AMERICAN SURGEONS FOR CENTRAL AMERI: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: AMERICAN SURGEONS FOR CENTRAL AMERI (EIN 58-2247157)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-05-09
IRS object ID: 201641309349101764
Schema version: 2015v2.1
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
Form 990-PF
Schedule B
Accounting Fees Schedule
Depreciation Schedule
Land Etc Schedule2
Other Expenses Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-09T14:38:43-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	581382220	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN PRITCHETT & BASSETT LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 349	AddressLine1Txt
City	TIFTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317930349	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	582247157	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMERICAN SURGEONS FOR CENTRAL AMERI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AMER	BusinessNameControlTxt
Phone	2293821239	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1610 JOHN ORR DRIVE	AddressLine1Txt
City	TIFTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31794	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES W SCOTT	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2293821239	PhoneNum
Signature	2016-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	H FRANK SAULS JR CPA	PreparerPersonNm
PTIN	P00365589	PTIN
Phone	2293826960	PhoneNum
Preparation	2016-05-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$885	FMVAssetsEOYAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Rcvd Rev And Expnss	$10,265	ContriRcvdRevAndExpnssAmt
Total Rev And Expnss	$10,265	TotalRevAndExpnssAmt
Total Net Invst Incm	$0	TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss	$550	AccountingFeesRevAndExpnssAmt
Accounting Fees Chrtbl Prps	$550	AccountingFeesChrtblPrpsAmt
Trav Conf Meeting Rev And Expnss	$5,667	TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl	$5,667	TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss	$3,300	OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl	$3,300	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$9,517	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$9,517	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$0	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$0	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$9,517	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$9,517	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$748	ExcessRevenueOverExpensesAmt
Net Investment Income	$0	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$137	CashBOYAmt
Cash EOY	$885	CashEOYAmt
Cash EOYFMV	$885	CashEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$4,537	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,537	LandBldgEquipAccumDeprecAmt
Total Assets BOY	$137	TotalAssetsBOYAmt
Total Assets EOY	$885	TotalAssetsEOYAmt
Total Assets EOYFMV	$885	TotalAssetsEOYFMVAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind
Retained Earning BOY	$137	RetainedEarningBOYAmt
Retained Earning EOY	$885	RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY	$137	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$885	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$137	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$885	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$137	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$748	ExcessRevenueOverExpensesAmt
Subtotal	$885	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	$885	TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	false	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$915	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$130	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	7.038462	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$720	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$4,083	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	0.176341	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$5,763	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$4,220	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	1.365640	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$1,775	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$4,121	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.430721	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$13,961	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$4,010	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	3.481546	DistributionYr5Rt
Total Distribution	12.492710	TotalDistributionRt
Average Distribution	2.498542	AverageDistributionRt
Net Vl Noncharitable Assets	$503	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$1,257	AdjNetVlNoncharitableAssetsAmt
Adj Nonchrtbl Net Invst Incm Pct	$1,257	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$9,517	QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Ruling Letter	1998-12-31	RulingLetterDt
Domestic Org Meeting Sect4940e	Yes (X)	DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax	$0	InvestmentIncomeExciseTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	false	LegislativePoliticalActyInd
More Than100 Spent	false	MoreThan100SpentInd
Form1120 POL Filed	false	Form1120POLFiledInd
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (true)	Section508eRqrSatisfiedInd
At Least5000 In Assets	false	AtLeast5000InAssetsInd
Org Report Or Register State	GA	OrgReportOrRegisterStateCd
Private Operating Foundation	Yes (true)	PrivateOperatingFoundationInd
New Substantial Contributors	Yes (true)	NewSubstantialContributorsInd
Own Controlled Entity	false	OwnControlledEntityInd
Donor Advised Fund	false	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (true)	ComplyWithPublicInspRqrInd
Website Address	N/A	WebsiteAddressTxt
Individual With Books	JAMES W SCOTT	IndividualWithBooksNm
Phone	2293821239	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	1610 JOHN ORR DRIVE	AddressLine1Txt
City	TIFTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31794	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	false	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	false	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	false	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	false	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	false	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	false	TransferAstDisqualifiedPrsnInd
Payment To Government Official	false	PaymentToGovernmentOfficialInd
Undistributed Income PY	false	UndistributedIncomePYInd
Business Holdings	false	BusinessHoldingsInd
Jeopardy Investments	false	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	false	UncorrectedPYJeopardyInvstInd
Influence Legislation	false	InfluenceLegislationInd
Influence Election	false	InfluenceElectionInd
Grants To Individuals	false	GrantsToIndividualsInd
Grants To Organizations	false	GrantsToOrganizationsInd
Noncharitable Purpose	false	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
JAMES W SCOTT
1610 JOHN ORR DRIVE	TIFTON	GA	31794	PRESIDENT	2.00	$0	$0	$0
ROLANDO CHAJON
1610 JOHN ORR DRIVE	TIFTON	GA	31794	VICE PRESIDE	2.00	$0	$0	$0
MARTHA MARCHANT
1610 JOHN ORR DRIVE	TIFTON	GA	31794	SECRETARY/TR	1.00	$0	$0	$0

