CAMPBELL COUNTY SENIOR CITIZENS ASSOCIATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CAMPBELL COUNTY SENIOR CITIZENS ASSOCIATION INC (EIN 83-0254480)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-01-18
IRS object ID: 201100189349300520
Schema version: 2009v1.7
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-18T19:05:01-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHUCK BENNETT & WEBER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2256	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	827172256	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	830254480	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS	BusinessNameLine1
Business Name Line2	ASSOCIATION	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CAMP	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 STOCKTRAIL	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82716	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TERI BAGWELL	Name
Title	TREASURER	Title
Date Signed	2011-01-18	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MICHAEL R BENNETT CPA	Name
Phone	3076825250	Phone
Date Prepared	2011-01-18	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TERI BAGWELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3412 CAMEO CT	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82718	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1794390	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.CAMPBELLCOUNTYSENIORCENTER.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	WY	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE PROGRAMS FOR SENIOR CITIZENS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	72	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1353863	ContributionsGrantsPriorYear
Contributions Grants Current Year	1545450	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	255259	ProgramServiceRevenuePriorYear
Program Service Revenue CY	235907	ProgramServiceRevenueCY
Investment Income Current Year	-26817	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1609122	TotalRevenuePriorYear
Total Revenue Current Year	1754540	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1126821	SalariesEtcPriorYear
Salaries Etc Current Year	1197722	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	5616	TotalFundrsngExpCurrentYear
Other Expense Prior Year	417665	OtherExpensePriorYear
Other Expenses Current Year	434852	OtherExpensesCurrentYear
Total Expenses Prior Year	1544486	TotalExpensesPriorYear
Total Expenses Current Year	1632574	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	64636	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	121966	RevenuesLessExpensesCY
Total Assets BOY	525123	TotalAssetsBOY
Total Assets EOY	648681	TotalAssetsEOY
Total Liabilities BOY	879	TotalLiabilitiesBOY
Total Liabilities EOY	2471	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	524244	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	646210	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE PROGRAMS FOR SENIOR CITIZENS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	565097	Expense
Revenue	144523	Revenue
Description	NUTRITIONAL SERVICES FOR THE ELDERLY. THERE WERE 26,750 CONGREGATE MEALS AND 28,222 HOME DELIVERED MEALS SERVED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	552949	Expense
Revenue	67201	Revenue
Description	ADULT IN-HOME SERVICES FOR THE ELDERLY AND HANDICAPPED. 1,540 CLIENTS WERE SERVED.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	271094	Expense
Revenue	15647	Revenue
Description	TRANSPORTATION SERVICES FOR THE ELDERLY AND HANDICAPPED. THERE WERE 16,555 RIDES FOR THE INDIVIDUALS PROVIDED.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	53187	Expense
Revenue	8536	Revenue
Description	EDUCATIONAL SERVICES 195 CLIENTS SERVED AND NUTRITION SCREENING 323 CLIENTS SERVED.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	53187	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	8536	TotalOfOtherProgramServiceRev
Total Program Service Expense	1442327	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	72	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CATHY KONRATH	NamePerson
Telephone Number	3076860804	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	701 STOCKTRAIL	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	82716	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
NELLO WILLIAMS
DIRECTOR	5.00	X	0	0	0
JACK MATHENY
DIRECTOR	2.00	X	0	0	0
LEE WITTLER
DIRECTOR	3.00	X	0	0	0
CATHY KONRATH
EXECUTIVE DI	40.00		52715	0	0	X
LESLIE HAIGHT
CHAIRMAN	5.00		0	0	0	X
JEANNE HAAKINSON
VICECHAIRMAN	2.00		0	0	0	X
TERI BAGWELL
TREASURER	1.00		0	0	0	X
GARY JAHNKE
SECRETARY	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	52715	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	1489248	GovernmentGrants
All Other Contributions	56202	AllOtherContributions
Noncash Contributions	11296	NoncashContributions
Total Contributions	1545450	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NUTRITION-MEALS	624100	144523	144523
ADULT-IN-HOME	624100	67201	67201
TRANSPORTATION	624100	15647	15647
SOCIAL SERVICES - OTHER	624100	8536	8536

