Liabilities / Assets
55th percentile
Tied with the lowest-debt nonprofits in its peer group.
Tri-County Memorial Foundation Inc
990EZ • Fiscal year 2014 • EIN 30-0093022
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
55th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
89th percentile
Higher net margin than 89% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
57th percentile
Faster asset growth than 57% of similar nonprofits.
Revenue Growth
77th percentile
Faster revenue growth than 77% of similar nonprofits.
Balance Sheet
Assets
Up$371,321
Up $22,309 (+6.4%) from 2013
Net Assets
Up$371,321
Up $22,309 (+6.4%) from 2013
Liabilities
Flat$0
Flat from 2013
Revenue And Expenses
Revenue
Up$56,578
Up $12,407 (+28%) from 2013
Expenses
Up$34,269
Up $6,459 (+23%) from 2013
Net Income
Up$22,309
Up $5,948 (+36%) from 2013
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2014 to Dec 31, 2014
- Signed
- Nov 13, 2015
- Return Version
- 2014v5.0
- Gross Receipts
- $56,578
Mission and Program Overview
Mission
Tri-county memorial foundation, inc. Exists to support the mission of tri-county memorial hospital, inc. Which is to distinguish ourselves through excellence in patient care, education, and improved health in the communities we serve.
Tri-county memorial foundation, inc. Exists to support the mission of tri-county memorial hospital, inc. In the communities and surrounding areas which are serviced by tri-county memorial hospital, inc.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| TRI-COUNTY MEMORIAL HOSPITAL, INC. PROVIDES SERVICES TO ALL MEMBERS OF THE PUBLIC WHO NEED MEDICAL SERVICES. THE SERVICES AREA IS ABOUT A 25-MILE RADIUS AROUND THE FACILITY AND INCLUDES ABOUT 15,000 INDIVIDUALS. TRI-COUNTY MEMORIAL FOUNDATION, INC. PROVIDES SUPPORT TO THE HOSPITAL AND NURSING HOME IN NEEDED AREAS. AT TIMES, EQUIPMENT IS PURCHASED TO SUPPORT THE HOSPITAL AND NURSING HOME AND OFTEN THERE ARE SCHOLARSHIPS PROVIDED TO MEET HEALTHCARE TRAINING AND EDUCATION NEEDS. DURING THE PERIOD JANUARY 1, 2014 THROUGH DECEMBER 31, 2014, $4,800 IN SCHOLARSHIPS WERE GRANTED TO STUDENTS IN THE AREA PURSUING CAREERS IN MEDICAL FIELDS. IN ADDITION, THE FOUNDATION ALSO DONATED $1,000 EACH TO FOUR SEPARATE LOCAL FOOD PANTRIES. | $30,800 | $34,269 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| KURT JOHNSON | Chairman | - | $0 | - | - |
| JOHN KULIG | Trustee | - | $0 | - | - |
| LINDA BAXA | Trustee | - | $0 | - | - |
| K ROGER GILBERT | Vice Chairman | - | $0 | - | - |
| DAVE PIENTOK | Trustee | - | $0 | - | - |
| WANDA CARTRETTE | Trustee | - | $0 | - | - |
| DUANE BYOM | Trustee | - | $0 | - | - |
Filing and Contact Details
Filer
- Filer Name
- Tri-county Memorial Foundation Inc
- EIN
- 30-0093022
- Phone
- 7155384361
- Address
- 18601 LINCOLN STREET, WHITEHALL, WI 54773
Signing Officer
- Name
- Brian Theiler
- Title
- CEO, Tri-county Memorial Hospital
- Phone
- 7155384361
- Signed
- 2015-11-13
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Wipfli Llp
- Address
- 3703 OAKWOOD HILLS PARKWAY, EAU CLAIRE, WI 54701
- Preparer
- Paul M Traczek CPA
- Phone
- 7158323407
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 4 - Other Investment Income
“Description: interest income. Amount: 2,729.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: food pantry operation donations. Grantee name: city of arcadia. Grantee address: 1358 hillview drive arcadia, wi 54612. Property description: food pantry operations. Amount given: 1,000.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: scholarships to individuals. Grantee name: n/a. Property description: scholarship. Amount given: 4,800.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: food pantry operation donations. Grantee name: city of blair. Grantee address: 122 south urberg avenue blair, wi 54616. Property description: food pantry operations. Amount given: 1,000.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: food pantry operation donations. Grantee name: city of whitehall. Grantee address: 36124 sunset boulevard whitehall, wi 54773. Property description: food pantry operations. Amount given: 1,000.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: food pantry operation donations. Grantee name: city of independence. Grantee address: 23688 adams street independence, wi 54747. Property description: food pantry operations. Amount given: 1,000.”
Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid
“Activity classification: donation for property and equipment purchases. Grantee name: tri-county memorial hospital. Grantee address: 18601 lincoln street whitehall, wi 54773. Grantee relationship: related party. Property description: hospital equipment. Amount given: 22,000. Total included on form 990-ez, line 10: 30,800.”
Raw XML Appendix183 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | 0 |
| IRS990EZ/BooksInCareOfDetail/PersonNm | 0 | ROXANE SCHLEICH |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 7155384361 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 18601 LINCOLN STREET |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | WHITEHALL |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54773 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 349012 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 371321 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 0 |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 8870 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | 22309 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 3469 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 349012 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 371321 |
| IRS990EZ/GrantsAndSimilarAmountsPaidAmt | 0 | 30800 |
| IRS990EZ/GrossReceiptsAmt | 0 | 56578 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/InvestmentIncomeAmt | 0 | 2729 |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 349012 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 371321 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 349012 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 371321 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | KURT JOHNSON |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | JOHN KULIG |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | LINDA BAXA |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | K ROGER GILBERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | DAVE PIENTOK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | WANDA CARTRETTE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | DUANE BYOM |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | VICE CHAIRMAN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | TRUSTEE |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | TRI-COUNTY MEMORIAL FOUNDATION, INC. EXISTS TO SUPPORT THE MISSION OF TRI-COUNTY MEMORIAL HOSPITAL, INC. IN THE COMMUNITIES AND SURROUNDING AREAS WHICH ARE SERVICED BY TRI-COUNTY MEMORIAL HOSPITAL, INC. |
| IRS990EZ/ProgramServiceRevenueAmt | 0 | 44979 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | TRI-COUNTY MEMORIAL HOSPITAL, INC. PROVIDES SERVICES TO ALL MEMBERS OF THE PUBLIC WHO NEED MEDICAL SERVICES. THE SERVICES AREA IS ABOUT A 25-MILE RADIUS AROUND THE FACILITY AND INCLUDES ABOUT 15,000 INDIVIDUALS. TRI-COUNTY MEMORIAL FOUNDATION, INC. PROVIDES SUPPORT TO THE HOSPITAL AND NURSING HOME IN NEEDED AREAS. AT TIMES, EQUIPMENT IS PURCHASED TO SUPPORT THE HOSPITAL AND NURSING HOME AND OFTEN THERE ARE SCHOLARSHIPS PROVIDED TO MEET HEALTHCARE TRAINING AND EDUCATION NEEDS. DURING THE PERIOD JANUARY 1, 2014 THROUGH DECEMBER 31, 2014, $4,800 IN SCHOLARSHIPS WERE GRANTED TO STUDENTS IN THE AREA PURSUING CAREERS IN MEDICAL FIELDS. IN ADDITION, THE FOUNDATION ALSO DONATED $1,000 EACH TO FOUR SEPARATE LOCAL FOOD PANTRIES. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 30800 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 34269 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 34269 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 34269 |
| IRS990EZ/TotalRevenueAmt | 0 | 56578 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.GUNDERSENHEALTH.ORG/TRI-COUNTY/FOUNDATION |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | 1 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | TRI-COUNTY MEMORIAL HOSPITAL, INC. (HOSPITAL) IS THE SOLE CORPORATE MEMBER OF TRI-COUNTY MEMORIAL FOUNDATION, INC. (FOUNDATION). THEY HAVE HAD A HISTORIC AND CONTINUING RELATIONSHIP. THE HOSPITAL MAINTAINS CONTROL OVER THE FOUNDATION AND IS LISTED AS THE SOLE CORPORATE MEMBER WITH RESERVE POWERS IN THE GOVERNING DOCUMENTS OF THE FOUNDATION. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | IN ADDITION TO PROVIDING $22,000 OF GRANTS TO TRI-COUNTY MEMORIAL HOSPITAL, INC., THE SUPPORT INCLUDED $4,800 FOR SCHOLARSHIPS TO AREA HIGH SCHOOL GRADUATES PURSUING HIGHER EDUCATION IN HEALTHCARE RELATED FIELDS AND $4,000 TO LOCAL FOOD PANTRY ORGANIZATIONS TO SUPPORT THE HEALTH OF THE LOCAL COMMUNITY. THESE DONATIONS ARE PART OF THE SAME CHARITABLE CLASS OR PURPOSE OF TRI-COUNTY MEMORIAL HOSPITAL, INC. IF IT WERE NOT FOR THE FOUNDATION PROVIDING THESE DONATIONS, TRI-COUNTY MEMORIAL HOSPITAL, INC. WOULD PROVIDE THESE DIRECTLY. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SECTION A, LINE 1: |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | SECTION A, LINE 6: |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 390704510 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 22000 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | TRI-COUNTY MEMORIAL HOSPITAL INC |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 22000 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: INTEREST INCOME. AMOUNT: 2,729. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | ACTIVITY CLASSIFICATION: FOOD PANTRY OPERATION DONATIONS. GRANTEE NAME: CITY OF ARCADIA. GRANTEE ADDRESS: 1358 HILLVIEW DRIVE ARCADIA, WI 54612. PROPERTY DESCRIPTION: FOOD PANTRY OPERATIONS. AMOUNT GIVEN: 1,000. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | ACTIVITY CLASSIFICATION: SCHOLARSHIPS TO INDIVIDUALS. GRANTEE NAME: N/A. PROPERTY DESCRIPTION: SCHOLARSHIP. AMOUNT GIVEN: 4,800. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | ACTIVITY CLASSIFICATION: FOOD PANTRY OPERATION DONATIONS. GRANTEE NAME: CITY OF BLAIR. GRANTEE ADDRESS: 122 SOUTH URBERG AVENUE BLAIR, WI 54616. PROPERTY DESCRIPTION: FOOD PANTRY OPERATIONS. AMOUNT GIVEN: 1,000. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | ACTIVITY CLASSIFICATION: FOOD PANTRY OPERATION DONATIONS. GRANTEE NAME: CITY OF WHITEHALL. GRANTEE ADDRESS: 36124 SUNSET BOULEVARD WHITEHALL, WI 54773. PROPERTY DESCRIPTION: FOOD PANTRY OPERATIONS. AMOUNT GIVEN: 1,000. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | ACTIVITY CLASSIFICATION: FOOD PANTRY OPERATION DONATIONS. GRANTEE NAME: CITY OF INDEPENDENCE. GRANTEE ADDRESS: 23688 ADAMS STREET INDEPENDENCE, WI 54747. PROPERTY DESCRIPTION: FOOD PANTRY OPERATIONS. AMOUNT GIVEN: 1,000. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | ACTIVITY CLASSIFICATION: DONATION FOR PROPERTY AND EQUIPMENT PURCHASES. GRANTEE NAME: TRI-COUNTY MEMORIAL HOSPITAL. GRANTEE ADDRESS: 18601 LINCOLN STREET WHITEHALL, WI 54773. GRANTEE RELATIONSHIP: RELATED PARTY. PROPERTY DESCRIPTION: HOSPITAL EQUIPMENT. AMOUNT GIVEN: 22,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 30,800. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. |
| ReturnHeader/BuildTS | 0 | 2016-02-25 16:41:14Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | BRIAN THEILER |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CEO, TRI-COUNTY MEMORIAL HOSPITAL |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 7155384361 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2015-11-13 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | TRI-COUNTY MEMORIAL FOUNDATION INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | TRI- |
| ReturnHeader/Filer/EIN | 0 | 300093022 |
| ReturnHeader/Filer/PhoneNum | 0 | 7155384361 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 18601 LINCOLN STREET |
| ReturnHeader/Filer/USAddress/CityNm | 0 | WHITEHALL |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | WI |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 54773 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 390758449 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | WIPFLI LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 3703 OAKWOOD HILLS PARKWAY |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | EAU CLAIRE |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | WI |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 54701 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 7158323407 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2015-11-13 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | PAUL M TRACZEK CPA |
| ReturnHeader/ReturnTs | 0 | 2015-11-16T12:46:21-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2014-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2014-12-31 |
| ReturnHeader/TaxYr | 0 | 2014 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2014 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $371,321
- Liabilities
- $0
- Net assets
- $371,321
- Revenue
- $56,578
- Expenses
- $34,269
- Net income
- $22,309