2024-07-11T12:19:43-05:00 2023-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2023-01-01 391195540 CREATIVE COMMUNITY LIVING SERVICES INCORPORATED CREA 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 KATHLEEN ROACH CHIEF EXECUTIVE OFFICER 8002362257 2024-07-10 1 KATHLEEN ROACH 999009999 0 TIM SEIDEL CPA P01284559 6082744020 2024-07-02 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z KATHLEEN ROACH 500 EAST MAIN STREET WATERTOWN WI 53094 16510703 0 X CCLSWI.ORG X 1973 WI CREATIVE COMMUNITY LIVING SERVICES IS A PROVIDER OF SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES, OR FUNCTIONAL LIMITATIONS OF ADVANCED AGING. OUR COMMUINITY SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED. WE WORK WITH THE INDIVIDUAL TO BUILD THE NECESSARY SUPPORTS BASED ON THEIR NEEDS, STRENGTHS, AND WISHES. 8 8 562 4 0 0 86145 94795 16728621 16251320 -77720 126304 419927 424 17156973 16472843 0 0 0 0 12942507 12294630 0 0 68326 4621097 4203223 17563604 16497853 -406631 -25010 7735339 7219854 3847410 3283523 3887929 3936331 OUR MISSION IS TO ESTABLISH INDIVIDUALIZED COMMUNITY SUPPORTS THAT WILL PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 0 0 9798857 0 13914720 DEVELOPMENTALLY DISABLED CARE - PROVIDING RESIDENTIAL HOUSING AND NONRESIDENTIAL SERVICES AND SUPPORTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS, PHYSICAL DISABILITIES AND/OR TRAUMATIC BRAIN INJURIES. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SUPPORTIVE HOME CARE, SKILLS TEACHING/TRAINING, INDEPENDENT LIVING PROGRAMS, RESPITE, NON-MEDICAL TRANSPORTATION, SUPPORTED EMPLOYMENT, AND PRE-VOCATION, RECREATIONAL, NURSE AND DAY SERVICES. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 1811698 0 2336600 ELDER CARE - PROVIDING RESIDENTIAL HOUSING AND SUPPORTS FOR INDIVIDUALS WITH FUNCTIONAL LIMITATIONS OF ADVANCED AGING. SERVICES INCLUDE COMMUNITY SUPPORTED LIVING, SKILLS RE-TEACHING/RE-TRAINING, NON-MEDICAL TRANSPORTATION, AND NURSE. ALL SERVICES AND SUPPORTS ARE INDIVIDUALIZED AND PERSON-CENTERED AND DESIGNED TO PRESERVE AND ENHANCE THE DIGNITY AND RIGHTS OF THOSE WHO RELY ON OTHERS WHILE SEEKING THEIR OWN LEVEL OF INDEPENDENCE. 11610555 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 44 0 562 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X DWAN SCHUCK 8002362257 500 EAST MAIN STREET WATERTOWN WI 53094 DAVID MORSTAD PRESIDENT 0.75 0.50 X X 700 0 0 JEFFREY KAPHENGST VICE-PRESIDENT 0.50 X X 700 0 0 BARBARA LEDUC SECRETARY 0.50 0.50 X X 650 0 0 RANDY RADTKE TREASURER 0.50 0.50 X X 400 0 0 ELLEN HAINES DIRECTOR (THRU MARCH) 0.50 X 450 0 0 SHERI BERG DIRECTOR (THRU APRIL) 0.50 X 400 0 0 KAREN FOELKER DIRECTOR (THRU APRIL) 0.50 X 500 0 0 VINCENT HEIN DIRECTOR 0.50 X 0 0 0 KRISTI SCHEUNEMANN DIRECTOR 0.50 X 0 0 0 ERIN SMITH DIRECTOR 0.50 X 0 0 0 RUSSELL ROBERS DIRECTOR 0.50 X 0 0 0 KATHLEEN ROACH CHIEF EXECUTIVE OFFICER 36.00 6.00 X 168634 0 7456 DWAN SCHUCK CHIEF FINANCIAL OFFICER 32.00 6.00 X 133001 0 2577 SHERYL MARSHALL CHIEF HUMAN RESOURCES OFFICER 40.00 6.00 X 