Field	Value	IRS element (for citing)
Total Program Service Revenue	235907	TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	13033	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	39850	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-26817	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-26817	TotalRevenueColumn
Related Or Exempt Function Income	-26817	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1754540	TotalRevenueColumn
Related Or Exempt Function Income	209090	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	895673	Total
Program Services	769923	ProgramServices
Management And General	125750	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	178160	Total
Program Services	147899	ProgramServices
Management And General	30261	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	123889	Total
Program Services	102463	ProgramServices
Management And General	21426	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8800	Total
Program Services	7920	ProgramServices
Management And General	880	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	82668	Total
Program Services	75381	ProgramServices
Management And General	1671	ManagementAndGeneral
Fundraising	5616	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30949	Total
Program Services	26306	ProgramServices
Management And General	4643	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	18695	Total
Program Services	18695	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6039	Total
Program Services	6039	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
FOOD	180235	180235
REPAIRS & MAINTENANCE	43345	43345
INSURANCE	19668	19668
GASOLINE	18006	18006
SENIOR ACTIVITIES	13231	13231

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	13216	Total
Program Services	13216	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1632574	Total
Program Services	1442327	ProgramServices
Management And General	184631	ManagementAndGeneral
Fundraising	5616	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	75106	BOY
EOY	229041	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7427	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	416240	LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	442590	BOY
EOY	416240	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	3400	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	525123	BOY
EOY	648681	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	879	BOY
EOY	2471	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	879	BOY
EOY	2471	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	523244	BOY
EOY	645210	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1000	BOY
EOY	1000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	524244	BOY
EOY	646210	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	525123	BOY
EOY	648681	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	645156	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	909215	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1232322	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1353863	CurrentTaxYearMinus1Year
Current Tax Year	1545450	CurrentTaxYear
Total	5686006	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	144000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	144000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	144000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	144000	CurrentTaxYearMinus1Year
Current Tax Year	160761	CurrentTaxYear
Total	736761	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	789156	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1053215	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1376322	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1497863	CurrentTaxYearMinus1Year
Current Tax Year	1706211	CurrentTaxYear
Total	6422767	Total

Field	Value	IRS element (for citing)
Public Support Total170	6422767	PublicSupportTotal170
Total Support	6422767	TotalSupport
Gross Receipts From Admissions Etc	1090217	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	172417	OtherCostOrOtherBasis
Book Value	172417	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	243823	OtherCostOrOtherBasis
Book Value	243823	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	416240	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACHIEVEMENTS DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	EDUCATIONAL SERVICES 195 CLIENTS SERVED AND NUTRITION SCREENING 323 CLIENTS SERVED.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11	THE TAX RETURN IS DELIVERED TO THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS FOR THEIR REVIEW OF THE TAX RETURN.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE CHAIRMAN OF THE BOARD PROPOSES THE SALARY OF THE EXECUTIVE DIRECTOR AND THE BOARD DELIBERATES AND APPROVES THE SALARY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE TAX RETURN, FINANCIAL STATMENTS, AND GOVERNING DOCUMENTS ARE STORED AT THE CAMPBELL COUNTY SENIOR CENTER FOR THE PUBLIC TO VIEW.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS	BusinessNameLine1
Business Name Line2	FOUNDATION INC	BusinessNameLine2

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1604	AddressLine1
City	GILLETTE	City
State	WY	State
ZIP Code	827171604	ZIPCode

Field	Value	IRS element (for citing)
EIN	830299407	EIN
Primary Activities	CHARITABLE	PrimaryActivities
Legal Domicile State	WY	LegalDomicileState
Exempt Code Section	501	ExemptCodeSection
Public Charity Status	7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	CAMPBELL COUNTY SENIOR CITIZENS	BusinessNameLine1
Business Name Line2	FOUNDATION INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionType
Amount Involved	10750	AmountInvolved