CALIFORNIA ASSOCIATION MEDICAL: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CALIFORNIA ASSOCIATION MEDICAL (EIN 95-3401112)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2022-08-03
- IRS object ID
- 202232159349201153
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-03T14:00:32-07:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 760778423 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Luers & Dyer CPAs LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1934 | AddressLine1Txt |
| City | Julian | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953401112 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA ASSOC MEDICAL STAFF SERV | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALI | BusinessNameControlTxt |
| Phone | 9515653462 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12277 Apple Valley Rd 292 | AddressLine1Txt |
| City | Apple Valley | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92308 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brian K Bowlin | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2022-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Brian | PersonFirstNm |
| Person Last | Bowlin | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jan D Dyer CPA | PreparerPersonNm |
| PTIN | P00513380 | PTIN |
| Phone | 7607650343 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | camss.org | WebsiteAddressTxt |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Gross Receipts | $93,227 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Program Service Revenue | $71,877 | ProgramServiceRevenueAmt |
| Membership Dues | $21,225 | MembershipDuesAmt |
| Investment Income | $125 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $93,227 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $2,247 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $357 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $53,821 | OtherExpensesTotalAmt |
| Total Expenses | $56,425 | TotalExpensesAmt |
| Excess Or Deficit For Year | $36,802 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $378,701 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $415,503 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,511 | BOYAmt |
| EOY | $415,313 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190 | BOYAmt |
| EOY | $190 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,701 | BOYAmt |
| EOY | $415,503 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,701 | BOYAmt |
| EOY | $415,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Organization conducts workshops in order to inform medical staff service related personnel in current operations and methods of performing related duties. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt |
|---|
| Held an annual forum to provide its members with educational and professional development activities related to healthcare related responsibilities. |
| Consistent with the CAMSS mission of supporting the integral role and important activities of medical staff professionals in the provision of quality healthcare, the scholarship program provides educational opportunities for individuals working in the field of medical staff services. |
| Provide classified ads for job listings on website |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (13 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Michelle Pasco | ||
| Secretary | 5.00 | $0 |
| BRIAN K BOWLIN CPMSM | ||
| Treasurer | 7.00 | $0 |
| NICHELLE ROSS CPCS CPMSM | ||
| President | 8.00 | $0 |
| EVENTA BROWN CPCS | ||
| REGIONAL REP | 2.00 | $0 |
| TERRIE SONNTAG | ||
| Past President | 8.00 | $0 |
| CHERYL COPELAND | ||
| REGIONAL REP | 1.00 | $0 |
| MELISSA OKUTSU CPCS | ||
| WEBMASTER | 4.00 | $0 |
| WENDY DRISKELL CPCS | ||
| REGIONAL REP | 1.00 | $0 |
| MARCIA DEAN CPMSM | ||
| President Elect | 10.00 | $0 |
| KATE DE SALVO | ||
| REGIONAL REP | 1.00 | $0 |
| Steven Canale CPCS | ||
| MEMBER CHAIR | 10.00 | $0 |
| SUSAN LOCKRIDGE CPMSM CPCS | ||
| EDUCATION CHAIR | 4.00 | $0 |
| DEBBIE BROWN CPMSM CPCS | ||
| REGIONAL REP | 0.80 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | Yes (true) | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | Yes (true) | MadeLoansToFromOfficersInd |
| Loans To From Officers | $190 | LoansToFromOfficersAmt |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN K BOWLIN | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12277 Apple Valley Rd 292 | AddressLine1Txt |
| City | Apple Valley | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9512007334 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Substantially All Dues Nonded | Yes (true) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | Yes (true) | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | false | AgreeCarryoverPriorYearInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michelle Pasco | PersonNm |
| Relationship With Org | Officer | RelationshipWithOrgTxt |
| Loan Purpose | Exp Advance | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $190 | OriginalPrincipalAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | false | BoardOrCommitteeApprovalInd |
| Written Agreement | false | WrittenAgreementInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1003 | Information Technology $2388 |
| Other Expenses.1007 | Conferences, Conventions, and Meetings $1518 |
| Other Expenses.1012 | Insurance $1175 |
| Other Expenses.1 | Forum Expenses $39862 |
| Other Expenses.2 | Website $4480 |
| Other Expenses.3 | Workshop Expenses $1500 |
| Other Expenses.4 | Storage $893 |
| Other Expenses.5 | Dues and association fees $579 |
| Other Expenses.6 | Scholarship $500 |
| Other Expenses.7 | Computer Expense $490 |
| Other Expenses.9 | AWARDS $340 |
| Other Expenses.10 | Supplies $36 |
| Other Expenses.11 | Merchant Service Fees $35 |
| Other Expenses.12 | Filing Fees $25 |
| Other Assets.1007 | Receivables-Officers, Directors, Etc. - Beginning $190 Receivables-Officers, Directors, Etc. - Ending $190 |
Comments