Community Outpatient Health Service, Cedar Falls Clinic in Menomonee Falls, Wisconsin (WI)
Table of contents:
| Community Outpatient Health Service, Cedar Falls Clinic | |
| Employer Identification Number (EIN) | 391743056 |
| Name of Organization | Community Outpatient Health Service |
| Secondary Name | Cedar Falls Clinic |
| Address | W180 N8085 Town Hall Road, Menomonee Falls, WI 53051-3518 |
| Activities | Mental health care |
| Subsection | Charitable Organization |
| Ruling Date | 09/1993 |
| Deductibility | Contributions are deductible |
| Foundation | Hospital or medical research organization |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 06/2013 |
| Assets | $100,000 to $499,999 |
| Income | $100,000 to $499,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $232,891 |
| Amount of Income | $165,499 |
| Form 990 Revenue Amount | $165,499 |
Non-representatives - add comments:
Revenue for 2013
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $155,225 | $154,901 | $165,499 |
| Contributions, gifts, grants, and similar amounts received | $155,158 | $154,876 | $165,464 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $67 | $25 | $35 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $136,986 | $123,391 | $132,255 |
| Total net assets | $158,105 | $189,615 | $222,859 |
| Excess/Deficit for the year | $18,239 | $31,510 | $33,244 |
| Net assets or fund balances at beginning of year | $139,866 | $158,105 | $189,615 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $189,615 | $222,859 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $169,050 | $199,916 | $232,891 |
| Total liabilities | $10,945 | $10,301 | $10,032 |
| Net assets or fund balances | $158,105 | $189,615 | $222,859 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii) |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
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| 1 | Community Life Council | PO BOX 27, Crandon, WI 54520 | WI | 2001-01 | $0 |
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| 3 | Community Living Arrangements Inc | PO BOX 200, Elkhorn, WI 53121-0200 | WI | 1987-10 | $3,896,517 |
| 4 | Community Living Connections Inc | 6515 Watts Rd Ste 100, Madison, WI 53719-2726 | WI | 2005-09 | $7,488,479 |
| 5 | Community Memorial Foundation Of Menomonee Falls Inc | W180 N8085 Town Hall Road, Menomonee Falls, WI 53051-3518 | WI | 1990-11 | $3,424,012 |
| 6 | Community Mental Health Services Holding Company Inc | PO BOX 895, Rhinelander, WI 54501-0895 | WI | 1987-06 | $38,660 |
| 7 | Community Mental Health Services Inc | PO BOX 895, Rhinelander, WI 54501-0895 | WI | 1986-11 | $408,861 |
| 8 | Community Nursery School | PO BOX 124, Baldwin, WI 54002-0124 | WI | 2014-08 | $85,234 |
| 9 | Community Nursery School Of Appleton Inc | 740 E College Ave, Appleton, WI 54911-5689 | WI | 1979-06 | $71,042 |
| 10 | Community Options Inc | PO BOX 189, Green Lake, WI 54941-0189 | WI | 1986-08 | $298,752 |
| 11 | Community Outpatient Health Service, Cedar Falls Clinic | W180 N8085 Town Hall Road, Menomonee Falls, WI 53051-3518 | WI | 1993-09 | $165,499 |
| 12 | Community Parks Improvement Committee Inc | PO BOX 228, Stevens Point, WI 54481-0228 | WI | 1991-05 | $34,452 |
| 13 | Community Partnerships Inc | 1334 Dewey Ct, Madison, WI 53703-3019 | WI | 2000-12 | $3,909,263 |
| 14 | Community Players Of Southwestern Wisconsin Inc | Po Box 169, Richland Center, WI 53581 | WI | 2004-08 | $1,094 |
| 15 | Community Preschool Of Whitefish Bay Inc | PO BOX 170781, Whitefish Bay, WI 53217-8065 | WI | 1972-04 | $79,505 |
| 16 | Community Projects Committee Inc | 3073 S Chase Ave Ste 210, Milwaukee, WI 53207-2675 | WI | 1987-12 | $542,031 |
| 17 | Community Property Inc | 478 E Grand Ave, Wisc Rapids, WI 54494-4852 | WI | 2008-05 | $115,880 |
| 18 | Community Real Estate And Personal Property Foundation Inc | 4455 W Lawrence St, Appleton, WI 54914-4065 | WI | 2004-08 | $2,274,938 |
| 19 | Community Referral Agency Inc | PO BOX 365, Milltown, WI 54858-0365 | WI | 1983-02 | $495,380 |
| 20 | Community Related Training Inc | 7819 W Potomac Ave, Milwaukee, WI 53222 | WI | 1991-07 | $2,041 |
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