BETA

CONNECTMED INTERNATIONAL: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CONNECTMED INTERNATIONAL (EIN 27-0804773)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-03
IRS object ID
201402769349200310
Schema version
2013v3.0
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)
Return2014-10-03T12:59:49-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203676004PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CPWR LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15057 KELLER SPRINGS RD SUITE 425AddressLine1
CityADDISONCity
StateTXState
ZIP Code75001ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270804773EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONNECTMED INTERNATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCONNBusinessNameControlTxt
Phone6198005349PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11435 EOLUS AVEAddressLine1
CityENCINITASCity
StateCAState
ZIP Code92024ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMANDA GOSMAN MDPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone6198005349PhoneNum
Signature2014-09-29SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRONALD E COLBURNPreparerPersonNm
PTINP00021126PTIN
Phone9729914566PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

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$178,085GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$114,460ContributionsGiftsGrantsEtcAmt
Investment Income$234InvestmentIncomeAmt
Fundraising Gross Income$63,391FundraisingGrossIncomeAmt
Special Events Direct Expenses$15,555SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$47,836SpecialEventsNetIncomeLossAmt
Total Revenue$162,530TotalRevenueAmt
Salaries Other Comp Empl Bnft$9,000SalariesOtherCompEmplBnftAmt
Other Expenses Total$87,278OtherExpensesTotalAmt
Total Expenses$96,278TotalExpensesAmt
Excess Or Deficit For Year$66,252ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$194,717NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$260,969NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$177,171BOYAmt
EOY$232,778EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$48,321BOYAmt
EOY$29,250EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$225,492BOYAmt
EOY$262,028EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,775BOYAmt
EOY$1,059EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$194,717BOYAmt
EOY$260,969EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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 (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
FEB 18, 2013 THRU FEB 22, 2013 TRAVEL TO LILONGWE, MALAWI AFRICA TO AFRICAN BIBLE COLLEGE COMMUNITY CLINIC WITH FULL SURGICAL TEAM OF 16 MEMBERS INCLUDING 2 SURGEONS. 40 CRANIOFACIAL RECONSTRUCTIVE SURGICAL CASES AND 25 SPEECH THERAPY EVALUATIONS AND CONSULTS.$0$78,477
MAY 18, 2013 -- TRAVEL TO HOSPITAL INFANTIL DE LAS CALIFORNIAS IN TIJUANA, MEXICO AND PERFORMED CRANIOFACIAL RECONSTRUCTIVE SURGERIES ON 4 PATIENTS. ALSO, ATTENDING WERE 10 STUDENTS FROM UNIVERSITY OF CALIFORNIA SAN DIEGO.$0$500
NOV 23, 2013 -- TRAVEL TO HOSPITAL INFANTIL DE LAS CALIFORNIAS IN TIJUANA, MEXICO AND PERFORMED CRANIOFACIAL RECONSTRUCTIVE SURGERIES ON 5 PATIENTS. TWO SURGEONS ON THIS TRIP. ALSO ATTENDING WERE 50 STUDENTS FROM UNIVERSITY OF CALIFORNIA SAN DIEGO.$0$500
FieldValueIRS element (for citing)
Total Program Service Expenses$79,477TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SHERRY L COLBURN
EXECUTIVE DIRECTOR15.00$9,000$0$0
AMANDA GOSMAN MD
PRESIDENT AND CEO / BOARD20.00$0$0$0
RITA ABBATI ALBERT
VICE PRESIDENT/BOARD MEMBE5.00$0$0$0
RONALD COLBURN CPA
TREASURER/BOARD MEMBER2.00$0$0$0
ALICIA SIGLER MD
BOARD MEMBER2.00$0$0$0
ZIA AGHA MD
BOARD MEMBER2.00$0$0$0
ROHIT KHOSLA MD
BOARD MEMBER2.00$0$0$0
SHANKAR SITIPATI
BOARD MEMBER2.00$0$0$0
ROBERT HALL
BOARD MEMBER2.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHERRY L COLBURNPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1112 UTE LANEAddressLine1
CityESTES PARKCity
StateCOState
ZIP Code80517ZIPCode
FieldValueIRS element (for citing)
Phone9705861793PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)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 Minus3 Years$8,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,286CurrentTaxYearMinus1YearAmt
Current Tax Year$48,060CurrentTaxYearAmt
Total$179,405TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,286CurrentTaxYearMinus1YearAmt
Current Tax Year$48,060CurrentTaxYearAmt
Total$179,405TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$179,405PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$140CurrentTaxYearMinus1YearAmt
Current Tax Year$234CurrentTaxYearAmt
Total$374TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$140CurrentTaxYearMinus1YearAmt
Current Tax Year$234CurrentTaxYearAmt
Total$374TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,426CurrentTaxYearMinus1YearAmt
Current Tax Year$48,294CurrentTaxYearAmt
Total$179,779TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99790PublicSupportCY509Pct
Investment Income CY0.00210InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART IV, LIST OF UNUSUAL GRANTS:FormAndLineReferenceDesc
ExplanationDESCRIPTION: CASH GRANT FOR MALAWI AFRICA CLINIC DATE: 01/01/13 AMOUNT: 11400. DESCRIPTION: CASH GRANT FOR GENERAL OPERATONS DATE: 11/15/13 AMOUNT: 35000. DESCRIPTION: CASH GRANT FOR MALAWI AFRICA CLINIC DATE: 12/30/14 AMOUNT: 20000.ExplanationTxt

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

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1DINNER AND AUCTION JULY 20 2013NameOfEvent1Amt
Gross Receipts Event1$63,391GrossReceiptsEvent1Amt
Gross Revenue Event1$63,391GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,500RentFacilityCostsEvent1Amt
Food And Beverage Event1$13,055FoodAndBeverageEvent1Amt
Gross Receipts Total$63,391GrossReceiptsTotalAmt
Gross Revenue Total Events$63,391GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,055FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events$15,555DirectExpenseSummaryEventsAmt
Net Income Summary$47,836NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST. AMOUNT: 234.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: OFFICE AND ADMINISTRATIVE. AMOUNT: 1,412. DESCRIPTION: WEB SITE HOSTING. AMOUNT: 722. DESCRIPTION: PROGRAM SERVICE TRAVEL. AMOUNT: 79,477. DESCRIPTION: FEDERAL PAYROLL TAXES. AMOUNT: 688. DESCRIPTION: PROMOTION. AMOUNT: 500. DESCRIPTION: D & O INSURANCE. AMOUNT: 2,485. DESCRIPTION: BOARD MEETINGS. AMOUNT: 960. DESCRIPTION: STATE REGISTRATION FEES. AMOUNT: 130. DESCRIPTION: CREDIT CARD FEES AND BANK SERVICE FEES. AMOUNT: 768. DESCRIPTION: MEDICAL SUPPLIES. AMOUNT: 136. TOTAL TO FORM 990-EZ, LINE 16: 87,278.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: PREPAID TRIP COSTS FOR 2013 PROGRAM SERVICE TRIP. BEG. OF YEAR AMOUNT: 24,461. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 23,860. END OF YEAR AMOUNT: 29,250.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: DEFERRED PROGRAM SERVICES TRIP FEE CONTRIBUTIONS. BEG. OF YEAR AMOUNT: 30,775. END OF YEAR AMOUNT: 0. DESCRIPTION: PAYROLL TAXES PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,059.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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