COMMUNITY BLOOD CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY BLOOD CENTER INC (EIN 39-0906273)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-07-31
IRS object ID: 201212139349300641
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 B
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-31T14:06:43-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	391173131	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCHENCK SC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E WASHINGTON ST PO BOX 1739	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	549121739	ZIPCode

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	390906273	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY BLOOD CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	9207383131	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICK HART	Name
Title	PRESIDENT	Title
Phone	9207383131	Phone
Date Signed	2012-07-30	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MIKE VANDEN HOGEN	Name
PTIN	P00499282	PTIN
Phone	9207318111	Phone

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	RICK HART	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	15905275	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SAVE3LIVES.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	THE PURPOSE OF THIS ORGANIZATION SHALL BE TO SUPERVISE AND PERFORM THE COLLECTION, PROCESSING AND DISTRIBUTION OF BLOOD, BLOOD COMPONENTS AND OTHER RELATED PRODUCTS, TO HOSPITALS OR TO OTHER BLOOD CENTERS. TO ENGAGE IN OTHER EXCLUSIVE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES AND ENDEAVORS INCLUDING PARTICIPATION IN ANY BUSINESS OR ENTERPRISE TO PROCURE FUNDS FOR THE FOREGOING, INCLUDING ALSO THE SOLICITATION OF FUNDS FOR THE FINANCIAL SUPPORT OF ITS PURPOSE AND OBJECTIVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	180	TotalNbrEmployees
Total Nbr Volunteers	250	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	63568	ContributionsGrantsPriorYear
Contributions Grants Current Year	72516	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	15878330	ProgramServiceRevenuePriorYear
Program Service Revenue CY	15649916	ProgramServiceRevenueCY
Investment Income Prior Year	178861	InvestmentIncomePriorYear
Investment Income Current Year	182826	InvestmentIncomeCurrentYear
Other Revenue Prior Year	70	OtherRevenuePriorYear
Other Revenue Current Year	17	OtherRevenueCurrentYear
Total Revenue Prior Year	16120829	TotalRevenuePriorYear
Total Revenue Current Year	15905275	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	5963547	SalariesEtcPriorYear
Salaries Etc Current Year	6881263	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	8617116	OtherExpensePriorYear
Other Expenses Current Year	7646986	OtherExpensesCurrentYear
Total Expenses Prior Year	14580663	TotalExpensesPriorYear
Total Expenses Current Year	14528249	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1540166	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1377026	RevenuesLessExpensesCY
Total Assets BOY	16652312	TotalAssetsBOY
Total Assets EOY	18007259	TotalAssetsEOY
Total Liabilities BOY	2532927	TotalLiabilitiesBOY
Total Liabilities EOY	2275784	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14119385	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	15731475	NetAssetsOrFundBalancesEOY
Mission Description	THE COMMUNITY BLOOD CENTER PROVIDES RELIABLE, HIGH QUALITY BLOOD PRODUCTS AND SERVICES THAT SAVE LIVES IN THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	12111942	Expense
Revenue	15190453	Revenue
Description	COMMUNITY BLOOD CENTER PROVIDES 100% OF THE BLOOD TO 18 HOSPITALS THROUGHOUT NORTHEASTERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN 2011 WE COLLECTED MORE THAN 47,000 UNITS OF RED BLOOD CELLS THAT WE THEN TESTED, PROCESSED AND DISTRIBUTED TO HOSPITALS FOR BLOOD TRANSFUSION TO PATIENTS IN NEED. WE ARE ALSO ONE OF THE LOWEST COST PROVIDERS OF BLOOD IN THE NATION THROUGH OUR DEDICATION TO COST CONTAINMENT AND EFFICIENCY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	123650	Expense
Revenue	465558	Revenue
Description	BONE MARROW DONOR MATCHING PROGRAM	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	12235592	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	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	1	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	0	ReportOtherLiabilities
Report Fin48 Footnote	0	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	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
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	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	180	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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	1	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	0	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
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LORI GLYNN	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9207383131	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
CULLEN H HENSHAW MD TERM 2012
MEMBER	1.00	X	0	0	0
BEN VOGEL TERM END 2014
MEMBER	1.00	X	0	0	0
JOHN M WOLLNER TERM END 2012
EXECUTIVE CHAIR	1.00	X	0	0	0	X
MARGI MANN TERM END 2014
MEMBER	1.00	X	0	0	0
CURT DETJEN TERM END 2013
MEMBER	1.00	X	0	0	0
DAN FLANNERY TERM END 2013
MEMBER	1.00	X	0	0	0
MARY HAYES TERM END 2012
MEMBER	1.00	X	0	0	0
THERESA MOORE TERM END 2013
MEMBER	1.00	X	0	0	0
STEVE SEIFERT TERM END 2012
MEMBER	1.00	X	0	0	0
MICHAEL WISE TERM END 2013
MEMBER	1.00	X	0	0	0
NANCY JOHNSHOY TERM END 2012
PAST CHAIR	1.00	X	0	0	0
MARK KEHRBERG MD TERM END 2012
MEMBER	1.00	X	0	0	0
JO ANN LANG TERM END 2012
SECRETARY	1.00	X	0	0	0	X
RICK SCHINLER TERM END 2013
TREASURER	1.00	X	0	0	0	X
JIM VANDERMISSEN TERM END 2012
MEMBER	1.00	X	0	0	0
RICK HART
PRESIDENT	40.00	X	170095	0	21906	X
LORI GLYNN
DIRECTOR OF FINANCE	40.00		91832	0	23759	X
ANDREA MICHAUD
V.P.COLLECTIONS	40.00		107088	0	24617		X
MATT MCCARTER
V.P.CUSTOMER RELATIONS AND LAB OPERATIONS	40.00		122494	0	8654		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	491509	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	78936	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LIFESOURCE DONOR TESTING
FIVE PARKWAY CENTER 875 GREENTREE	PITTSBURG	PA	15220	BLOOD TESTING SERVICES	213451
PROPHIT MARKETING INC
154 N BROADWAY	GREEN BAY	WI	54303	MARKETING	149232
FEDEX
PO BOX 94515	PALATINE	IL	600944515	COURIER SERVICES	120806
E-FREIGHT COURIER
PO BOX 13885	WAUWATOSA	WI	532130885	COURIER SERVICES	120507
GLOBAL MED TECHNOLOGIES
4925 ROBERT J MATHEWS PARKWAY STE	EL DORADO	CA	95672	COMPUTER MAINTENANCE	103390

