MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION: Form 990EZ, tax year 2015
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- Organization
- MINNESOTA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (EIN 36-3611238)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-12-23
- IRS object ID
- 201623589349200002
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-12-23T06:39:43-08:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 2015-07-01 | 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 Director | PersonTitleTxt |
| Signature | 2016-12-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Neal O Evert | PreparerPersonNm |
| PTIN | P00046853 | PTIN |
| Phone | 9528310085 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | www.mafp.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $85,618 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $84,555 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $918 | 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 |
| Other Revenue Total | $145 | OtherRevenueTotalAmt |
| Total Revenue | $85,618 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $20,190 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $40,426 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $25,225 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $95 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $1,806 | OtherExpensesTotalAmt |
| Total Expenses | $87,742 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$2,124 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $277,162 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $275,038 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,193 | BOYAmt |
| EOY | $289,359 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,969 | BOYAmt |
| EOY | $86 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,162 | BOYAmt |
| EOY | $289,445 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $14,407 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,162 | BOYAmt |
| EOY | $275,038 | 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 (4 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt |
|---|---|
| The Corporate Advisory Council program provides a means of communication between the corporate sector and the MAFP Foundation. | $9,181 |
| MEDICAL STUDENTS & RESIDENTS: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 HELPS new-to-practice physicians to practice in underserved communities in Minnesota. | $26,592 |
| Minnesota Academy of Family Physicians (MAFP) Research Network - a grant is awarded to the MAFP Research Network in support of 200+ family physicians conducting family medicine research in Minnesota. | $23,780 |
| 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. | $1,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $61,085 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (19 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Maria Huntley CAE | ||
| Executive Dir. | 1.00 | $0 |
| Sue Inoue MD | ||
| Director | 1.00 | $0 |
| Renee Crichlow MD | ||
| Director | 1.00 | $0 |
| Mohammad Tariq Fareed MD | ||
| MAFP President | 1.00 | $0 |
| Kevin Gilliam II MD | ||
| Director | 1.00 | $0 |
| Carolyn Kampa MD | ||
| Director | 1.00 | $0 |
| Thomas King MD | ||
| Director | 1.00 | $0 |
| Lief Solberg MD | ||
| Director | 1.00 | $0 |
| Lynne Ogawa MD | ||
| President | 1.00 | $0 |
| Dave Clauer | ||
| Director | 1.00 | $0 |
| Nora Ali | ||
| Director | 1.00 | $0 |
| Eduardo Medina MD | ||
| Director | 1.00 | $0 |
| ROSA MARROQUIN MD | ||
| Vice President | 1.00 | $0 |
| Meng Lor | ||
| Treasurer | 1.00 | $0 |
| McKenzi Burnmeister MD | ||
| Director | 1.00 | $0 |
| Mioki Myszkowski MD | ||
| Director | 1.00 | $0 |
| Emily Anderson MD | ||
| Director | 1.00 | $0 |
| Eman Abdullahi | ||
| Director | 1.00 | $0 |
| Sue Johnton | ||
| Director | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| 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 | $150,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,104 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,563 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,079 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,052 | CurrentTaxYearAmt |
| Total | $404,730 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,250 | CurrentTaxYearMinus3YearsAmt |
| Total | $5,750 | 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 | $154,432 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,354 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,563 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,079 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,052 | CurrentTaxYearAmt |
| Total | $410,480 | 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 | $410,480 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,423 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,135 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $987 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $918 | CurrentTaxYearAmt |
| Total | $5,696 | 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 | $1,423 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,135 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $987 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $918 | CurrentTaxYearAmt |
| Total | $5,696 | 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 | $45,994 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,929 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,648 | CurrentTaxYearAmt |
| Total | $264,259 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $201,849 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,516 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,186 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,266 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,618 | CurrentTaxYearAmt |
| Total | $680,435 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.60330 | PublicSupportCY509Pct |
| Public Support PY509 | 0.63190 | PublicSupportPY509Pct |
| Investment Income CY | 0.00840 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00840 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Revenue.1 | Dues Allocation from MAFP $145 |
| Grants and Similar Amounts Paid In Excess of $5,000.2 | | Donee's Name: Various Individuals - NONE OVER $5,000 | Cash Amount Given: $20190 |
| Other Expenses.1002 | Office Expenses $134 |
| Other Expenses.1005 | Travel $930 |
| Other Expenses.1 | Bank & Credit Card Fees $473 |
| Other Expenses.2 | MISCELLANEOUS $209 |
| Other Expenses.4 | TELECOMMUNICATION $60 |
| Other Assets.1005 | Accounts Receivable - Beginning $0 Accounts Receivable - Ending $86 |
| Other Assets.1 | Other Assets - Beginning $6969 Other Assets - Ending $0 |
| Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $0 Accounts Payable and Accrued Expenses - Ending $14407 |
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