Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 751,839 | 894,520 | 772,618 | 895,822 | 788,961 | 4,103,760 |
| 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 | 751,839 | 894,520 | 772,618 | 895,822 | 788,961 | 4,103,760 |
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 4,103,760 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 751,839 | 894,520 | 772,618 | 895,822 | 788,961 | 4,103,760 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 65,371 | 70,985 | 63,775 | 51,490 | 197,560 | 449,181 |
| 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.).. | 2,096 | 2,096 | ||||
| 11 | Total support. Add lines 7 through 10 | 4,555,037 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | MISCELLANEOUS INCOME 2,096 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| 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 4A | INDEPENDENT LIVING CORE SERVICES CONSIST OF THE FOLLOWING: WISCONSIN DEPARTMENT OF HEALTH SERVICES - DIVISION OF LONG TERM CARE - INDEPENDENT LIVING GRANT - THIS GRANT REQUIRES THAT THE ORGANIZATION PROVIDES THE FIVE CORE SERVICES OF INDEPENDENT LIVING CENTERS AS DEFINED BY STATE AND FEDERAL REGULATIONS. THOSE SERVICES INCLUDE INDIVIDUAL AND SYSTEMS ADVOCACY, PEER SUPPORT, INDEPENDENT LIVING SKILLS TRAINING, TRANSITION SERVICES, AND INFORMATION AND REFERRAL. IT ALSO REQUIRES THAT THE ORGANIZATION PROVIDE SERVICES TO THE COMMUNITY, E.G., COMMUNITY ADVOCACY, COMMUNITY EDUCATION; OUTREACH TO INFORM PEOPLE WITH DISABILITIES AND THE COMMUNITY ABOUT SERVICES, AND THAT THERE ARE APPROPRIATE SERVICES AND PROGRAMS AVAILABLE TO PEOPLE WITH DISABILITIES. INDEPENDENT LIVING COUNCIL OF WISCONSIN - ILCW - PART B - THE ACTIVITIES OF THE ILCW - PART B GRANT ARE TWOFOLD; TO SUPPORT THE ACTIVITIES OF THE STATE PLAN FOR INDEPENDENT LIVING (SPIL) AND TO PROVIDE OUTREACH ACTIVITIES TO UN-SERVED AND UNDERSERVED COUNTIES AND POPULATION GROUPS TO FACILITATE GRASS-ROOTS ACTIVITIES. CENTERS FOR INDEPENDENT LIVING - HEALTH AND HUMAN SERVICES - THIS GRANT REQUIRES THAT THE ORGANIZATION PROVIDE THE FOUR CORE SERVICES OF ADVOCACY, PEER SUPPORT, INFORMATION AND REFERRAL, AND INDEPENDENT LIVING SKILLS TRAINING. |
| FORM 990, PAGE 2, PART III, LINE 4B | ASSISTIVE TECHNOLOGY PROGRAMS CONSIST OF THE FOLLOWING WISTECH GRANT - THIS GRANT REQUIRES THE ORGANIZATION TO PROVIDE THREE SPECIFIC SERVICES. 1) DEVICE LOANS ARE SHORT-TERM LOANS OF ASSISTIVE TECHNOLOGY TO INDIVIDUALS OR ORGANIZATIONS FOR A VARIETY OF PURPOSES SUCH AS ALLOWING CONSUMERS AND AGENCIES TO "TRY BEFORE THEY BUY", MEETING INTERIM NEEDS WHEN DEVICES GO IN FOR REPAIR, FOR PERSONAL DEVELOPMENT ACTIVITIES, ETC. 2) DEVICE DEMONSTRATION COMPANIES THAT PRESENTS FEATURES AND BENEFITS OF A PARTICULAR ASSISTIVE TECHNOLOGY (AT) DEVICE OR CATEGORY OF DEVICES TO AN INDIVIDUAL OR SMALL GROUP OF INDIVIDUALS. THE PURPOSE OF A DEVICE DEMONSTRATION IS TO ENABLE AN INDIVIDUAL TO MAKE AN INFORMED CHOICE RATHER THAN MERELY MAKING THE CUSTOMER AWARE OF A VARIETY OF AT. 3) INFORMATION AND REFERRAL ACTIVITIES ARE THOSE IN WHICH THE AT PROGRAM'S ASSISTANCE WAS LIMITED TO BRIEFLY ANSWERING REQUESTS FOR INFORMATION AND / OR PUTTING INDIVIDUALS IN CONTACT WITH OTHER