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
All Other Contributions	72516	AllOtherContributions
Total Contributions	72516	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RED BLOOD CELLS	621500	8780205	8780205
APHERESIS PROCEDURES	621500	4431748	4431748
RECOVERED PLASMA	621500	1251839	1251839
COMPONENTS	621500	677246	677246
OTHER TESTING AND FEES	621500	465558	465558

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	43320	TotalRevenueColumn
Related Or Exempt Function Income	43320	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	15649916	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	176748	TotalRevenueColumn
Exclusion	$176,748	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	6078	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	6078	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6078	TotalRevenueColumn
Related Or Exempt Function Income	6078	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISC. REVENUE-RELATED-	Description
Business Code	900099	BusinessCode
Total Revenue Column	17	TotalRevenueColumn
Related Or Exempt Function Income	17	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	17	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15905275	TotalRevenueColumn
Related Or Exempt Function Income	15656011	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$176,748	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	307592	Total
Management And General	307592	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5115207	Total
Program Services	4120578	ProgramServices
Management And General	994629	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	209300	Total
Program Services	168850	ProgramServices
Management And General	40450	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	786333	Total
Program Services	614540	ProgramServices
Management And General	171793	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	462831	Total
Program Services	287701	ProgramServices
Management And General	175130	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	5004	Total
Management And General	5004	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	48190	Total
Management And General	48190	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	114149	Total
Program Services	13675	ProgramServices
Management And General	100474	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	146611	Total
Program Services	146611	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	105564	Total
Program Services	88405	ProgramServices
Management And General	17159	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	263062	Total
Program Services	260954	ProgramServices
Management And General	2108	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	203218	Total
Program Services	144907	ProgramServices
Management And General	58311	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	177088	Total
Program Services	134545	ProgramServices
Management And General	42543	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	38506	Total
Program Services	25794	ProgramServices
Management And General	12712	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	15580	Total
Management And General	15580	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	375149	Total
Program Services	227341	ProgramServices
Management And General	147808	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	183722	Total
Program Services	161377	ProgramServices
Management And General	22345	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES AND PURCHASED	2773861	2768225	5636
TESTING	2279059	2279059
REPAIRS AND MAINTENANCE	319597	214070	105527
SHIPPING AND HANDLING	271070	271070

