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
Watertown Moose Lodge 830

Number and street (or P. O. box, if mail is not delivered to street address)PO Box 362
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Watertown, WI53094

D Employer identification number

39-0734152

E Telephone number

(920) 261-6458

F Group Exemption
Number bullet

0002

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? The mission of Moose International, Inc., is to strive for excellence infour areas: (i) a fraternal program and community service within ourlodge and chapter system known as the Loyal Order of Moose and theWomen of the Moose; (ii) to provide a family environment andeducation for underprivileged children in residence at Mooseheart,Illinois; (iii) to provide for the needs of senior members at Moosehaven,Florida; and, (iv) to promote membership growth.
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 The mission of Moose International, Inc., is to strive for excellence infour areas: (i) a fraternal program and community service within ourlodge and chapter system known as the Loyal Order of Moose and theWomen of the Moose; (ii) to provide a family environment andeducation for underprivileged children in residence at Mooseheart,Illinois; (iii) to provide for the needs of senior members at Moosehaven,Florida; and, (iv) to promote membership growth. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
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

(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
Allen Vasn Dyke President	10.00	0
William Shier Vice President	10.00	0
James Clark Chaplain	5.00	0
Kelly Jeske Past President	5.00	0
Thomas Godfory Treasurer	25.00	0
John Stewart Trustee	15.00	0
Nick Witte Trustee	10.00	0
Paul Wiegert Trustee	5.00	0
Scott Maron Administrator	25.00	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 $4008
Other Expenses.1007	Conferences, Conventions, and Meetings $431
Other Expenses.1012	Insurance $5331
Other Expenses.1	Donations to Local Charities $3593
Other Expenses.2	Organizational Dues $3359
Other Assets.1002	Furniture and Fixtures - Beginning $80000 Furniture and Fixtures - Ending $80000
Other Assets.1010	Inventories - Beginning $2500 Inventories - Ending $2500
Total Liabilities.1001	Accounts Payable and Accrued Expenses - Beginning $0 Accounts Payable and Accrued Expenses - Ending $2692

Return Reference

Explanation

Other Expenses.1002

Office Expenses $4008

Other Expenses.1007

Conferences, Conventions, and Meetings $431

Other Expenses.1012

Insurance $5331

Other Expenses.1

Donations to Local Charities $3593

Other Expenses.2

Organizational Dues $3359

Other Assets.1002

Furniture and Fixtures - Beginning $80000 Furniture and Fixtures - Ending $80000

Other Assets.1010

Inventories - Beginning $2500 Inventories - Ending $2500

Total Liabilities.1001

Accounts Payable and Accrued Expenses - Beginning $0 Accounts Payable and Accrued Expenses - Ending $2692

1	Contributions, gifts, grants, and similar amounts received ....................	1	10,385
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	4,576
4	Investment income ....................................	4	6
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	117,929
c	Less: direct expenses from gaming and fundraising events ...	6c	84,681
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	33,248
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	48,215

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
13	Professional fees and other payments to independent contractors ............	13
14	Occupancy, rent, utilities, and maintenance ...................	14	25,021
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	16,722
17	Total expenses. Add lines 10 through 16 .................	17	41,743

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	6,472
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	313,532
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20	-1,729
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	318,275

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	21013475
Software Version:	2021v4.0

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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