MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (EIN 36-3611238)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-01-10
- IRS object ID
- 201940109349200249
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-01-10T09:40:16-08:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411534805 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carpenter Evert & Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7760 France Ave S 940 | AddressLine1Txt |
| City | Bloomington | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55435 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363611238 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA ACADEMY OF FAMILY PHYSICIANS | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MINN | BusinessNameControlTxt |
| Phone | 9525420130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOUTH HIGHWAY 169 | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maria Huntley | PersonNm |
| Person Title | Executive Vice | PersonTitleTxt |
| Signature | 2019-01-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Neal O Evert CPA | PreparerPersonNm |
| PTIN | P00046853 | PTIN |
| Phone | 9528310085 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | www.mafp.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $102,974 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $96,244 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $6,730 | 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 | $102,974 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $26,500 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $23,018 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $25,025 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $164 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $560 | OtherExpensesTotalAmt |
| Total Expenses | $75,267 | TotalExpensesAmt |
| Excess Or Deficit For Year | $27,707 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $257,117 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $1,045 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $285,869 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,707 | BOYAmt |
| EOY | $280,832 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $23,500 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,707 | BOYAmt |
| EOY | $304,332 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,590 | BOYAmt |
| EOY | $18,463 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,117 | BOYAmt |
| EOY | $285,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To support family physician health care delivery, research and education, and to develop patient care programs, provide education to patients and professionals, support practice-based research intiatives, and introduce medical students to the specialty of family medicine. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | MEDICAL 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.THE ANDERSON FUND: It HELPS first year residents physicians transition into residency in Minnesota.Innovation Grant Program $1000 Grants awarded to students, residents and physicians in Minnesota. 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 | $49,549 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $49,549 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Leif Solberg MD | ||
| Director | 1.00 | $0 |
| Sue Inoue MD | ||
| Director | 1.00 | $0 |
| Paul Stadem | ||
| Director | 1.00 | $0 |
| Maria Huntley | ||
| Executive Vice | 1.00 | $0 |
| Emily Anderson MD | ||
| Director | 1.00 | $0 |
| Kevin Gilliam MD | ||
| Director | 1.00 | $0 |
| Carolyn Kampa MD | ||
| Director | 1.00 | $0 |
| Lynne Ogawa MD | ||
| President | 1.00 | $0 |
| Eduardo Medina MD | ||
| Director | 1.00 | $0 |
| ROSA MARROQUIN MD | ||
| Vice President | 1.00 | $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 |
| Organization Filed990 T | false | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maria Huntley | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 South Highway 169 Suite 1680 | AddressLine1Txt |
| City | St Louis Park | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9525420130 | 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 |
| Form720 Filed | false | Form720FiledInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,244 | CurrentTaxYearAmt |
| Total | $247,706 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,244 | CurrentTaxYearAmt |
| Total | $247,706 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $247,706 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,135 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,268 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,589 | CurrentTaxYearAmt |
| Total | $22,897 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,135 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,268 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,589 | CurrentTaxYearAmt |
| Total | $22,897 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,488 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,640 | CurrentTaxYearMinus1YearAmt |
| Total | $214,976 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,266 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $85,618 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $82,676 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,833 | CurrentTaxYearAmt |
| Total | $485,579 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.51010 | PublicSupportCY509Pct |
| Public Support PY509 | 0.50750 | PublicSupportPY509Pct |
| Investment Income CY | 0.04720 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02590 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.2 | | Donee's Name: Various Individuals - NONE OVER $5,000 | Cash Amount Given: $26500 |
| Other Expenses.1005 | Travel $318 |
| Other Expenses.1 | Bank and Credit Card Fees $242 |
| Other Assets.1005 | Accounts Receivable - Beginning $0 Accounts Receivable - Ending $23500 |
| Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $19590 Accounts Payable and Accrued Expenses - Ending $18463 |
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