Field	Value	IRS element (for citing)
Comp Of Hghst Pd Empl Or NONE	NONE	CompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

Field	Value	IRS element (for citing)
Description1	TRAVEL TO CENTRAL AMERICA TO PERFORM CHARITABLE HIP AND KNEE RELACEMENT SURGERIES FOR INDIGENT PATIENTS.	Description1Txt
Expenses1	$9,517	Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Description1	N/A	Description1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$0	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$511	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$511	TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast	$511	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$8	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$503	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$25	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Sect4942j3j5 Fndtn And Frgn Org	Yes (X)	Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$9,517	ExpensesAndContributionsAmt
Qualifying Distributions	$9,517	QualifyingDistributionsAmt
Adjusted Qualifying Distri	$9,517	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Qualifying Distributions	$9,517	QualifyingDistributionsAmt
Remaining Distri From Corpus	$9,517	RemainingDistriFromCorpusAmt
Total Corpus	$9,517	TotalCorpusAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

Field	Value	IRS element (for citing)
Private Operating Fndtn Ruling	1998-12-31	PrivateOperatingFndtnRulingDt
Section4942j3	Yes (X)	Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

Field	Value	IRS element (for citing)
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Current Year	$9,517	CurrentYearAmt
Year1	$915	Year1Amt
Year2	$720	Year2Amt
Year3	$5,763	Year3Amt
Total	$16,915	TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

Field	Value	IRS element (for citing)
Current Year	$9,517	CurrentYearAmt
Year1	$915	Year1Amt
Year2	$720	Year2Amt
Year3	$5,763	Year3Amt
Total	$16,915	TotalAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
Current Year	$885	CurrentYearAmt
Year1	$137	Year1Amt
Year2	$4,145	Year2Amt
Year3	$4,285	Year3Amt
Total	$9,452	TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

Field	Value	IRS element (for citing)
Current Year	$885	CurrentYearAmt
Year1	$137	Year1Amt
Year2	$4,145	Year2Amt
Year3	$4,285	Year3Amt
Total	$9,452	TotalAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	false	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	false	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	false	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	false	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	false	ReimbursementArrangementsInd
Loans Or Loan Guarantees	false	LoansOrLoanGuaranteesInd
Performance Of Services Etc	false	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	false	RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
General Rule	Yes (X)	GeneralRuleInd

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	1	ContributorNum
Contributor Person	JAMES W SCOTT	ContributorPersonNm

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	1610 JOHN ORR DRIVE	AddressLine1Txt
City	TIFTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31794	ZIPCd

Field	Value	IRS element (for citing)
Total Contributions	$10,265	TotalContributionsAmt
Person Contribution	Yes (X)	PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	CategoryTxt
Amt	$550	Amt
Disbursements Charitable Prps	$550	DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp

Field	Value	IRS element (for citing)
Property	16 FT UTILITY TRAILER	PropertyDesc
Acquired	2008-05-22	AcquiredDt
Cost Or Other Basis	$4,537	CostOrOtherBasisAmt
Prior Year Depreciation	$4,537	PriorYearDepreciationAmt
Computation Method	200DB	ComputationMethodTxt
Life	5.0000	LifeRt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

Field	Value	IRS element (for citing)
Cost Or Other Basis	$4,537	CostOrOtherBasisAmt
Accumulated Depreciation	$4,537	AccumulatedDepreciationAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXPENSES
FOREIGN TRANSACTION FEES	$55	$55
FREIGHT	$2,923	$2,923
MISCELLANEOUS	$280	$280
UTILITIES	$42	$42

AMERICAN SURGEONS FOR CENTRAL AMERI: Form 990PF, tax year 2015

Return header ReturnHeader

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Preparer US Address PreparerUSAddress

Filer Filer

Business Name BusinessName

US Address USAddress

Business Officer BusinessOfficerGrp

Preparer Person PreparerPersonGrp

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Statements Regarding Acty StatementsRegardingActyGrp

Location Of Books US Address LocationOfBooksUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

Distributable Amount DistributableAmountGrp

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Undistributed Income UndistributedIncomeGrp

Private Operating Foundations PrivateOperatingFoundationsGrp

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

Qualifying Distributions QualifyingDistributionsGrp

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

Total Assets TotalAssetsGrp

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Contributor US Address ContributorUSAddress

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

Comments