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MIDWEST SPECIAL SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MIDWEST SPECIAL SERVICES INC (EIN 41-0746072)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-25
IRS object ID
201241779349300704
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-25T13:48:20-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410996210EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILKERSON GUTHMANN & JOHNSON LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 EAST FIFTH STREET SUITE 1300AddressLine1
CityST PAULCity
StateMNState
ZIP Code551011790ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410746072EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDWEST SPECIAL SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDWNameControl
Phone6517781000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 OCEAN STREETAddressLine1
CityST PAULCity
StateMNState
ZIP Code55106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYTH J HARTZName
TitlePRESIDENTTitle
Phone6517781000Phone
Date Signed2012-06-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT J GEORGESName
PTINP01209197PTIN
Phone6512221801Phone
Date Prepared2012-06-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYTH J HARTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 OCEAN STREETAddressLine1
CitySAINT PAULCity
StateMNState
ZIP Code55106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10716698GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MWSSERVICES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE DAY TRAINING AND HABILITATION AND VOCATIONAL TRAINING TO ADULTS WITH DISABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees589TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year466936ContributionsGrantsPriorYear
Contributions Grants Current Year491342ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9046090ProgramServiceRevenuePriorYear
Program Service Revenue CY9642067ProgramServiceRevenueCY
Investment Income Prior Year78352InvestmentIncomePriorYear
Investment Income Current Year18190InvestmentIncomeCurrentYear
Other Revenue Prior Year-5234OtherRevenuePriorYear
Other Revenue Current Year-28903OtherRevenueCurrentYear
Total Revenue Prior Year9586144TotalRevenuePriorYear
Total Revenue Current Year10122696TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5743992SalariesEtcPriorYear
Salaries Etc Current Year6100245SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year148973TotalFundrsngExpCurrentYear
Other Expense Prior Year3677157OtherExpensePriorYear
Other Expenses Current Year3929808OtherExpensesCurrentYear
Total Expenses Prior Year9421149TotalExpensesPriorYear
Total Expenses Current Year10030053TotalExpensesCurrentYear
Revenues Less Expenses Prior Year164995RevenuesLessExpensesPriorYear
Revenues Less Expenses CY92643RevenuesLessExpensesCY
Total Assets BOY5228701TotalAssetsBOY
Total Assets EOY5444905TotalAssetsEOY
Total Liabilities BOY1056753TotalLiabilitiesBOY
Total Liabilities EOY1236491TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4171948NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4208414NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMIDWEST SPECIAL SERVICES, INC. ASSISTS ADULTS WITH DISABILITIES TO REACH THEIR PERSONAL GOALS AND POTENTIAL BY PROVIDING EMPLOYMENT, TRAINING OPPORTUNITIES, AND PROGRAMS THAT ARE INDIVIDUALLY DESIGNED TO MAXIMIZE EACH PERSONS ABILITY TO WORK AND PARTICIPATE FULLY AS ACTIVE MEMBERS OF THE COMMUNITY IN WHICH THEY LIVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2231718Expense
Revenue1976355Revenue
DescriptionEMPLOYMENT SERVICES PROGRAM PROVIDED TRAINING, EMPLOYMENT, AND JOBPLACEMENT SERVICES FOR 260 ADULTS WITH DISABILITIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6612091Expense
Revenue7665712Revenue
DescriptionDAY TRAINING AND HABILITATION PROVIDED TRAINING AND REHABILITATIONSERVICES TO 380 ADULTS WITH SEVERE AND MULTIPLE MENTAL ANDPHYSICAL DISABILITIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense8843809TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees589NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JULIE JOHNSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6517934150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 OCEAN STREETAddressLine1
CitySAINT PAULCity
StateMNState
ZIP Code55106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JAMES CLAPPER
BOARD MEMBER2.00X000
SCOTT FORSS
BOARD SECRETARY2.00X000X
STEVEN W FREIMUTH
BOARD TREASURER2.00X000X
HARRY HANSEN
BOARD CHAIR2.00X000X
MARY HINZE
BOARD MEMBER2.00X000
NANCY LONGLEY
BOARD MEMBER2.00X000
TOM LYMAN
BOARD MEMBER2.00X000
JANE MILLER
BOARD MEMBER2.00X000
JOHN RUTHERFORD
BOARD MEMBER2.00X000
LYNN SCHMIDT
BOARD VICE CHAIR2.00X000X
MARK NOVITZKI
BOARD MEMBER2.00X000
LYTH J HARTZ
PRESIDENT40.00118105023905X
JULIE JOHNSON
VICE PRESIDENT-ADMINISTRAT40.0084698020103X
TIMOTHY DICKIE
VICE PRESIDENT-PROGRAM SER40.0080636018910X
FieldValueIRS element (for citing)
Total Reportable Comp From Org283439TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation62918TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CENTERLINE CHARTERS
