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MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (EIN 36-3611238)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-23
IRS object ID
202141139349200324
Schema version
2019v5.2
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)
Return2021-04-23T12:04:53-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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 NO 215AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55413ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIA HUNTLEYPersonNm
Person TitleEXECUTIVE VICEPersonTitleTxt
Phone9525420130PhoneNum
Signature2021-03-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNEAL EVERTPreparerPersonNm
PTINP00046853PTIN
Phone9528310085PhoneNum
Preparation2021-03-16PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressWWW.MAFP.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$90,190GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$83,957ContributionsGiftsGrantsEtcAmt
Investment Income$6,233InvestmentIncomeAmt
Total Revenue$90,190TotalRevenueAmt
Grants And Similar Amounts Paid$15,335GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$27,574SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$44,906FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,000OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$106PrintingPublicationsPostageAmt
Other Expenses Total$621OtherExpensesTotalAmt
Total Expenses$89,542TotalExpensesAmt
Excess Or Deficit For Year$648ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$321,224NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$321,872NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$309,786BOYAmt
EOY$312,354EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$38,170BOYAmt
EOY$28,335EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$347,956BOYAmt
EOY$340,689EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,732BOYAmt
EOY$18,817EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$321,224BOYAmt
EOY$321,872EOYAmt
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$36,636ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$36,636TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LYNNE BALFOUR
EXECUTIVE VICE PRESIDENT1.00$0$0$0
ROSA MARROQUIN MD
PRESIDENT1.00$0$0$0
PAT FONTAINE MD
DIRECTOR1.00$0$0$0
BRITTA REIERSON MD
DIRECTOR1.00$0$0$0
SUE INOUE MD
DIRECTOR1.00$0$0$0
CAROLYN KAMPA MD
DIRECTOR1.00$0$0$0
EDUARDO MEDINA MD
DIRECTOR1.00$0$0$0
PAUL STADEM MD
DIRECTOR1.00$0$0$0
ADRIANNE WESTMORELAND MD
DIRECTOR1.00$0$0$0
MARIA HUNTLEY
CHIEF EXECUTIVE OFFICER40.00$0$0$0
LINDSEY CHMIELEWSKIMD
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$34,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,768CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96,244CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$107,595CurrentTaxYearMinus1YearAmt
Current Tax Year$38,957CurrentTaxYearAmt
Total$305,616TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,768CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96,244CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$107,595CurrentTaxYearMinus1YearAmt
Current Tax Year$38,957CurrentTaxYearAmt
Total$305,616TotalAmt

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$305,616PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,815CurrentTaxYearMinus1YearAmt
Current Tax Year$6,233CurrentTaxYearAmt
Total$37,823TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,815CurrentTaxYearMinus1YearAmt
Current Tax Year$6,233CurrentTaxYearAmt
Total$37,823TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,640CurrentTaxYearMinus3YearsAmt
Total$94,288TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$82,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$118,410CurrentTaxYearMinus1YearAmt
Current Tax Year$45,190CurrentTaxYearAmt
Total$437,727TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.69820PublicSupportCY509Pct
Public Support PY5090.62180PublicSupportPY509Pct
Investment Income CY0.08640InvestmentIncomeCYPct
Investment Income PY0.06800InvestmentIncomePYPct
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 - 2015 AMOUNT: $ 50,503. 2016 AMOUNT: $ 43,640. MISCELLANEOUS - 2015 AMOUNT: $ 145.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: . AMOUNT: 6,233.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: VARIOUS INDIVIDUALS - NONE OVER $5,000. AMOUNT GIVEN: 15,335.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: BANK AND CREDIT CARD FEES. AMOUNT: 270. DESCRIPTION: TRAVEL AND CONFERENCES. AMOUNT: 351. TOTAL TO FORM 990-EZ, LINE 16: 621.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 18,170. END OF YEAR AMOUNT: 8,335. DESCRIPTION: DUE FROM RELATED ENTITY. BEG. OF YEAR AMOUNT: 20,000. END OF YEAR AMOUNT: 20,000.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 1,001. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO RELATED ENTITY. BEG. OF YEAR AMOUNT: 25,731. END OF YEAR AMOUNT: 18,817.

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

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