129175 0 9074 MARGARET HIBBARD PROGRAM LEAD 40.00 X 165464 0 866 AMY BARR PROGRAM DIRECTOR 40.00 X 111856 0 9283 RUTH NANSAMBA PROGRAM DIRECTOR 40.00 X 117339 0 8680 CRYSTAL FREEMAN PROGRAM LEAD 40.00 X 108851 0 9432 938120 0 47368 9 0 1 0 FAST PACE MEDICAL STAFFING 500 E MAIN STREET WATERTOWN WI 53094 TEMPORARY STAFFING 551184 ALTA VISTA SENIOR LIVING PORTFOLIO 252 EAST HIGHLAND AVE MILWAUKEE WI 53202 RENT 170207 2 10050 30000 54745 94795 CONTRACT INCOME 624100 16019697 16019697 TRAINING 611430 231623 231623 16251320 63326 63326 99579 36601 62978 62978 62978 1088 10050 1259 -171 -171 595 0 595 595 16472843 16251320 0 126728 315468 315468 10094186 7244681 2823676 25829 64025 44559 19307 159 1044925 727224 315108 2593 776026 540081 234019 1926 19765 19765 37497 37497 805066 665036 140030 125996 104401 20514 1081 264764 126843 137203 718 1518516 1262799 243175 12542 354921 255574 93402 5945 12206 6606 5600 17926 13894 4032 186127 51776 131105 3246 174250 88362 85888 FOOD 540610 450011 90235 364 DUES, FEES, SUBSCRIPTIO 106561 21574 82965 2022 BAD DEBT EXPENSE 11437 11437 27581 13740 7540 6301 16497853 11610555 4818972 68326 19182 45775 2467734 1432505 2202439 1768533 17180 24776 3411473 1862615 1483626 1548858 0 1137761 1545178 1261646 7735339 7219854 1035938 981927 38245 0 1116675 1009743 1656552 1291853 3847410 3283523 X 3738319 3883373 149610 52958 3887929 3936331 7735339 7219854 X -25010 73412 X 0 1 X 1 0 X 122031 1607815 3218455 86145 94795 5129241 122031 1607815 3218455 86145 94795 5129241 5129241 6299 9510 9675 16983 63326 105793 1814 1814 5236848 83337656 0.97950 0.99060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 293022 293022 2085704 891521 1194183 569270 512768 56502 463477 458326 5151 1548858 SECURITY DEPOSITS 43371 OPERATING LEASE RIGHT-OF-USE ASSETS 934255 FINANCING LEASE RIGHT-OF-USE ASSETS 284020 1261646 DEFICIENCY IN ASSETS OF SUBSIDIARY 8707 PROVISION FOR CONTRACT REPAYMENTS 46949 OPERATING LEASE LIABILITIES, NET 947861 FINANCING LEASE LIABILITIES, NET 288336 1291853 X X X 0 0 0 0 0 0 0 0 0 KATHLEEN ROACH CHIEF EXECUTIVE OFFICER 168634 0 0 0 0 0 823 0 6633 0 176090 0 0 0 MARGARET HIBBARD PROGRAM LEAD 165464 0 0 0 0 0 827 0 39 0 166330 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B CCLS HIRES A CPA FIRM TO COMPILE FORM 990. THE CFO AND CEO REVIEW FOR ACCURACY BEFORE SIGNATURE AND SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 MARKET DATA ANALYSIS FOR SIMILAR INDUSTRIES/CPA FIRM INPUT. HUMAN RESOURCES, CEO, AND REGIONAL DIRECTOR DISCUSS AND DECIDE AFTER 1ST AND 2ND PANEL INTERVIEWS (AND RECOMMENDATIONS) WHAT TO OFFER. INTERVIEW PANEL OFTEN INCLUDES A BOARD MEMBER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY IN NET INCOME OF FAST PACE MEDICAL STAFFING, INC. 73,412. FAST PACE MEDICAL STAFFING INC 500 EAST MAIN STREET WATERTOWN WI 53094 842704067 TEMPORARY STAFFING WI CREATIVE COMMUNITY LIVING SERVICES INC C 4162358 532725 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 FAST PACE MEDICAL STAFFING INC O 551184 FACE AMOUNT