COKEVILLE SENIOR CITIZEN CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COKEVILLE SENIOR CITIZEN CENTER INC (EIN 83-0244284)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-05-15
IRS object ID: 201341359349305919
Schema version: 2011v1.2
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	2013-05-15T11:41:43-07:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GERALD R HENDRICKS CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	11166 HURON ST STE 30	AddressLine1
City	NORTHGLENN	City
State	CO	State
ZIP Code	802343339	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	830244284	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COKEVILLE SENIOR CITIZEN CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COKE	NameControl
Phone	3072793226	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 355	AddressLine1
City	COKEVILLE	City
State	WY	State
ZIP Code	83114	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD PETERSEN	Name
Title	CHAIRMAN	Title
Phone	3072793226	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	GERALD R HENDRICKS	Name
Phone	3032524700	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BRENDA LAZCANOTEGUI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 355	AddressLine1
City	COKEVILLE	City
State	WY	State
ZIP Code	83114	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	141188	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	WY	StateLegalDomicile
Activity Or Mission Description	SENIOR SERVICES PROVIDE HOT MEALS IN A CONGREGATE SETTING FOR SENIORS IN COKEVILLE WYOMING AND THE SURROUNDING AREAS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	6	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	108516	ContributionsGrantsPriorYear
Contributions Grants Current Year	120336	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	16261	ProgramServiceRevenuePriorYear
Program Service Revenue CY	20852	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	124777	TotalRevenuePriorYear
Total Revenue Current Year	141188	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	45082	SalariesEtcPriorYear
Salaries Etc Current Year	51096	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	74591	OtherExpensePriorYear
Other Expenses Current Year	78263	OtherExpensesCurrentYear
Total Expenses Prior Year	119673	TotalExpensesPriorYear
Total Expenses Current Year	129359	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5104	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11829	RevenuesLessExpensesCY
Total Assets BOY	47309	TotalAssetsBOY
Total Assets EOY	59138	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	47309	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	59138	NetAssetsOrFundBalancesEOY
Mission Description	SENIOR CITIZENS SERVICES	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	119838	Expense
Revenue	141188	Revenue
Description	THE ORGANIZATION PROVIDES HOT MEALS AT THE CENTER AND MEALS DELIVERED TO HOME BOUND SENIORS. THE ORGANIZATION ALSO PROVIDES A MEETING PLACE WHERE SENIORS CAN PLAY GAMES, MEET WITH MEDICAL PERSONNEL AND KEEP ABREAST OF CURRENT EVENTS	Description
Total Program Service Expense	119838	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	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	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	false	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	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
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	6	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	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	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BRENDA LAZCANOTRGUI	NamePerson
Telephone Number	3072793226	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 PINE STREET	AddressLine1
City	COKEVILLE	City
State	WY	State
ZIP Code	83114	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
RICHARD PETERSEN
CHAIRPERSON	5.00	X	0	0	0
BRENT HOLDEN
VICE CHAIR	5.00	X	0	0	0
JOANA PETERSEN
SECRETARY	5.00	X	0	0	0
DENNIS NATE
DIRECTOR	1.00	X	0	0	0
NONA DAYTON
DIRECTOR	1.00	X	0	0	0
ELBERT HARMON
DIRECTOR	1.00	X	0	0	0
MARGUERITE CARMICHAEL
DIRECTOR	1.00	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
All Other Contributions	120336	AllOtherContributions
Total Contributions	120336	TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20852	TotalRevenueColumn
Exclusion	$20,852	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	20852	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	141188	TotalRevenueColumn
Exclusion	$20,852	ExclusionAmount

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	51096	Total
Program Services	51096	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2668	Total
Program Services	0	ProgramServices
Management And General	2668	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	3425	Total
Program Services	0	ProgramServices
Management And General	3425	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3397	Total
Program Services	0	ProgramServices
Management And General	3397	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
FOOD AND DELIVERY	36271	36271	0
LOCAL MATCH	19711	19711	0
MISCELLANEOUS	12791	12760	31

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	129359	Total
Program Services	119838	ProgramServices
Management And General	9521	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	39119	BOY
EOY	53820	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	56665	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	51347	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8190	BOY
EOY	5318	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	47309	BOY
EOY	59138	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	39119	BOY
EOY	53820	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8190	BOY
EOY	5318	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	47309	BOY
EOY	59138	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	47309	BOY
EOY	59138	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	11829	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	true	AccountantCompileOrReview
FS Audited	false	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	91449	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	96924	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	104186	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	108516	CurrentTaxYearMinus1Year
Current Tax Year	141188	CurrentTaxYear
Total	542263	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	91449	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	96924	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	104186	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	108516	CurrentTaxYearMinus1Year
Current Tax Year	141188	CurrentTaxYear
Total	542263	Total

Field	Value	IRS element (for citing)
Public Support Total170	542263	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	542263	TotalSupport
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56665	OtherCostOrOtherBasis
Depreciation	51347	Depreciation
Book Value	5318	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5318	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 11a	DISTRIBUTED TO BOARD MEMBERS
Pt VI, Line 12c	MEMBERS HAVE TO DISCLOSE ANY CONFLICTS ANNUALLY