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	327556	Total
Program Services	307890	ProgramServices
Management And General	19666	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	14528249	Total
Program Services	12235592	ProgramServices
Management And General	2292657	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	205	BOY
EOY	207	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1506034	BOY
EOY	1574904	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1719356	BOY
EOY	1971437	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	428457	BOY
EOY	420058	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	134557	BOY
EOY	174892	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9741675	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3505137	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6304544	BOY
EOY	6236538	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6305498	BOY
EOY	7374491	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	167626	BOY
EOY	170475	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	86035	BOY
EOY	84257	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	16652312	BOY
EOY	18007259	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	974801	BOY
EOY	892678	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1558126	BOY
EOY	1383106	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2532927	BOY
EOY	2275784	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14113601	BOY
EOY	15724621	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5784	BOY
EOY	6854	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14119385	BOY
EOY	15731475	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16652312	BOY
EOY	18007259	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1377026	ReconcilationRevenueExpenses
Reconcilation Other Changes	235064	ReconcilationOtherChanges
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	0	FederalGrantAuditRequired

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	53393	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	95379	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	45748	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	63568	CurrentTaxYearMinus1Year
Current Tax Year	72516	CurrentTaxYear
Total	330604	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13933567	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16067597	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17366362	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15878330	CurrentTaxYearMinus1Year
Current Tax Year	15649916	CurrentTaxYear
Total	78895772	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13986960	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16162976	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17412110	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15941898	CurrentTaxYearMinus1Year
Current Tax Year	15722432	CurrentTaxYear
Total	79226376	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year	10966712	CurrentTaxYear
Total	10966712	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year	10966712	CurrentTaxYear
Total	10966712	Total

Field	Value	IRS element (for citing)
Public Support Total509	68259664	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	225935	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	-210162	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	106800	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	178861	CurrentTaxYearMinus1Year
Current Tax Year	176478	CurrentTaxYear
Total	477912	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	225935	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	-210162	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	106800	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	178861	CurrentTaxYearMinus1Year
Current Tax Year	176478	CurrentTaxYear
Total	477912	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1695	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1098	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	70	CurrentTaxYearMinus1Year
Current Tax Year	17	CurrentTaxYear
Total	2890	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14214590	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15953912	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17518920	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16120829	CurrentTaxYearMinus1Year
Current Tax Year	15898927	CurrentTaxYear
Total	79707178	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.85640	PublicSupportPercentage509
Prior Year Support Percentage	0.98260	PriorYearSupportPercentage
Investment Income Percentage	0.00600	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00590	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS	GeneralExplanation

