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MOOSEHAVEN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOOSEHAVEN INC (EIN 59-3268779)
Tax period
2012-05-01 to 2013-04-30
Filed
2013-09-30
IRS object ID
201342739349300419
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2013-09-30T09:14:54-07:00Timestamp
Tax Period End Date2013-04-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593268779EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOOSEHAVEN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOOSNameControl
Phone6308592000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 S INTERNATIONAL DRIVEAddressLine1
CityMOOSEHEARTCity
StateILState
ZIP Code60539ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoseph R MechName
TitleTreasurerTitle
Date Signed2013-09-30DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts16649467GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.moosehaven.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionMoosehaven is a charitable retirement community that is available to qualified Moose members and their spouses who have a need to go there for their retirement years.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees178TotalNbrEmployees
Total Nbr Volunteers98TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year8851764ContributionsGrantsPriorYear
Contributions Grants Current Year11965912ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3840618ProgramServiceRevenuePriorYear
Program Service Revenue CY4508207ProgramServiceRevenueCY
Investment Income Current Year65714InvestmentIncomeCurrentYear
Other Revenue Prior Year90659OtherRevenuePriorYear
Other Revenue Current Year109634OtherRevenueCurrentYear
Total Revenue Prior Year12783041TotalRevenuePriorYear
Total Revenue Current Year16649467TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5929495SalariesEtcPriorYear
Salaries Etc Current Year6102637SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8686737OtherExpensePriorYear
Other Expenses Current Year8752818OtherExpensesCurrentYear
Total Expenses Prior Year14616232TotalExpensesPriorYear
Total Expenses Current Year14855455TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1833191RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1794012RevenuesLessExpensesCY
Total Assets BOY32084742TotalAssetsBOY
Total Assets EOY36856389TotalAssetsEOY
Total Liabilities BOY7297230TotalLiabilitiesBOY
Total Liabilities EOY10274865TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24787512NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26581524NetAssetsOrFundBalancesEOY
Mission DescriptionMoosehaven is a charitable retirement community that is available to qualified Moose members and their spouses who have a need to go there for their retirement years.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13808268Expense
DescriptionOperation and maintenance of home for dependent aged members known as Moosehaven. The approximate number of individuals served is 275.Description
Total Program Service Expense13808268TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees178NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJoe MechNamePerson
Telephone Number6308592000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1155 S International DriveAddressLine1
CityMooseheartCity
StateILState
ZIP Code60539ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Olivia Libby Schmidt
Director1.000.00000
Scott D Hart
Director1.000.0001351607025X
James F Henderson
Director1.000.000358100X
John R Reiter
Director1.000.00000X
Jeanenne Lautzenheiser
Director1.000.00000X
William B Pierson
Director1.000.00000X
Robert J Sypnieski
Director1.000.00000X
Ronald L Sweetman
President/Dir1.000.000100730XX
William B Airey
Director-Former1.000.00023217210374X
John Sipes
Director1.000.00000X
John Capes
Vice President50.0050.00015312618836X
Joseph R Mech
Sec/Treasurer1.000.0001339646952X
William Tippins
Life Care Admin50.000.0011843300X
Sandra Treffinger
Director/Finance50.000.0010045200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org218885TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs700305TotalReportableCompFrmRltdOrgs
Total Other Compensation43187TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quardian Pharmacy of Jacksonville LLC
8000 Belfort Parkway Suite 200JacksonvilleFL32256Medical302947
Quality Care Rehab Division TMC
8477 S Suncoast BlvdHomosasaFL34446Therapy756076
Morrison Management Specialists
PO Box 102289AtlantaGA30368Food2192037
Johnson Controls
PO Box 905240CharlotteNC282905240Construction500037
E Vaughan Rivers Inc
1882 Bellair BlvdOrange ParkFL32073Construction2962746
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations9000173RelatedOrganizations
Government Grants1975399GovernmentGrants
All Other Contributions990340AllOtherContributions
Total Contributions11965912TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Remitted by Residents44812514481251
Recreation Center2695626956
FieldValueIRS element (for citing)
Total Program Service Revenue4508207TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column65714TotalRevenueColumn
Exclusion$65,714ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real109634Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real109634Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column109634TotalRevenueColumn
Exclusion$109,634ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16649467TotalRevenueColumn
Related Or Exempt Function Income4508207RelatedOrExemptFunctionIncome
Exclusion$175,348ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total160855Total
Program Services80428ProgramServices
Management And General80428ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4678477Total
Program Services4350984ProgramServices
Management And General327493ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total177843Total
Program Services162448ProgramServices
Management And General15395ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total692052Total
Program Services646554ProgramServices
Management And General45498ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total393410Total
Program Services365871ProgramServices
Management And General27539ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1223108Total
Program Services1125259ProgramServices
Management And General97849ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24644Total
Management And General24644ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total46951Total
Program Services44134ProgramServices
Management And General2817ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total44684Total
Management And General44684ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1364481Total
