AND MAINTENANCE	14926	11194	3732
PRINTING	13444	10083	3361
DUES AND SUBSCRIPTIONS	12531	9652	2879

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3019	Total
Program Services	2291	ProgramServices
Management And General	728	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1941575	Total
Program Services	1645635	ProgramServices
Management And General	295940	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14293	BOY
EOY	24411	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	244778	BOY
EOY	175820	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	47682	BOY
EOY	61017	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	20499	BOY
EOY	26021	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	459165	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	200423	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	271822	BOY
EOY	258742	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	15027	BOY
EOY	18641	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2100	BOY
EOY	2100	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	616201	BOY
EOY	566752	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	135117	BOY
EOY	145460	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	162077	BOY
EOY	129101	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	297194	BOY
EOY	274561	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	319007	BOY
EOY	292191	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	319007	BOY
EOY	292191	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	616201	BOY
EOY	566752	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-30033	ReconcilationRevenueExpenses
Reconcilation Other Changes	3217	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

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	615283	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	752427	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	856454	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	785418	CurrentTaxYearMinus1Year
Current Tax Year	878531	CurrentTaxYear
Total	3888113	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	615283	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	752427	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	856454	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	785418	CurrentTaxYearMinus1Year
Current Tax Year	878531	CurrentTaxYear
Total	3888113	Total

Field	Value	IRS element (for citing)
Public Support Total170	3888113	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	856	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	347	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	277	CurrentTaxYearMinus1Year
Current Tax Year	1380	CurrentTaxYear
Total	2860	Total

Field	Value	IRS element (for citing)
Total Support	3890973	TotalSupport
Gross Receipts From Admissions Etc	10320361	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99930	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99950	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44000	OtherCostOrOtherBasis
Book Value	44000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	392410	OtherCostOrOtherBasis
Depreciation	177668	Depreciation
Book Value	214742	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22755	OtherCostOrOtherBasis
Depreciation	22755	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	258742	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	LINE OF CREDIT	Description
Amount	$129,101	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	129101	TotalOfAmounts
Total Revenue	1911542	TotalRevenue
Total Expenses	1941575	TotalExpenses
Excess Or Deficit For Year	-30033	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3217	NetUnrealizedGLOnInvestments
Total Adjustments	3217	TotalAdjustments
Excess Or Deficit Per FS	-26816	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1914759	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3217	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	3217	RevenueNotRptdF990
Revenue Subtotal	1911542	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1911542	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1941575	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1941575	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1941575	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	BOARD OF DIRECTORS REVIEWS FORM 990 PREPARED BY THE ACCOUNTANTS AND APPROVES IT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND EMPLOYEES REPORT ANY CONFLICTS OF INTEREST THEY HAVE. IT IS THE POLICY OF THE ORGANIZATION FOR SAFEGUARDS TO BE PUT IN PLACE WHEN THERE ARE CONFLICTS OF INTEREST. THE POLICY IS MONITORED AND ENFORCED BY THE EXECUTIVE DIRECTOR ALONG WITH THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY THE FINANCE COMMITTEE IS PRESENTED WITH A DRAFT BUDGET THAT INCLUDES SALARY INCREASES FOR THE EXECUTIVE DIRECTOR AND OTHER EMPLOYEES FOR THE NEXT FISCAL YEAR. THE BUDGET IS THEN BROUGHT TO THE FULL BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S 990 IS AVAILABLE FOR REVIEW ON GUIDESTAR.ORG. THE ORGANIZATION ALSO MAKES ITS 990, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 3,217.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C	NO CHANGES TO THE PROCESS