SHEBOYGAN COUNTY CANCER CARE FUND INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SHEBOYGAN COUNTY CANCER CARE FUND INC (EIN 39-2002260)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-31
- IRS object ID
- 201302129349200415
- Schema version
- 2012v2.1
- 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 | 2013-07-31T10:48:25-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 KOHLER MEMORIAL DR STE 200 | AddressLine1 |
| City | SHEBOYGAN | City |
| State | WI | State |
| ZIP Code | 53081 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 392002260 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEBOYGAN COUNTY CANCER CARE FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHEB | NameControl |
| Phone | 9204587433 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 N TAYLOR DR NO 100 | AddressLine1 |
| City | SHEBOYGAN | City |
| State | WI | State |
| ZIP Code | 53081 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIM RENZELMAN | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 9204587433 | Phone |
| Date Signed | 2013-07-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEREMY FROMM CPA | Name |
| PTIN | P00839813 | PTIN |
| Phone | 9204589151 | Phone |
| Date Prepared | 2013-07-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 178444 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 177797 | ContributionsGiftsGrantsEtc |
| Investment Income | 647 | InvestmentIncome |
| Total Revenue | 178444 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 1300 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 20000 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 1132 | PrintingPublicationsPostage |
| Other Expenses Total | 131038 | OtherExpensesTotal |
| Total Expenses | 153470 | TotalExpenses |
| Excess Or Deficit For Year | 24974 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 467623 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 492597 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467623 | BOY |
| EOY | 492597 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467623 | BOY |
| EOY | 492597 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467623 | BOY |
| EOY | 492597 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE SUPPORT TO CANCER VICTIMS | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | PROVIDING SUPPORT TO CANCER VICTIMS | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 153470 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 153470 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (4 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| MARSHALL MATTHEWS | ||||
| PRESIDENT | 1.00 | 0 | 0 | 0 |
| TIM RENZELMAN | ||||
| VICE-PRESIDENT | 1.00 | 0 | 0 | 0 |
| LOU ANN MEYER | ||||
| SECRETARY | 1.00 | 0 | 0 | 0 |
| MARTIN STEPZINSKI | ||||
| TREASURER | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 N TAYLOR DR NO 100 | AddressLine1 |
| City | SHEBOYGAN | City |
| State | WI | State |
| ZIP Code | 53081 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9204587433 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
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 | 132456 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 121139 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 168422 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 197269 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177797 | CurrentTaxYear |
| Total | 797083 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 132456 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 121139 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 168422 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 197269 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177797 | CurrentTaxYear |
| Total | 797083 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 797083 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1278 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 902 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 349 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1102 | CurrentTaxYearMinus1Year |
| Current Tax Year | 647 | CurrentTaxYear |
| Total | 4278 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 801361 | TotalSupport |
| Public Support Pertcentage170 | 0.99470 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98660 | 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 O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 647.. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: BANK FEES. AMOUNT: 955. DESCRIPTION: COMPUTER/WEBSITE. AMOUNT: 1,350. DESCRIPTION: DUES & LICENSES. AMOUNT: 318. DESCRIPTION: INSURANCE EXPENSE. AMOUNT: 1,165. DESCRIPTION: FUNDRAISING EXPENSE. AMOUNT: 13,497. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 1,221. DESCRIPTION: SUPPORT OF CANCER VICTIMS. AMOUNT: 111,627. DESCRIPTION: TELEPHONE EXPENSE. AMOUNT: 701. DESCRIPTION: MISCELLANEOUS. AMOUNT: 105. DESCRIPTION: STORAGE. AMOUNT: 99. TOTAL TO FORM 990-EZ, LINE 16: 131,038. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |