TY 2021 Form 990EZ

Form990EZ

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
Lake Country Rotary-Hartland

Number and street (or P. O. box, if mail is not delivered to street address)PO Box 406
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Hartland, WI53029

D Employer identification number

39-1580955

E Telephone number

(262) 993-1107

F Group Exemption
Number bullet

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? Promote Goodwill, Community and better friendships through our actions and through the actions of our International Affiliation.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Contributions to Rotary Int'l Foundation and Haiti Vision Fund which promotes world understanding, goodwill and peace through the improvement of health, the support of education and the alleviation of poverty. (Grants $ ) If this amount includes foreign grants, check here ...			28a	2,000
29 Contributions to Various Community Programs including the Waukesha Historical Society, Local Scouting Program, Food Pantry, Community Dental client (Grants $ ) If this amount includes foreign grants, check here ...			29a	6,524
30 Sponsorship of Advisors for the Rotary Club-a service club of High School Students that perform community services (Grants $ ) If this amount includes foreign grants, check here ...			30a	3,809
Provide Scholarships to students in local high schools (Grants $ ) If this amount includes foreign grants, check here ...		5,500
Provide Funding for the Rotary World Affairs Program (Grants $ ) If this amount includes foreign grants, check here ...		2,740
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	20,573

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
Jeremy Pfaff Director	1.00	0
Michele Schmidt President	2.00	0
Richard Pittelkow Treasurer	2.00	0
Matt Judson Director	1.00	0
Andy Potale Director	1.00	0
Matt Winters Director	1.00	0
Pete Balzer Director	1.00	0
Grant Lemke Director	1.00	0
Bob Mallow Secretary	1.00	0
Bill Otto Director	1.00	0
Michele Schmidt Director	2.00	0
Randy Helbach Director	1.00	0
Sue Severnz Director	1.00	0

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Expenses.1002	Office Expenses $2715
Other Expenses.1012	Insurance $257
Other Expenses.1	Community Donations $20573
Other Expenses.2	Meeting Meals $13546
Other Expenses.3	Dues-Rotary Int'l $7814
Other Expenses.4	Changing of The Guard $2113
Other Expenses.5	Credit Card Processing $1131
Other Expenses.6	Club Service Expenses $953
Other Expenses.7	Membership Due-District 6270 $633
Other Expenses.8	Membership Expenses $403
Other Expenses.9	Chamber Dues $150
Other Expenses.10	Misc $38
Other Assets.1	AR-Members - Beginning $3104 AR-Members - Ending $2113
Other Assets.2	Prepaid Changing of Guard - Beginning $0 Prepaid Changing of Guard - Ending $2604
Total Liabilities.1	other payable - Beginning $531 other payable - Ending $377
Total Liabilities.2	meal accrual - Beginning $841 meal accrual - Ending $0
Total Liabilities.3	accounts payable - Beginning $818 accounts payable - Ending $1713

Return Reference

Explanation

Other Expenses.1002

Office Expenses $2715

Other Expenses.1012

Insurance $257

Other Expenses.1

Community Donations $20573

Other Expenses.2

Meeting Meals $13546

Other Expenses.3

Dues-Rotary Int'l $7814

Other Expenses.4

Changing of The Guard $2113

Other Expenses.5

Credit Card Processing $1131

Other Expenses.6

Club Service Expenses $953

Other Expenses.7

Membership Due-District 6270 $633

Other Expenses.8

Membership Expenses $403

Other Expenses.9

Chamber Dues $150

Other Expenses.10

Misc $38

Other Assets.1

AR-Members - Beginning $3104 AR-Members - Ending $2113

Other Assets.2

Prepaid Changing of Guard - Beginning $0 Prepaid Changing of Guard - Ending $2604

Total Liabilities.1

other payable - Beginning $531 other payable - Ending $377

Total Liabilities.2

meal accrual - Beginning $841 meal accrual - Ending $0

Total Liabilities.3

accounts payable - Beginning $818 accounts payable - Ending $1713

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	50,253
4	Investment income ....................................	4	236
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	27,427
c	Less: direct expenses from gaming and fundraising events ...	6c	8,490
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	18,937
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	69,426

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	10,369
13	Professional fees and other payments to independent contractors ............	13	3,720
14	Occupancy, rent, utilities, and maintenance ...................	14	605
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	50,326
17	Total expenses. Add lines 10 through 16 .................	17	65,020

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	4,406
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	67,494
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	71,900

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	21013485
Software Version:	2021v4.1

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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