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CONNECTMED INTERNATIONAL: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CONNECTMED INTERNATIONAL (EIN 27-0804773)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201623209349202427
Schema version
2015v2.0
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)
Return2016-11-15T09:07:26-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FILIPOVITCH & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15800 ARMADA DRIVE SUITE 290AddressLine1Txt
CityCARLSBADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP920084611ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270804773EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONNECTMED INTERNATIONALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONNBusinessNameControlTxt
Phone6198005349PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17040 AVENIDA ENCINAS STE 104AddressLine1Txt
CityCARLSBADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92011ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMANDA A GOSMANPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVAN FILIPOVITCH CPAPreparerPersonNm
PTINP01537586PTIN
Phone7606028200PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.connectmed.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$156,540GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$92,589ContributionsGiftsGrantsEtcAmt
Investment Income$236InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$63,715FundraisingGrossIncomeAmt
Special Events Direct Expenses$22,206SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$41,509SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$134,334TotalRevenueAmt
Salaries Other Comp Empl Bnft$19,058SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$750FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$660PrintingPublicationsPostageAmt
Other Expenses Total$46,786OtherExpensesTotalAmt
Total Expenses$67,254TotalExpensesAmt
Excess Or Deficit For Year$67,080ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$273,321NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$340,401NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$273,321BOYAmt
EOY$350,331EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$273,321BOYAmt
EOY$350,331EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$9,930EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$273,321BOYAmt
EOY$340,401EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTHE MISSION OF THIS ORGANIZATION IS TO PROMOTE SUSTAINABLE MULTIDISCIPLINARY HEALTH CARE AND EDUCATION TO PATIENTS AND HEALTH CARE PROVIDERS IN UNDERSERVED AREAS AROUND THE WORLD THROUGH A COMBINATION OF DIRECT MEDICAL CARE AND THE ESTABLISHMENT OF AN INTERACTIVE TELEMEDICINE NETWORK BETWEEN INTERNATIONAL SITESPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROMOTE SUSTAINABLE MULTIDISCIPLINARY HEALTH CARE AND EDUCATION TO PATIENTS AND HEALTH CARE PROVIDERS IN UNDERSERVED AREAS AROUND THE WORLD THROUGH A COMBINATION OF DIRECT MEDICAL CARE AND THE ESTABLISHMENT OF AN INTERACTIVE TELEMEDICINE NETWORK BETWEEN INTERNATIONAL SITESDescriptionProgramSrvcAccomTxt
Grants And Allocations$47,586GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$47,586TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
AMANDA GOSMAN
President20.00$0
JAMES GOSMAN
Director2.00$0
RITA ABBATI ALBERT
Executive Dir.14.00$17,400
LILI HUANG
Director2.00$0
ALICIA SIGLER
Director2.00$0
ZIA AGHA
Director2.00$0
ROHIT KHOSLA
Director2.00$0
SHANKAR SITAPATI
Treasurer2.00$0
ROBERT HALL
Director2.00$0
KRIZEL DAHLINE
Director2.00$0
KARINA ICINKOFF
Director2.00$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 FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJUSTIN BROWNPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11435 EOLUS AVENUEAddressLine1Txt
CityENCINITASCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92024ZIPCd
FieldValueIRS element (for citing)
Phone6198005349PhoneNum
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$65,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$141,918CurrentTaxYearMinus1YearAmt
Current Tax Year$92,590CurrentTaxYearAmt
Total$405,303TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$65,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$141,918CurrentTaxYearMinus1YearAmt
Current Tax Year$92,590CurrentTaxYearAmt
Total$405,303TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$6,000CurrentTaxYearAmt
Total$6,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$6,000CurrentTaxYearAmt
Total$6,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$399,303PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$189CurrentTaxYearMinus1YearAmt
Current Tax Year$236CurrentTaxYearAmt
Total$799TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$189CurrentTaxYearMinus1YearAmt
Current Tax Year$236CurrentTaxYearAmt
Total$799TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,107CurrentTaxYearMinus1YearAmt
Current Tax Year$92,826CurrentTaxYearAmt
Total$406,102TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98330PublicSupportCY509Pct
Public Support PY5090.99830PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
Investment Income PY0.00170InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER/AUCTIONEvent1Nm
Gross Receipts Event1$56,384GrossReceiptsEvent1Amt
Gross Revenue Event1$56,384GrossRevenueEvent1Amt
Rent Facility Costs Event1$10,761RentFacilityCostsEvent1Amt
Food And Beverage Event1$402FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$7,724OtherDirectExpensesEvent1Amt
Event2ZUMBATHONEvent2Nm
Gross Receipts Event2$7,331GrossReceiptsEvent2Amt
Gross Revenue Event2$7,331GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,411RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$1,908OtherDirectExpensesEvent2Amt
Gross Receipts Total$63,715GrossReceiptsTotalAmt
Gross Revenue Total Events$63,715GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$12,172RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$402FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$9,632OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,206DirectExpenseSummaryEventsAmt
Net Income Summary$41,509NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $2104
Other Expenses.1002Office Expenses $308
Other Expenses.1012Insurance $2594
Other Expenses.1MEDICAL EQUIPMENT $10000
Other Expenses.2VISITING SCHOLARS PROGRAM $7023
Other Expenses.3CONSULTING $5029
Other Expenses.4DUES $5000
Other Expenses.5PROGRAMS & CONFERENCES $2788
Other Expenses.6MEDICAL TRAVEL $2600
Other Expenses.7MEDICAL STAFF $2600
Other Expenses.8DIRECT MEDICAL TRIP COSTS $1308
Other Expenses.9MEDICAL TRAVEL SUPPLIES $1142
Other Expenses.10MEDICAL SUPPLIES $1100
Other Expenses.11WEBSITE $888
Other Expenses.13SURGICAL SUPPLIES $598
Other Expenses.14TRAVEL $543
Other Expenses.15VOLUNTEER COSTS $523
Other Expenses.16OUTSIDE SERVICES $358
Other Expenses.17CREDIT CARD FEES $95
Other Expenses.18SURGICAL EQUIPMENT $65
Other Expenses.19MEDICATIONS $57
Other Expenses.20BANK SERVICE CHARGES $33
Other Expenses.21TAXES & LICENSES $30
Total Liabilities.1CREDIT CARD PAYABLE - Beginning $0 CREDIT CARD PAYABLE - Ending $9432
Total Liabilities.2PAYROLL LIABILITIES - Beginning $0 PAYROLL LIABILITIES - Ending $498

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