AGENCIES, ORGANIZATIONS OR COMPANIES THAT CAN PROVIDE THEM WITH NEEDED INFORMATION ON AT PRODUCTS, DEVICES, SERVICES, FUNDING SOURCES, OR OTHER RELATED DISABILITY TOPICS. UNIVERSAL SERVICE FUND (USF) - THE FUND WAS ESTABLISHED UNDER THE 1993 WISCONSIN ACT 496 TO ENSURE THAT ALL STATE RESIDENTS RECEIVE ESSENTIAL TELECOMMUNICATION SERVICES AND HAVE ACCESS TO ADVANCED TELECOMMUNICATION CAPABILITIES. UNIVERSAL SERVICE FUND PROGRAMS CREATED BY THE WISCONSIN PUBLIC SERVICE COMMISSION HAVE BEEN DEVELOPED TO ADDRESS TELECOMMUNICATION NEEDS FOR LOW-INCOME CUSTOMERS, HIGH RATE AREAS OF THE STATE, CUSTOMERS WITH DISABILITIES, NON-PROFIT GROUPS AND MEDICAL CLINICS AND PUBLIC HEALTH AGENCIES. |
| FORM 990, PAGE 2, PART III, LINE 4D | HERE ARE DESCRIPTIONS OF THE OTHER PROGRAMS PROVIDED BY THE ORGANIZATION: WISCONSIN DEPARTMENT OF ADMINISTRATION - 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 ZERO (0%) INTEREST RATE. THE HOMEOWNER MUST REPAY THE "LOAN" WHEN THEY SELL THE HOME. THE LOANS ARE SHOWN ON THE STATEMENT OF FINANCIAL POSITION AS LONG-TERM NOTES RECEIVABLE. IF THE NOTES ARE COLLECTED AND NOT REINVESTED IN HOMES FOR THE SAME PURPOSE, THE FUNDS ARE REPAID TO THE WISCONSIN DEPARTMENT OF ADMINISTRATION - DIVISION OF HOUSING AND ARE REFLECTED AS AN EXPENSE IN THE STATEMENT OF ACTIVITIES AT THAT TIME. AS PART OF THE GRANT AGREEMENT THE ORGANIZATION IS ALLOWED TO REQUEST ADMINISTRATIVE FUNDS AS THE GRANT PROGRESSES. EXPENSES ASSOCIATED WITH ADMINISTRATIVE REVENUES ARE REFLECTED IN THE STATEMENT OF ACTIVITIES. BENEFITS COUNSELING - AN INDIVIDUAL WITH A DISABILITY IS PROVIDED WITH A REVIEW OF THEIR CURRENT BENEFITS AND AN EXPLANATION OF HOW THOSE BENEFITS MIGHT BE AFFECTED BY EMPLOYMENT, INCLUDING AVAILABLE WORK INCENTIVE PROGRAMS AND ALTERNATE BENEFITS FOR HEALTH AND RELATED SERVICES. 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 INDEPENDENCE FIRST FOR LOAN APPLICATION INFORMATION. PERSONAL CARE PROGRAM - OPTIONS FOR INDEPENDENT LIVING, INC.'S PERSONAL CARE PROGRAM EMPOWERS PEOPLE WITH DISABILITIES TO MANAGE THEIR PERSONAL CARE SERVICES. OPTIONS FOR INDEPENDENT LIVING, INC. OFFERS A CONSUMER DIRECTED PERSONAL CARE PROGRAM FOR PEOPLE WITH DISABILITIES WHO ARE (1) MEDICAID BENEFICIARIES, (2) REQUIRE PERSONAL CARE SERVICES AND, (3) HAVE IDENTIFIED AN INDIVIDUAL TO PROVIDE PERSONAL CARE. PERSONAL CARE MAY INCLUDE ASSISTANCE WITH BATHING, DRESSING / UNDRESSING, PROSTHETICS (BRACES, SPLINTS, AND SUPPORT HOSE), GROOMING, EATING, MOBILITY IN THE HOME, TOILETING, TRANSFER INCIDENTAL SERVICES (LAUNDRY, LIGHT HOUSEKEEPING, AND MEAL PREPARATION), MOSTLY ORIENTED TASKS AND DELEGATED TASKS. LEND PROGRAM (LOANED EQUIPMENT NETWORK DISTRIBUTION): THROUGH LEND WE ACCEPT USED DURABLE MEDICAL EQUIPMENT IN GOOD CONDITION, SUCH AS POWER AND MANUAL WHEELCHAIRS, TUB TRANSFER BENCHES, COMMODES, WALKERS, PORTABLE RAMPS, AND OTHER EQUIPMENT. AFTER EQUIPMENT IS SAFETY INSPECTED AND SANITIZED IT IS LOANED TO PEOPLE WITH SHORT-TERM NEEDS FOR THESE DEVICES. |
| 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 | LOSS ON ASSETS HELD AT COMM FDN -511,524 LOSSES ON ASSETS HELD AT COMMUNITY FOUNDATIONS 0 TOTAL -511,524 |
| Software ID: | |
| Software Version: |