Program Services1268967ProgramServices
Management And General95514ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total35473Total
Program Services33345ProgramServices
Management And General2128ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total86854Total
Management And General86854ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1171047Total
Program Services1077363ProgramServices
Management And General93684ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total790994Total
Program Services743534ProgramServices
Management And General47460ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Repairs & Maintenance370865370865
Other Miscellaneous545776545776
Medical and drugs668833668833
Food20178062017806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total361302Total
Program Services306101ProgramServices
Management And General55200ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14855455Total
Program Services13808268ProgramServices
Management And General1047187ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-142598BOY
EOY181854EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY212766BOY
EOY391399EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY332692BOY
EOY254732EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY108489BOY
EOY100120EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20587BOY
EOY10779EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49709897LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16089730LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30096614BOY
EOY33620167EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1100000BOY
EOY2165275EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY356192BOY
EOY132063EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32084742BOY
EOY36856389EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2797230BOY
EOY4398031EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4500000BOY
EOY5876834EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7297230BOY
EOY10274865EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22793384BOY
EOY25879143EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1994128BOY
EOY702381EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24787512BOY
EOY26581524EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32084742BOY
EOY36856389EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1794012ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12041701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9828364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9813349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8851764CurrentTaxYearMinus1Year
Current Tax Year11965912CurrentTaxYear
Total52501090Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3933282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3788791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3649236CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3840618CurrentTaxYearMinus1Year
Current Tax Year4508207CurrentTaxYear
Total19720134Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15974983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13617155CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13462585CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12692382CurrentTaxYearMinus1Year
Current Tax Year16474119CurrentTaxYear
Total72221224Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50972221224PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90659CurrentTaxYearMinus1Year
Current Tax Year109634CurrentTaxYear
Total478037Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90659CurrentTaxYearMinus1Year
Current Tax Year109634CurrentTaxYear
Total478037Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16068665CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13703726CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13560076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12783041CurrentTaxYearMinus1Year
Current Tax Year16583753CurrentTaxYear
Total72699261Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99340PublicSupportPercentage509
Prior Year Support Percentage0.99350PriorYearSupportPercentage
Investment Income Percentage0.00660InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00650PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis935434OtherCostOrOtherBasis
Book Value935434BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38439909OtherCostOrOtherBasis
Depreciation10136780Depreciation
Book Value28303129BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7547878OtherCostOrOtherBasis
Depreciation5300635Depreciation
Book Value2247243BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2786676OtherCostOrOtherBasis
Depreciation652315Depreciation
Book Value2134361BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33620167TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Line of Credit$5,500,000
Due to Moose Charities, Inc.$376,834
FieldValueIRS element (for citing)
Total Of Amounts5876834TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt16649467TotRevenueEtcAuditedFinclStmt
Revenue Subtotal16649467RevenueSubtotal
Total Revenue Per Form99016649467TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14855455TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14855455ExpensesSubtotal
Total Expenses Per Form99014855455TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
William B Airey
Director-Former23217210374242546
Scott D Hart
Director1351607025142185
Joseph R Mech
Sec/Treasurer1339646952140916
John Capes
Vice President15312618836171962

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableWhen requested, Moosehaven will send documents to the party requesting the information.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA copy of the Form 990 is either e-mailed or paper mailed to each Director. After they review, any comments or questions are sent to the CFO. Once researched/corrected on the Form 990, the return is filed.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Moose InternationalInc -Line of Credit
155 S International DriveMooseheartIL60539361400812Fraternal OrganizationIL501 (C) 8Sole Memberfalse
Moose Foundation Inc
155 S International DriveMooseheartIL60539363993733Support of MoosehavenIL501(c)3false509(a)3N/A
Moose Charities Inc
155 S International DriveMooseheartIL60539363993740Charitable organization supporting MoosehavenIL501(c)3false509(a)1N/A
Moose International Inc
155 S International DriveMooseheartIL60539361408120Fraternal OrganizationIL501(c) 8Sole memberfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Moose Foundation Inc
c2000000
Moose Charities Inc
e376833
Moose Charities Inc
c1200173
Moose International Inc
c5800000