BETA

MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (EIN 36-3611238)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-02-07
IRS object ID
202300389349201250
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-07T16:20:01-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411534805PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARPENTER EVERT & ASSOCIATES LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17760 FRANCE AVE S SUITE 940AddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55435ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363611238EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA ACADEMY OF FAMILY PHYSICIANSBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMINNBusinessNameControlTxt
Phone9525420130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 VAN BUREN ST NE 215AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55413ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIA HUNTLEYPersonNm
Person TitleEXECUTIVE VICEPersonTitleTxt
Phone9525420130PhoneNum
Signature2023-02-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARIAPersonFirstNm
Person LastHUNTLEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNEAL EVERTPreparerPersonNm
PTINP00046853PTIN
Phone9528310085PhoneNum
Preparation2023-02-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.MAFP.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$124,012GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$80,868ContributionsGiftsGrantsEtcAmt
Program Service Revenue$38,100ProgramServiceRevenueAmt
Investment Income$4,384InvestmentIncomeAmt
Other Revenue Total$660OtherRevenueTotalAmt
Total Revenue$124,012TotalRevenueAmt
Grants And Similar Amounts Paid$49,839GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$48,182SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$62,100FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$1,062PrintingPublicationsPostageAmt
Other Expenses Total$17,642OtherExpensesTotalAmt
Total Expenses$178,825TotalExpensesAmt
Excess Or Deficit For Year-$54,813ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$354,078NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$35,712OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$263,553NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$350,035BOYAmt
EOY$289,258EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$39,060BOYAmt
EOY$93,228EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$389,095BOYAmt
EOY$382,486EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,017BOYAmt
EOY$118,933EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$354,078BOYAmt
EOY$263,553EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO SUPPORT FAMILY PHYSICIAN HEALTH CARE DELIVERY, RESEARCH AND EDUCATION, AND TODEVELOP PATIENT CARE PROGRAMS, PROVIDE EDUCATION TO PATIENTS AND PROFESSIONALS,SUPPORT PRACTICE-BASED RESEARCH INTIATIVES, AND INTRODUCE MEDICAL STUDENTS TO THESPECIALTY OF FAMILY MEDICINE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomMEDICAL STUDENTS: DAVID MERSY, M.D. STUDENT EXTERNSHIP PROGRAM- GRANTS ARE AWARDED TO MEDICAL STUDENTS WHO WANT TO GAIN CAREER EXPERIENCE AND KNOWLEDGE OF THE SPECIALTY OF FAMILY MEDICINE BY SPENDING THE SUMMER AT A FAMILY MEDICINE CLINIC CONDUCTING A CLINICAL RESEARCH OR NON-RESEARCH PROJECT WITH A FAMILY PHYSICIAN MENTOR.RESIDENT RESEARCH GRANT PROGRAM: GRANTS ARE AWARDED TO FAMILY MEDICINE RESIDENTS TO DESIGN A RESEARCH PROJECT AND GAIN REAL-WORLD RESEARCH EXPERIENCE, DEVELOP SKILLS IN BASIC RESEARCH METHODS AND UNDERSTAND THE IMPORTANCE OF FAMILY MEDICINE RESEARCH. RESIDENTS ARE MATCHED WITH A FAMILY PHYSICIAN RESEARCH MENTOR.INNOVATION GRANT PROGRAM GRANTS AWARDED TO MEMBERS WORKING TO IMPROVE PATIENT CARE THROUGH COMMUNITY AND CLINIC INNOVATION PROJECTS. OTHER PROGRAM EXPENSES: THE NEW PROGRAM DEVELOPMENT INITIATIVE INVITES HEALTHCARE ORGANIZATIONS TO PARTNER WITH THE MAFP FOUNDATION AND EXPLORE FUTURE PROGRAM OPPORTUNITIES THAT WILL IMPROVE THE HEALTH OF MINNESOTANS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ANDREW SLATTENGREN
DIRECTOR1.00$0$0$0
CHRISTINE ALBRECHT
DIRECTOR1.00$0$0$0
CAROLYN KAMPA MD
DIRECTOR1.00$0$0$0
EDUARDO MEDINA MD
DIRECTOR1.00$0$0$0
LINDSEY CHMIELEWSKIMD
DIRECTOR1.00$0$0$0
ERIN WESTHALL
DIRECTOR1.00$0$0$0
MARIA HUNTLEY
CHIEF EXECUTIVE OFFICER40.00$47,741$441$0
PAT FONTAINE MD
DIRECTOR1.00$0$0$0
PAUL STADEM MD
DIRECTOR1.00$0$0$0
SUE INOUE MD
DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIA HUNTLEYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 VAN BUREN ST NE STE 215AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55413ZIPCd
FieldValueIRS element (for citing)
Phone9525420130PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,377CurrentTaxYearMinus1YearAmt
Current Tax Year$80,868CurrentTaxYearAmt
Total$354,041TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,377CurrentTaxYearMinus1YearAmt
Current Tax Year$80,868CurrentTaxYearAmt
Total$354,041TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$354,041PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,698CurrentTaxYearMinus1YearAmt
Current Tax Year$4,384CurrentTaxYearAmt
Total$38,719TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,698CurrentTaxYearMinus1YearAmt
Current Tax Year$4,384CurrentTaxYearAmt
Total$38,719TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$7,620CurrentTaxYearMinus1YearAmt
Current Tax Year$660CurrentTaxYearAmt
Total$8,280TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$118,410CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,190CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,695CurrentTaxYearMinus1YearAmt
Current Tax Year$85,912CurrentTaxYearAmt
Total$401,040TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88280PublicSupportCY509Pct
Public Support PY5090.75900PublicSupportPY509Pct
Investment Income CY0.09650InvestmentIncomeCYPct
Investment Income PY0.11210InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationDUES ALLOCATION INCOME FROM MAFP - MISCELLANEOUS - 2020 AMOUNT: $ 7,620. 2021 AMOUNT: $ 660.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1TRICIA WRIGHT CONSULTINGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14716 GARFIELD AVEAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55419ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$30,000RetainedByContractorAmt
Net To Organization-$30,000NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$30,000TotalRetainedByContractorsAmt
Total Net To Organization-$30,000TotalNetToOrganizationAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: . AMOUNT: 4,384.
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUEAMOUNT: 660.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: VARIOUS INDIVIDUALS - NONE OVER $5,000. AMOUNT GIVEN: 49,839.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: MISCELLANEOUS. AMOUNT: 5,196. DESCRIPTION: TRAVEL. AMOUNT: 9,567. DESCRIPTION: BANK AND CREDIT CARD FEES. AMOUNT: 2,879. TOTAL TO FORM 990-EZ, LINE 16: 17,642.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: UNREALIZED GAINS. AMOUNT: -35,712.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 34,061. END OF YEAR AMOUNT: 93,228. DESCRIPTION: DUE FROM RELATED ENTITY. BEG. OF YEAR AMOUNT: 4,999. END OF YEAR AMOUNT: 0.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: DUE TO RELATED ENTITY. BEG. OF YEAR AMOUNT: 35,017. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 104,078. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 14,855.

Compensation Explanation CompensationExplanation

Compensation Explanation CompensationExplanationGrp

FieldValueIRS element (for citing)
PersonMARIA HUNTLEYPersonNm
Short ExplanationCOMPENSATION FROM RELATED ORGANIZATION.ShortExplanationTxt

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.