1870 RICE STREETMAPLEWOODMN55113TRANSPORTATION882645
ZENMATION
215 10TH AVENUE S SUITE 913MINNEAPOLISMN55415SOFRWARE DEVELOPMENT113100
CITY WIDE MAINTENANCE
8609 LYNDALE AVENUE SOUTHBLOOMINGTONMN55420JANITORIAL SERVICE107004
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns164342FederatedCampaigns
Fundraising Events37782FundraisingEvents
Government Grants135498GovernmentGrants
All Other Contributions153720AllOtherContributions
Noncash Contributions1175NoncashContributions
Total Contributions491342TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DAY TRAINING AND HABIL62431076657127665712
EMPLOYMENT SERVICES SA62431019763551976355
FieldValueIRS element (for citing)
Total Program Service Revenue9642067TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23808TotalRevenueColumn
Exclusion$23,808ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities557631Securities
Other1850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities565099Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7468Securities
Other1850Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5618TotalRevenueColumn
Exclusion-$5,618ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events37782CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses28903FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-28903TotalRevenueColumn
Exclusion-$28,903ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10122696TotalRevenueColumn
Related Or Exempt Function Income9642067RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$10,713ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total346357Total
Management And General325055ManagementAndGeneral
Fundraising21302Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4807923Total
Program Services4371904ProgramServices
Management And General359670ManagementAndGeneral
Fundraising76349Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total63510Total
Program Services59896ProgramServices
Management And General2357ManagementAndGeneral
Fundraising1257Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total517769Total
Program Services476141ProgramServices
Management And General30570ManagementAndGeneral
Fundraising11058Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total364686Total
Program Services313992ProgramServices
Management And General44755ManagementAndGeneral
Fundraising5939Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total777Total
Management And General777ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32295Total
Management And General32295ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total10105Total
Program Services8892ProgramServices
Management And General1011ManagementAndGeneral
Fundraising202Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total71279Total
Program Services6661ProgramServices
Management And General56534ManagementAndGeneral
Fundraising8084Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total13236Total
Program Services9760ProgramServices
Management And General514ManagementAndGeneral
Fundraising2962Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total231037Total
Program Services160953ProgramServices
Management And General55273ManagementAndGeneral
Fundraising14811Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total592891Total
Program Services587221ProgramServices
Management And General4953ManagementAndGeneral
Fundraising717Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total34144Total
Program Services28587ProgramServices
Management And General5411ManagementAndGeneral
Fundraising146Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15444Total
Program Services5856ProgramServices
Management And General9524ManagementAndGeneral
Fundraising64Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total21713Total
Program Services5607ProgramServices
Management And General16106ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total438079Total
Program Services397416ProgramServices
Management And General40663ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total177715Total
Program Services167500ProgramServices
Management And General9814ManagementAndGeneral
Fundraising401Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TRANSPORTATION EXPENSE14354161435416
PENSION LIABILITY INCRE235994207675235994720
PROGRAM SUPPLIES207138207138
REPAIR AND MAINTENANCE1855831804665117

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total226962Total
Program Services212728ProgramServices
Management And General13273ManagementAndGeneral
Fundraising961Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10030053Total
Program Services8843809ProgramServices
Management And General1037271ManagementAndGeneral
Fundraising148973Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5396BOY
EOY140204EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY152745BOY
EOY243948EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY13452BOY
EOY143582EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY844567BOY
EOY948506EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY190384BOY
EOY165894EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6782450LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4378461LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2763038BOY
