Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 780,282 | 746,663 | 932,224 | 706,697 | 560,369 | 3,726,235 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 780,282 | 746,663 | 932,224 | 706,697 | 560,369 | 3,726,235 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 411,096 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 3,315,139 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 780,282 | 746,663 | 932,224 | 706,697 | 560,369 | 3,726,235 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 48,749 | 57,102 | 60,194 | 66,981 | 72,126 | 305,152 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 18,419 | 23,252 | 20,471 | 2,111 | 1,935 | 66,188 |
| 11 | Total support. Add lines 7 through 10. | 4,097,575 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | MISCELLANEOUS INCOME 66,188 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | INDIVIDUALS VOLUNTEER THEIR TIME DOING CLERICAL AND ADMINISTRATIVE DUTIES FOR THE ORGANIZATION. THEY ALSO VOLUNTEER EXTENSIVELY FOR ALL OF THE FUNDRAISING EVENTS OF THE ORGANIZATION. VOLUNTEERS OCCUPY THE DISPLAYS AT THE ASSISTIVE RESOURCE FAIR EACH YEAR. VOLUNTEERS RUN SOME ORGANIZATION PROGRAMS SUCH AS THE "LEND" PROGRAM WHERE VOLUNTEERS MANAGE THE ASSISTIVE DEVICES THAT ARE LOANED OUT TO NEEDY INDIVIDUALS WITHOUT CHARGE. |
| FORM 990, PAGE 2, PART III, LINE 4D | FEE FOR SERVICES - TO PROVIDE RESIDENTIAL ASSESSMENTS, COMPUTER AND WORKSITE ASSESSMENTS AND HOME OWNERSHIP COUNSELING SERVICES. SERVICES ARE PAID FOR BY THE ASSISTED INDIVIDUAL. INDIVIDUAL LIVING COUNCIL OF WISCONSIN - THE ACTIVITIES OF THE ILCW GRANT ARE TWOFOLD; TO SUPPORT THE ACTIVITIES OF THE STATE PLAN FOR INDEPENDENT LIVING (SPIL) AND TO PROVIDE OUTREACH ACTIVITIES TO UNSERVED AND UNDERSERVED COUNTIES AND POPULATION GROUPS TO FACILITATE GRASS-ROOTS ACTIVITIES. WISCONSIN DEPARTMENT OF COMMERCE - DIVISION OF HOUSING - HOME PROGRAM - THE ORGANIZATION RECEIVES GRANT FUNDING TO PROVIDE HOMEOWNER ACCESSIBILITY MODIFICATIONS FOR LOW-INCOME INDIVIDUALS AND FAMILIES. THE ORGANIZATION'S STAFF PROVIDES ASSESSMENT AND ELIGIBILITY ASSESSMENTS, COORDINATE MODIFICATIONS NEEDED AND SUPERVISE CONSTRUCTION, AND SUBMIT PAYMENTS TO CONTRACTORS AS SPECIFIED IN THE CONTRACT. FUNDS ARE DISTRIBUTED AS DEFERRED MORTGAGES AT A ZERO PERCENT INTEREST RATE. THE HOMEWONER MUST REPAY THE "LOAN" WHEN THEY SELL THEIR HOME. IF THE LOANS ARE NOT COLLECTED AND NOT REINVESTED IN HOMES FOR THE SAME PURPOSE, THE FUNDS ARE REPAID TO THE DIVISION OF HOUSING AND ARE SHOWN AS AN EXPENSE AT THAT TIME. AS PART OF THE GRANT AGREEMENT, THE ORGANIZATION IS ALLOWED TO REQUEST ADMINISTRATIVE FUNDS AS THE GRANT PROGRESSES. INDEPENDENCE FIRST - WISLOAN PROGRAM - THE ORGANIZATION PROVIDES OUTREACH TO THE COMMUNITY ABOUT LOANS AVAILABLE TO PEOPLE WITH DISABILITIES FOR ASSISTIVE TECHNOLOGY, HOME MODIFICATIONS OR OTHER RELATED NEEDS TO ALLOW INDIVIDUALS TO BE INDEPENDENT. STAFF REFERS INTERESTED PARTIES TO INDEPENDENT FIRST FOR APPLICATION INFORMATION. CENTERS FOR INDEPENDENT LIVING - FEDERAL - THIS GRANT REQUIRES THAT THE ORGANIZATION PROVIDE FOR THE FOUR CORE SERVICES OF ADVOCACY, PEER SUPPORT, INFORMATION AND REFERRAL, AND INDEPENDENT LIVING SKILLS TRAINING. PEERLINK IS A PROGRAM ADNINISTERED BY UNITED BEHAVIORAL HEALTH. THE PEERLINK PROGRAM IS DESIGNED TO MATCH A TRAINED PEER SPECIALIST WITH AND OPTUM HEALTH MEMBER WHO IS LIVING WITH MENTAL ILLNESS TO PROMOTE RECOVERY AND PROVIDE TOOLS FOR COPING WITH MENTAL ILLNESS THROUGH THE DEVELOPMENT OF A SUPPORTIVE RELATIONSHIP. FEE FOR SERVICE PROGRAM PROVIDES RESIDENTIAL ASSESSMENTS, COMPUTER AND WORKSITE ASSESSMENTS, AND AMERICANS WITH DISABILITIES ACT CONSULTATION / ASSESSMENT SERVICES. DEPARTMENT OF WORKFORCE DEVELOPMENT - DIVISION OF VOCATIONAL REHABILITATION - INDEPENDENT LIVING PROGRAM IS DESIGNED TO A PHILOSOPHY OF INDEPENDENT LIVING WHICH INCLUDES A PHILOSOPHY OF CONSUMER CONTROL, PEER SUPPORT, SELF-HELP, SELF-DETERMINATION, EQUAL ACCESS AND INDIVIDUAL AND SYSTEMS ADVOCACY. THESE PHILOSOPHIES ARE IMPLEMENTED TO MAXIMIZE THE LEADERSHIP, EMPOWERMENT, INDEPENDENCE AND PRODUCTIVITY OF INDIVIDUALS WITH DISABILITIES INTO THE MAINSTREAM OF AMERICAN SOCIETY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS INITIALLY REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. IT IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AT THE FOLLOWING MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DISCLOSURE WILL BE MADE ANNUALLY BY ALL MEMBERS OF THE BOARD AND BOARD STANDING COMMITTEES OF ANY DIRECT OR INDIRECT BENEIFTS THEY OR MEMEBERS OF THEIR FAMILY ARE RECEIVING, OR WILL RECEIVE, AS THE RESULT OF AN AGREEMENT BY OPTIONS WITH ANY OUTSIDE PARTY. ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED IN WRITING TO THE BOARD CHAIR. IF THIS CONFLICT OF INTEREST IS RELEVANT TO THE ATTENTION OF THE BOARD CHAIR, SUCH PERSON WILL NOT VOTE ON THE MATTER. THE PERSON HAVING THE CONFLICT SHALL RETIRE FROM THE ROOM AND NOT PARTICIPATE IN THE FINAL DELIBERATIONS OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR'S COMPENATION IS REVIEWED BY THE EXECUTIVE COMMITTEE ANNUALLY. THIS REVIEW WILL INCLUDE A COMPARISON OF COMPENSATION GIVEN TO OTHER EXECUTIVE DIRECTORS OF NOT-FOR-PROFIT ORGANIZATIONS AND OTHER INDEPENDENT LIVING CENTERS OF SIMILAR SIZES IN WISCONSIN. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S LOCATION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | LOSSES ON ASSETS HELD WITH COMM FDN -145,235 TOTAL -145,235 |
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