2022-11-14T13:35:19-06:00 2021-12-31 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 550 MILWAUKEE WI 53202 990 2021-01-01 042760899 CERTIFICATION BOARD OF INFECTION CONTROL AND EPIDEMIOLOGY INC CERT 4149189796 555 E WELLS STREET 1100 MILWAUKEE WI 53202 MAYAR AL MOHAJER MD TREASURER 4149189796 2022-11-14 1 MAYAR AL MOHAJER MD 999009999 KATY L SOMMER P00273273 4142711451 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MAYAR AL MOHAJER MD 555 E WELLS STREET 1100 MILWAUKEE WI 53202 1323868 0 X WWW.CBIC.ORG X 1981 MA THE MISSION OF CBIC IS TO PROVIDE PATHWAYS TO ASSESS AND MAINTAIN INFECTION PREVENTION COMPETENCY. 14 14 0 17 0 0 0 0 916954 1238934 44788 50194 18545 34740 980287 1323868 0 0 0 0 0 0 0 0 0 940252 1024834 940252 1024834 40035 299034 2049603 2396298 202632 22713 1846971 2373585 TO PROTECT THE PUBLIC THROUGH THE DEVELOPMENT, ADMINISTRATION, AND PROMOTION OF AN ACCREDITED CERTIFICATION IN INFECTION PREVENTION AND CONTROL. 0 0 280745 783329 EXAM ADMINISTRATION: CBIC OFFERS VOLUNTARY PERIODIC CERTIFICATION EXAMS FOR ALL INFECTION CONTROL PROFESSIONALS MEETING EDUCATIONAL AND PRACTICE REQUIREMENTS. THE PURPOSE OF THE CERTIFICATION PROCESS IS TO PROTECT THE PUBLIC BY PROVIDING A STANDARDIZED MEASUREMENT OF CURRENT BASIC KNOWLEDGE NEEDED FOR PERSONS PRACTICING INFECTION CONTROL, TO ENCOURAGE INDIVIDUAL GROWTH AND STUDY, THEREBY PROMOTING PROFESSIONALISM AMONG INFECTION CONTROL PROFESSIONALS AND TO FORMALLY RECOGNIZE INFECTION CONTROL PROFESSIONALS WHO FULFILL THE REQUIREMENTS FOR CERTIFICATION. CBIC'S CERTIFICATION PROGRAM IS ACCREDITED BY THE NATIONAL COMMISSION FOR CERTIFYING AGENCIES. 418910 RECERTIFICATION EXAMINATION: IS AN OPEN BOOK WEB-BASED EXAM AVAILABLE ONLY TO RE-CERTIFIERS. IT IS DESIGNED FOR THE CANDIDATE TO COMPLETE AT HIS OR HER OWN PACE WITHIN THE CALENDAR YEAR THAT THE CANDIDATE IS DUE FOR RECERTIFICATION. RECERTIFYING CANDIDATES MAY RECERTIFY EITHER BY PASSING A WEB-BASED RECERTIFICATION EXAMINATION OR THROUGH CONTINUING EDUCATION, HEREBY REFERRED TO AS INFECTION PREVENTION UNITS (IPUS). 36695 EXAM PREP WEBINARS: CBIC OFFERS ON-DEMAND WEBINARS ON EACH OF THE 8 DOMAIN CONTENT AREAS. THESE WEBINARS WERE RECORDED ON JUNE 26, 2015 AT THE ANNUAL APIC CONFERENCE IN NASHVILLE, TN. THE EIGHT DOMAIN AREAS ARE: (1. IDENTIFICATION OF INFECTIOUS DISEASE PROCESSES) (2. SURVEILLANCE AND EPIDEMIOLOGIC INVESTIGATION) (3. PREVENTING/CONTROLLING THE TRANSMISSION OF INFECTIOUS AGENTS) (4. EMPLOYEE/OCCUPATIONAL HEALTH) (5. MANAGEMENT AND COMMUNICATION) (6. EDUCATION AND RESEARCH) (7. ENVIRONMENT OF CARE) AND (8. CLEANING, STERILIZATION, DISINFECTION, ASEPSIS). 377382 377382 658127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X EXECUTIVE DIRECTOR INC 4142766445 555 E WELLS STREET SUITE 1100 MILWAUKEE WI 53202 X APRYL L MCELHENY MBA MSN RN CASC DIRECTOR 1.00 X 0 0 0 ANDREA H FLINCHUM MPH BSN RN CIC DIRECTOR 1.00 X 0 0 0 MAYAR AL MOHAJER MD CIC DIRECTOR 1.00 X 0 0 0 ELIAS B TANNOUS BSN MBA RN CIC DIRECTOR 1.00 X 0 0 0 ROBERT BOBBY ROSENTHAL CONSUMER DIRECTOR 1.00 X 0 0 0 SANDRA CALLERY RN MHSC CIC PRESIDENT - ELECT 1.00 X X 0 0 0 CHRISTOPHER L OLSON BS CIC TREASURER 1.00 X X 0 0 0 JANET GLOWICZ MPH PHD RN PRESIDENT 1.00 X X 0 0 0 JAMES F MARX PHD RN CIC DIRECTOR 1.00 X 0 0 0 FRANK J NEMEC MD CIC SECRETARY 1.00 X X 0 0 0 LINDA GOSS DNP