FOUNDATION FOR SURGICAL INNOVATION: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR SURGICAL INNOVATION (EIN 27-1729005)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-06
IRS object ID
201703109349200440
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-11-06T08:38:33-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DOYLE CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114631 SW Millikan Way Ste 1AddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97003ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271729005EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR SURGICAL INNOVATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone5032810561PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14805 NE GLISAN ST SUITE 6N60AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97213ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR CHRISTY DUNSTPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2017-11-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN D DOYLE CPAPreparerPersonNm
PTINP00623681PTIN
Phone5036167959PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website Addresswww.tfsie.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$91,566GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$18,250ContributionsGiftsGrantsEtcAmt
Program Service Revenue$73,303ProgramServiceRevenueAmt
Investment Income$13InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$91,566TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$8,416FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$177PrintingPublicationsPostageAmt
Other Expenses Total$81,120OtherExpensesTotalAmt
Total Expenses$89,713TotalExpensesAmt
Excess Or Deficit For Year$1,853ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$496,238NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$498,091NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$458,064BOYAmt
EOY$464,709EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$38,174BOYAmt
EOY$33,382EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$496,238BOYAmt
EOY$498,091EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$496,238BOYAmt
EOY$498,091EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo support quality in research and education in the field of Minimally Invasive Surgery.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSurgical continuing education course benefiting about 50 surgeons, nurses and allied health professionals focusing on minimally invasive surgical therapies for abdominal cancers.DescriptionProgramSrvcAccomTxt
Grants And Allocations$81,522GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$81,522TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR LEE SWANSTROM
President0.25$0
DR MICHAEL M AWAD
Secretary0.25$0
DR CHRISTY DUNST
Executive Dir.4.00$0
DR KEVIN REAVIS
LAB DIRECTOR0.25$0
DR MIKE UJIKI
Director0.25$0
DR ROBERT GLASGOW
Director0.25$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR CHRISTY DUNSTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14805 NE GLISAN ST SUITE 6N60AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97213ZIPCd
FieldValueIRS element (for citing)
Phone5032810561PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)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$83,315CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,678CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,250CurrentTaxYearMinus1YearAmt
Current Tax Year$18,250CurrentTaxYearAmt
Total$403,344TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$143,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$145,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,681CurrentTaxYearMinus1YearAmt
Current Tax Year$73,303CurrentTaxYearAmt
Total$590,327TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$226,420CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$227,630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,931CurrentTaxYearMinus1YearAmt
Current Tax Year$91,553CurrentTaxYearAmt
Total$993,671TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$993,671PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Current Tax Year$13CurrentTaxYearAmt
Total$88TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Current Tax Year$13CurrentTaxYearAmt
Total$88TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$451CurrentTaxYearMinus4YearsAmt
Total$451TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$226,904CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,153CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$227,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,944CurrentTaxYearMinus1YearAmt
Current Tax Year$91,566CurrentTaxYearAmt
Total$994,210TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.98390PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1003Information Technology $1284
Other Expenses.1009Depreciation $16330
Other Expenses.1POEM COURSE $37592
Other Expenses.2AWARDS AND GRANTS $10488
Other Expenses.3SUMMER FUNDRAISER $6867
Other Expenses.4LAB FEES $6841
Other Expenses.5SUPPLIES $1512
Other Expenses.6LICENSES AND FEES $191
Other Expenses.8BANK FEES $15
Other Assets.1003Machinery and Equipment - Beginning $38174 Machinery and Equipment - Ending $33382

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