2023-07-18T14:39:57-05:00 2022-12-31 390758449 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2022-01-01 392021602 BELOIT ASSISTED LIVING INC BELO 6083131300 20 ECLIPSE CENTER BELOIT WI 53511 J MARCELLUS PERRY EXECUTIVE DIRECTOR 6087552470 2023-06-01 1 J MARCELLUS PERRY 999009999 0 MIKE WEBBER P01396395 6082741980 2023-06-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z J MARCELLUS PERRY 20 ECLIPSE CENTER BELOIT WI 53511 201168 0 X N/A X 2001 WI THE BENEVOLENT PURPOSE OF BELOIT ASSISTED LIVING, INC. IS TO PROVIDE ELDERLY PERSONS & HANDICAPPED PERSONS WITH HOUSING FACILITIES & SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL & PSYCHOLOGICAL NEEDS & TO PROMOTE THEIR HEALTH, SECURITY, HAPPINESS, & USEFULNESS IN LONGER LIVING. 7 4 0 18 0 0 0 0 188850 199950 17 242 1139 976 190006 201168 0 0 0 0 0 0 0 0 0 242065 234988 242065 234988 -52059 -33820 1375492 1350467 26322 35117 1349170 1315350 X THE BENEVOLENT PURPOSE OF BELOIT ASSISTED LIVING, INC. IS TO PROVIDE ELDERLY PERSONS (AGE 62 AND OVER) AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS AND TO PROMOTE THEIR HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING. 0 0 170516 0 199950 HOUSING AND HOUSING REHABILITATION - BELOIT ASSISTED LIVING, INC. (BALI) PROVIDES HOUSING NEEDS TO THE ELDERLY. BALI CURRENTLY OWNS AND OPERATES A 30-UNIT HOUSING PROJECT LOCATED IN BELOIT, WISCONSIN. 170516 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X KITTY ROUNDS 6083131300 20 ECLIPSE CENTER BELOIT WI 53511 J MARCELLUS PERRY PRESIDENT 1.00 40.00 X X 0 121165 9824 DEBBIE SHELDON SECRETARY/TREASURER 1.00 40.00 X X 0 80824 13428 LAURA LAUX VICE PRESIDENT 1.00 40.00 X X 0 93621 0 ERIN DAVIS CHAIR 1.00 0.00 X X 0 0 0 AMANDA SOOKRAJ CHAIR THROUGH 7/1/2022 1.00 1.00 X X 0 0 0 JEN O'CONNELL VICE-CHAIR 1.00 0.00 X X 0 0 0 RENEE JOHNSON SECRETARY 1.00 0.00 X X 0 0 0 ALAN KUPSIK SECOND VICE CHAIR 1.00 0.00 X X 0 0 0 0 295610 23252 0 0 0 0 0 RENTAL REVENUE 531110 199950 199950 199950 242 242 LAUNDRY & VENDING REVENUE 531390 976 976 976 201168 199950 0 1218 X 19445 19445 6900 6900 38874 8783 30091 13912 5891 8021 39600 39600 15 15 61856 61856 6996 6996 REPAIRS & MAINTENANCE 47390 47390 234988 170516 64472 0 50 0 27098 27851 14523 32263 780 3437 1450 1446 2293002 1035854 1309499 1257148 22092 28322 1375492 1350467 14615 22582 2306 3819 9401 8716 26322 35117 X 1349170 1315350 1349170 1315350 1375492 1350467 -33820 0 X 0 1 X 1 1 1 X 148889 153820 164387 188850 199950 855896 3320 2583 1241 1139 976 9259 152209 156403 165628 189989 200926 865155 0 0 0 865155 598 574 54 17 242 1485 598 574 54 17 242 1485 152807 156977 165682 190006 201168 866640 0.99830 0.99820 0.00170 0.00180 X 4141 4141 2258021 1013274 1244747 30840 22580 8260 1257148 TENANT SECURITY DEPOSITS 8716 8716 X 201168 0 201168 0 201168 234988 0 234988 0 234988 PART X, LINE 2: BELOIT ASSISTED LIVING, INC. IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. BELOIT ASSISTED LIVING, INC. HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEW THE FINAL DRAFT OF THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE ASKED TO SELF DISCLOSE ANNUALLY. ANY DIRECTOR OR OFFICER HAVING MATERIAL OR FINANCIAL INTEREST IN A CONTRACT OR TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS IS TO DISCLOSE ALL RELEVANT MATERIAL FACTS IN THE CONFLICT OF INTEREST DISCLOSURE. THE MINUTES OF THE MEETING MUST REFLECT THE DISCLOSURE MADE, THE VOTE, AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AS WELL AS WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CLEANING SERVICE: PROGRAM SERVICE EXPENSES 2,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,600. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,183. MANAGEMENT AND GENERAL EXPENSES 30,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,274. COMMUNITY ACTION INC OF ROCK & WALWORTH COUNTIES 20 ECLIPSE CENTER BELOIT WI 53511 391052077 TO FIGHT POVERTY WI 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0