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 D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	86035	BeginningOfYearBalance
Investment Earnings Or Losses	-52	InvestmentEarningsOrLosses
Administrative Expenses	1726	AdministrativeExpenses
End Of Year Balance	84257	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	76685	BeginningOfYearBalance
Investment Earnings Or Losses	10435	InvestmentEarningsOrLosses
Administrative Expenses	1085	AdministrativeExpenses
End Of Year Balance	86035	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	681582	OtherCostOrOtherBasis
Book Value	681582	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5967843	OtherCostOrOtherBasis
Depreciation	1089976	Depreciation
Book Value	4877867	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	64509	OtherCostOrOtherBasis
Depreciation	21251	Depreciation
Book Value	43258	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2304675	OtherCostOrOtherBasis
Depreciation	1826459	Depreciation
Book Value	478216	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	723066	OtherCostOrOtherBasis
Depreciation	567451	Depreciation
Book Value	155615	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6236538	TotalOfBookValueLandBuildings
Total Revenue	15905275	TotalRevenue
Total Expenses	14528249	TotalExpenses
Excess Or Deficit For Year	1377026	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-94936	NetUnrealizedGLOnInvestments
Other	$330,000	OtherAmount
Total Adjustments	235064	TotalAdjustments
Excess Or Deficit Per FS	1612090	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	16140339	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-94936	NetUnrealizedGainsInvestments
Other Revenues	330000	OtherRevenues
Revenue Not Rptd F990	235064	RevenueNotRptdF990
Revenue Subtotal	15905275	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	15905275	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	14528249	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	14528249	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	14528249	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT THE MISSION OF THE ORGANIZATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		INSURANCE RECOVERY OF MISAPPROPRIATED FUNDS 330,000.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	RICK HART	NamePerson
Base Compensation Filing Org	164440	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	0	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	5655	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	9048	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	12858	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	192001	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org	0	CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs	0	CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 3	ReturnReference
Explanation	ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. THE BOARD APPROVES ANY CHANGES TO THE CEO'S COMPENSATION.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VILLAGE OF LITTLE CHUTE WISCONSIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	396006304	IssuerEIN
Date Issued	2009-01-06	DateIssued
Issue Price	3500000	IssuePrice
Description Of Purpose	THE RAZING OF BUILDING, IMPROVEMENTS TO BUILDING, AND PURCHASE OF EQUIPMENT	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	510475	AmountRetired
Total Proceeds	1893581	TotalProceeds
Capital Expenditures	1893581	CapitalExpenditures
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K	Identifier
Return Reference	BOND PROCEEDS	ReturnReference
Explanation	BOND PROCEEDS ARE LESS THAN TOTAL BOND ISSUE BECAUSE CAPITAL EXPENDITURE NEEDS WAS LESS THAN $3.5 MILLION.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 5	IN APRIL 2011 AN EMBEZZLEMENT OF $485,000 BY THE ACCOUNTING SPECIALIST WAS DISCOVERED. SUBSEQUENTLY, SHE PLEADED NO CONTEST AND WAS SENTENCED TO PRISON FOR 5 YEARS. THE BLOOD CENTER RECOVERED $330,000 FROM INSURANCE PROCEEDS. WHEN THE EMBEZZLEMENT WAS DISCOVERED, THE BLOOD CENTER HIRED A FORENSIC AUDITOR TO REVIEW THE INTERNAL CONTROLS IN PLACE AND MAKE SUGGESTIONS TO SHORE UP AREAS THAT WERE VULNERABLE. THESE CHANGES HAVE BEEN MADE AND WE CONTINUE TO MONITOR OUR INTERNAL CONTROLS ON A REGULAR BASIS. IN ADDITION, WE PLAN TO HAVE AN INTERNAL CONTROL AUDIT ON A REGULAR BASIS GOING FORWARD.
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD MEMBERS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A CONFLICT OF INTEREST QUESTIONAIRE AND ARE REQUIRED TO COMPLETE AND SUBMIT.
FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. ANNUALLY THE DIRECTOR OF HUMAN RESOURCES DOES A REVIEW OF OUR WAGE RANGES COMPARING THEM TO EXTERNAL SURVEYS AND OTHER DATA TO MAKE SURE WE ARE COMPETITIVE. THIS INFORMATION IS USED TO DETERMINE CHANGES IN KEY EMPLOYEE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS, INCLUDING GOVERNING, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 13	THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF APPROVING A WRITTEN WHISTLEBLOWER POLICY.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -94,936. INSURANCE RECOVERY OF MISAPPROPRIATED FUNDS 330,000. TOTAL TO FORM 990, PART XI, LINE 5: 235,064.	CHANGES IN NET ASSETS OR FUND BALANCES: