TY 2015 Form 990

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) NIKKI VANCUREN......................................................................
PRESIDENT

2.00
.................

(2) JENA K LYSEN......................................................................
VICE PRESIDENT

2.00
.................

(3) JENNIFER MURRAY......................................................................
DIRECTOR

2.00
.................

(4) KEN BROWN......................................................................
DIRECTOR

2.00
.................

(5) DANA SALINAS......................................................................
DIRECTOR

2.00
.................

(6) MARILYN COOK......................................................................
DIRECTOR

2.00
.................

(7) THERESE SEILER......................................................................
DIRECTOR

2.00
.................

(8) CHRIS REESER......................................................................
DIRECTOR

2.00
.................

(9) HEATH BECHLER......................................................................
EXECUTIVE DIRECTOR

40.00
.................

85,000

638

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1..................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................	2e
3	Subtract line 2e from line 1...................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

EMPAC INC

Employer identification number

48-0909831

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	EMPAC, INC. HAS 9 MEMBERS WITH ADDITIONAL 3 SPOTS CURRENTLY OPEN.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11	COPIES OF 990 GIVEN TO EXECUTIVE DIRECTOR TO REVIEW AND SIGN, THEN COPIES PROVIDED TO BOARD MEMBERS FOR APPROVAL BEFORE FILING
FORM 990, PART VI, SECTION B, LINE 15A	FINANCIAL STATEMENTS ARE REVIEWED BY THE BOARD WHO THEN GIVES THE EXECUTIVE DIRECTOR A BONUS BASED ON PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF FORM 990 ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,810. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,810. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 700.
FORM 990, PART IX, LINE 24E	STAFF TRAINING & DEVELOPMENT: PROGRAM SERVICE EXPENSES 6,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,513. TELEPHONE: PROGRAM SERVICE EXPENSES 5,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,714. CONSORTIUM TRAINING: PROGRAM SERVICE EXPENSES 5,491. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,491. EQUIPMENT RENT: PROGRAM SERVICE EXPENSES 5,369. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,369. PRINTING: PROGRAM SERVICE EXPENSES 4,593. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,593. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 3,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,563. MEALS & ENTERTAINMENT: PROGRAM SERVICE EXPENSES 2,177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,177. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,996. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,996. BANK CHARGES: PROGRAM SERVICE EXPENSES 1,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,686. POSTAGE: PROGRAM SERVICE EXPENSES 1,276. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,276. TESTING TOOLS: PROGRAM SERVICE EXPENSES 324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 324. GIFTS: PROGRAM SERVICE EXPENSES 105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105. PROPERTY & REAL ESTATE TAX: PROGRAM SERVICE EXPENSES 21. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21.
FORM 990, PART XII, LINE 1:	THE PRIOR YEAR FORM 990 WAS INADVERTENTLY MARKED AS USING THE CASH METHOD. THE TAXPAYER USES THE ACCRUAL METHOD OF ACCOUNTING. THIS CHANGE IS MERELY A REFLECTION OF THE CORRECT METHOD ON FORM 990 AND DOES NOT REPRESENT A CHANGE IN ACCOUNTING METHOD.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: EMPLOYEE ASSISTANCE PROGRAMS:TO PROVIDE AN EXCELLENT, COMPREHENSIVE, AND INDIVIDUALIZED RESOURCE FOR EMPLOYEES, FAMILY MEMBERS, AND THE MEMBER COMPANY IN ACHIEVING THEIR FULL POTENTIAL.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	20
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	964,099	0
9	Program service revenue (Part VIII, line 2g) .........	0	817,692
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	86	-326
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	26,732
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	964,185	844,098
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	200
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	650,315	724,883
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	341,621	387,552
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	991,936	1,112,635
19	Revenue less expenses. Subtract line 18 from line 12.......	-27,751	-268,537
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	336,806	99,704
21	Total liabilities (Part X, line 26).............	351	31,786
22	Net assets or fund balances. Subtract line 21 from line 20.....	336,455	67,918

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,095,101 including grants of $ 200 ) (Revenue $ 844,026 )
	IMPLEMENTING AND MAINTAINING EMPLOYEE ASSISTANCE PROGRAMS AS TO THE MISSION STATEMENT STATE IN PART III, LINE 1

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,095,101

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	85,000	0	638

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......

			Business Code
2a	EMPLOYEE ASSISTANCE PR	900099	817,692	817,692
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			817,692

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			72			72
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	398
c	Gain or (loss)	-398
d	Net gain or (loss).....			-398	-398
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS		900099	26,732	26,732
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			26,732
12	Total revenue. See Instructions......			844,098	844,026	0	72

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	200	200
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	85,638	85,638
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	496,062	496,062
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,126	10,126
9	Other employee benefits .......	87,342	87,342
10	Payroll taxes ...........	45,715	45,715
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,164		1,164
c	Accounting ...........	9,860		9,860
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	6,510		6,510
12	Advertising and promotion ....	32,144	32,144
13	Office expenses .......	14,532	14,532
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	49,931	49,931
17	Travel ............	12,566	12,566
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	49	49
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	5,693	5,693
23	Insurance ...	4,558	4,558
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PROF SERV REQUIRED ASSE	145,969	145,969
b	COMPUTER SOFTWARE & WEB	47,478	47,478
c	COMPUTER HARDWARE	9,420	9,420
d	ANSWERING SERVICE	8,850	8,850
e	All other expenses	38,828	38,828
25	Total functional expenses. Add lines 1 through 24e	1,112,635	1,095,101	17,534	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			167,006	1	45,025
2	Savings and temporary cash investments .........			59,695	2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			94,973	4	38,407
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			2,333	9	5,773
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	47,628
b	Less: accumulated depreciation	10b	37,129	12,799	10c	10,499
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)...			336,806	16	99,704

17	Accounts payable and accrued expenses .....	351	17	22,066
18	Grants payable ...		18
19	Deferred revenue .........	0	19	312
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	0	25	9,408
26	Total liabilities. Add lines 17 through 25..	351	26	31,786

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	336,455	32	67,918
33	Total net assets or fund balances ...........	336,455	33	67,918
34	Total liabilities and net assets/fund balances ........	336,806	34	99,704

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
941 TAXES PAYABLE	6,529
STATE WITHHOLDING TAX PAYABLE	731
SUTA PAYABLE	103
FUTA PAYABLE	63
401(K) PAYABLE	1,982
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	9,408
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

1a	Land ...
b	Buildings
c	Leasehold improvements
d	Equipment ...	47,628	37,129	10,499
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				10,499

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)