EOY2403989EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1100869BOY
EOY1076915EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY45774BOY
EOY70501EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY112476BOY
EOY251366EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5228701BOY
EOY5444905EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY525300BOY
EOY535789EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY165997BOY
EOY103494EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY365456BOY
EOY597208EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1056753BOY
EOY1236491EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3110714BOY
EOY3021576EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY354507BOY
EOY428516EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY706727BOY
EOY758322EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4171948BOY
EOY4208414EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5228701BOY
EOY5444905EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses92643ReconcilationRevenueExpenses
Reconcilation Other Changes-56177ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years354834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years314184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years376771CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year466936CurrentTaxYearMinus1Year
Current Tax Year491342CurrentTaxYear
Total2004067Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years354834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years314184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years376771CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year466936CurrentTaxYearMinus1Year
Current Tax Year491342CurrentTaxYear
Total2004067Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total274080AmountsSubstContributorsTotal
Public Support Total1701729987PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68574CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48542CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28217CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29407CurrentTaxYearMinus1Year
Current Tax Year23808CurrentTaxYear
Total198548Total
FieldValueIRS element (for citing)
Total Support2202615TotalSupport
Gross Receipts From Admissions Etc44935263GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.78540PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1061234BeginningOfYearBalance
Contributions51595Contributions
Investment Earnings Or Losses-51056InvestmentEarningsOrLosses
End Of Year Balance1061773EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance845594BeginningOfYearBalance
Contributions107839Contributions
Investment Earnings Or Losses107801InvestmentEarningsOrLosses
End Of Year Balance1061234EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01700BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.71500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.26800TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis421224OtherCostOrOtherBasis
Book Value421224BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3444401OtherCostOrOtherBasis
Depreciation1967374Depreciation
Book Value1477027BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis533366OtherCostOrOtherBasis
Depreciation452149Depreciation
Book Value81217BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1568237OtherCostOrOtherBasis
Depreciation1292026Depreciation
Book Value276211BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis815222OtherCostOrOtherBasis
Depreciation666912Depreciation
Book Value148310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2403989TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION PLAN OBLIGATION$93,608
DEFINED BENEFIT PENSION PLAN OBLIGATION$503,600
FieldValueIRS element (for citing)
Total Of Amounts597208TotalOfAmounts
Total Revenue10122696TotalRevenue
Total Expenses10030053TotalExpenses
Excess Or Deficit For Year92643ExcessOrDeficitForYear
Net Unrealized GL On Investments-56177NetUnrealizedGLOnInvestments
Total Adjustments-56177TotalAdjustments
Excess Or Deficit Per FS36466ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10056414TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-56177NetUnrealizedGainsInvestments
Revenue Not Rptd F990-56177RevenueNotRptdF990
Revenue Subtotal10112591RevenueSubtotal
Investment Expenses Not Included10105InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt10105RevenueNotRptdOnFinStmt
Total Revenue Per Form99010122696TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10019948TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10019948ExpensesSubtotal
Investment Expenses Not Included210105InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt10105ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010030053TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:CURRENTLY, THE ORGANIZATION HAS A GOAL TO BUILD THE ENDOWMENT FUNDS TO SUPPORT THE OPERATING COSTS OF THE ORGANIZATION. THE ORGANIZATION DOES NOT CURRENTLY HAVE A DISTRIBUTION POLICY. ONCE THE FUNDS REACH THE TARGETED LEVEL, THE BOARD OF DIRECTORS WILL SET THE DISTRIBUTION POLICY.