BS APRN ANP-BC CO PAST PRESIDENT 1.00 X X 0 0 0 TERRI REBMANN PHD RN DID FAPIC DIRECTOR 1.00 X 0 0 0 ELAINE LARSON CIC DIRECTOR 1.00 X 0 0 0 JACIE COLYN VOLKMAN MPH CIC DIRECTOR AND PRACTICE ANALYSIS TASK FORCE CHAIR 1.00 X 0 0 0 0 0 0 0 0 0 0 EXECUTIVE DIRECTOR INC 555 E WELLS ST SUITE 1100 MILWAUKEE WI 53202 MANAGEMENT 518105 PROMETRIC BOX 223608 PITTSBURGH PA 15251 EXAMINATION 353701 2 COMPUTER EXAM 541900 783329 783329 RECERTIFICATION EXAM 541900 418910 418910 WEBINARS 541900 36695 36695 1238934 50194 50194 34012 0 34012 34012 MISCELLANEOUS 900099 728 728 728 1323868 1273674 0 50194 518105 295374 222731 5750 5750 27980 27980 23044 23044 34268 34268 16964 16964 102 102 17428 11728 5700 21358 21358 3960 3960 CIC EXAM 256914 256914 LONG-TERM CARE DEVELOPM 42078 42078 INST. FOR CREDENTIALING 26331 26331 ASSOCIATES EXAM 23831 23831 6721 1769 4952 1024834 658127 366707 0 236746 376888 14426 35844 5740 0 6626 5530 16783 1511 1742422 1970002 26860 6523 2049603 2396298 48057 7078 154575 15635 202632 22713 X 1846971 2373585 1846971 2373585 2049603 2396298 299034 227580 0 X X 0 1 X 1 0 0 X 1523468 227580 227580 1295888 27980 27980 1323868 996854 0 996854 27980 27980 1024834 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS REVIEWED ALL TAX POSITIONS RECOGNIZED IN PREVIOUSLY FILED TAX RETURNS AND THOSE EXPECTED TO BE TAKEN IN FUTURE TAX RETURNS. AS OF DECEMBER 31, 2021 THE ORGANIZATION HAD NO AMOUNTS RELATED TO UNRECOGNIZED INCOME TAX BENEFITS AND NO AMOUNTS RELATED TO ACCRUED INTEREST AND PENALTIES. THE ORGANIZATION DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES TO UNRECOGNIZED INCOME TAX BENEFITS OVER THE NEXT YEAR. FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - CBIC CONTRACTS WITH EXECUTIVE DIRECTOR INC (A FOR-PROFIT MANAGEMENT COMPANY) TO PROVIDE OFFICE FACILITIES, MANAGEMENT, RECORD KEEPING, ACCOUNTING, STORAGE, OTHER SIGNIFICANT SERVICES, PLUS RELATED OVERHEAD. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE ORGANIZATION'S TREASURER REVIEWS A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT. ANY RESULTANT COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM 990 BY THE INDEPENDENT ACCOUNTANT. A FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THREE TIMES A YEAR, AT THE BOARD MEETINGS, EACH BOARD MEMBER COMPLETES THE CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED AND KEPT ON FILE AT THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION B, LINE 15A CBIC IS MANAGED BY EXECUTIVE DIRECTOR, INC (A FOR-PROFIT MANAGEMENT COMPANY). CBIC HAS NO OFFICIAL EMPLOYEES, BECAUSE ALL STAFF ASSIGNED TO CBIC ARE EMPLOYEES OF THE MANAGEMENT FIRM. CBIC DOES NOT COMPENSATE DIRECTORS OR TOP OFFICIALS. FORM 990, PART VI, SECTION C, LINE 19 CBIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S TREASURER REVIEWS A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT. ANY RESULTANT COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM 990 BY THE INDEPENDENT ACCOUNTANT. A FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. APIC INC - CENTRAL 1275 K STREET NW SUITE 1000 WASHINGTON DC 200054006 237256856 EDUCATION MA 501(C)(3) LINE 10 0 APIC CONSULTING SERVICES INC (ACSI) 1275 K STREET NW SUITE 1000 WASHINGTON DC 200054006 262299922 CONSULTING DC APIC - CENTRAL C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0