PART X, LINE 2: THE ORGANIZATION'S TAX FILINGS FOR 2008-2010 ARE OPEN FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WALK N ROLLNameOfEvent1
Gross Receipts Event137782GrossReceiptsEvent1
Charitable Contributions Event137782CharitableContributionsEvent1
Cash Prizes Event1360CashPrizesEvent1
Non Cash Prizes Event14741NonCashPrizesEvent1
Rent Facility Costs Event142RentFacilityCostsEvent1
Other Direct Expenses Event123760OtherDirectExpensesEvent1
Gross Receipts Total37782GrossReceiptsTotal
Charitable Contributions Total37782CharitableContributionsTotal
Cash Prizes Total Events360CashPrizesTotalEvents
Non Cash Prizes Total Events4741NonCashPrizesTotalEvents
Rent Facility Costs Total Events42RentFacilityCostsTotalEvents
Other Direct Expenses Total Events23760OtherDirectExpensesTotalEvents
Direct Expense Summary Events28903DirectExpenseSummaryEvents
Net Income Summary-28903NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE FORM 990. THE FINANCE COMMITTEE HAS BEEN AUTHORIZED BY THE BOARD OF DIRECTORS TO REVIEW THE FORM 990 IN MAY 2012 PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS AND KEY EMPLOYEES COMPLETE A WRITTEN DECLARATION THAT OUTLINES THE DETAILS OF ANY CONFLICTS OF INTEREST THAT THEY MAY HAVE. THESE WRITTEN DECLARATIONS ARE FORWARDED TO THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE WHO THEN REVIEWS THEM, AND IF APPROPRIATE, GATHERS ADDITIONAL INFORMATION. IN ADDITION, THE FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER, WHO HAS BEEN CHARGED BY THE BOARD WITH THIS DUTY. IN ADDITION, THE VP OF ADMINISTRATION MONITORS BOARD MEMBERS AND KEY EMPLOYEES THROUGHOUT THE YEAR TO ENSURE THAT NO POLICY VIOLATIONS REGARDING CONFLICTS OF INTERESTS OCCUR IN THE OPERATION OF AGENCY BUSINESS. A SUMMARY REPORT NOTING ANY POLICY VIOLATIONS AND CORRECTIVE ACTIONS TAKEN IS SUBMITTED TO THE BOARD ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS, THE GOVERNANCE AND NOMINATING COMMITTEE REVIEWS THE PERFORMANCE AND COMPENSATION OF THE PRESIDENT AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING RETENTION, SALARY AND BENEFITS. THE HR DEPARTMENT PREPARES INFORMATION ON SALARY AND BENEFIT LEVELS FOR CEO'S OF SIMILAR ORGANIZATIONS BASED ON SALARY SURVEYS, INFORMATION FROM FORM 990S, AND CONSULTATION WITH OTHER HR DEPARTMENTS OF LOCAL NONPROFIT AGENCIES. THIS INFORMATION IS PRESENTED TO THE GOVERNANCE AND NOMINATING COMMMITTEE PRIOR TO THEIR PERFORMANCE AND SALARY REVIEW OF THE PRESIDENT. THE NOMINATING COMMITTEE PREPARES RECOMMENDATIONS WHICH ARE THEN PRESENTED TO THE BOARD OF DIRECTORS AT A REGULAR BOARD MEETING. THE FULL BOARD MAKES THE FINAL DECISION ON RETENTION, SALARY AND BENEFITS FOR THE PRESIDENT. THE ORGANIZATION MAINTAINS A FORMAL SALARY SCHEDULE FOR OTHER KEY EMPLOYEES, WHICH INCLUDE THE VP OF PROGRAMS AND THE VP OF ADMINISTRATION. THE SALARY SCHEDULE IS REVIEWED ANNUALLY AND IS COMPARED TO SALARY AND BENEFIT INFORMATION FOR SIMILAR POSITIONS GAINED FROM SALARY AND BENEFIT SURVEYS, INFORMATION FROM FORM 990S OF SIMILAR ORGANIZATIONS, AND DISCUSSIONS WITH A FEW KEY HR DEPARTMENTS OF LOCAL AGENCIES SIMILAR TO THE ORGANIZATION. THIS INFORMATION IS SHARED WITH THE PRESIDENT. IF NECESSARY, THE SALARY SCHEDULE IS REVISED AT THAT TIME. THE PRESIDENT DOES THE PERFORMANCE AND SALARY REVIEW OF THESE KEY STAFF ON AN ANNUAL BASIS AND THE PRESIDENT MAKES THE DECISION REGARDING RETENTION AND SALARY LEVELS OF THESE EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE STATEMENT OF UNRESTRICTED ACTIVITIES FROM THE AUDITED FINANCIAL STATEMENTS IS PUBLISHED IN THE ANNUAL REPORT, WHICH IS MAILED EACH YEAR TO FUNDERS, DONORS, AND OTHER FRIENDS OF THE ORGANIZATION. IT IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE FULL AUDITED FINANCIAL STATEMENT IS MAILED ON AN ANNUAL BASIS TO MAJOR FUNDERS. IT IS ALSO AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -56,177.CHANGES IN NET ASSETS OR FUND BALANCES: